Community Pathways Amendment #3 2025 Proposal

Waivers & Policies > Medicaid Waiver Programs > Community Pathways > Approved Application/Amendments > Community Pathways Amendment #3 2025

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Proposal

Purpose of HCBS and Appendix A - Waiver Administration and Operation specifies the administrative and operational structure of this waiver.

Appendix B - Participant Access and Eligibility specifies the target group(s) of individuals who are served in this waiver, the number of participants that the State expects to serve during each year that the waiver is in effect, applicable Medicaid eligibility and post-eligibility (if applicable) requirements, and procedures for the evaluation and reevaluation of level of care.

Appendix C - Participant Services specifies the home and community-based waiver services that are furnished through the waiver, including applicable limitations on such services.

Assistive Technology

Behavioral Support Services

Career Exploration

Community Development Service

Community Living - Group Home

Community Living - Enhanced Supports

Day Habilitation

Employment Support Services

Environmental Assessments

Environmental Modifications

Family and Peer Mentoring Services

Family Caregiver Training and Empowerment Services

Housing Support Services

Individual and Family Directed Goods and Services

Live-In Caregiver Supports

Medical Day Care

Nursing Support Services

Participant Education Training and Advocacy

Personal Support Services

Remote Supports Services

Respite Care

Shared Living

Support Broker Services

Supported Living

Transition Services

Transportation Services

Vehicle Modification

Appendix D - Participant-Centered Service Planning and Delivery specifies the procedures and methods that the State uses to develop, implement and monitor the participant-centered service plan

Appendix E - Participant-Direction of Services specifies the participation direction opportunities that are offered in the waiver and the supports that are available to participants who direct their service

Appendix F - Participant Rights specifies how the State informs participants of their Medicaid Fair Hearing rights and other procedures to address participant grievances and complaints.

Appendix G - Participant Safeguards describes the safeguards that the State has established to assure the health and welfare of waiver participants in specified areas.

Appendix H - Quality Improvement Strategy contains the Quality Improvement Strategy for this waiver.

Appendix I - Financial Accountability describes the methods by which the States makes payments for waiver services, ensures the integrity of these payments, and complies with applicable federal requirements concerning payment and federal financial participation.

Appendix J - Cost-Neutrality Demonstration contacts the State's demonstration that the waiver is cost-neutral.

Public Comment Summary

Next Steps
When a waiver is amended, the public has 30 days to comment on the proposed waiver amendment. The official public comment period will be from June 9 to July 8, 2025. Public comments can be submitted to [email protected] or mailed to:
DDA Federal Programs Unit
201 West Preston Street, 4th Floor
Baltimore MD 21201

June 9, 2025 through July 8, 2025 – Public Input Period
Stakeholder Waiver Amendment #3 Webinar
Summary of stakeholders' comments will be posted on the DDA Website
Submission to The Centers for Medicare and Medicaid services (CMS)

*Due to challenges with uploads to the DDA Website Respite Services and Supported Living Services were not posted on June 9, 2025. To address this issue the public comment period for Respite Services and Supported Living Services will be extended until July 13, 2025.*

Webinars
The DDA shared an overview of the proposed amendments to the DDA-operated Medicaid waiver programs in a webinar on Monday, June 16, 2025, from 9 - 11 a.m.