Community Pathways Amendment #3 2025 Proposal

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

The Maryland Department of Health (MDH) is proposing amendments to the DDA-operated Medicaid waiver programs. The proposal includes the consolidation of the Family Supports and Community Supports waiver programs into the Community Pathways program.
Proposal

Purpose of HCBS and Appendix A - Waiver Adminstration and Operation specifies the adminstrative 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 B - Participant Access and Eligibility Initial - June 9, 2025

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

Appendix C - Participant Services C1 and 2-5 - June 9, 2025

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 D - Participant-Centered Service Planning and Delivery Initial - June 9, 2025

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 E - Participant-Direction of Services Initial - June 9, 2025

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 F - Participant Rights Initial - June 9, 2025

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 G - Participant Safeguards Initial - June 9, 2025

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

Appendix H - Quality Improvement Strategy Initial - June 9, 2025

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 I - Financial Accountability Initial - June 9, 2025

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

Appendix J - Cost-Neutrality Demonstration Initial - June 9, 2025

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 wfb.dda@maryland.gov 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)

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.