Appendix C - Participant Services: This appendix describes the home and community-based waiver services that are furnished through the waiver, including applicable limitations on such services. Each service is described in a separate document.
- Community Living - Group Home
- Appendix C - Individual Family Directed Goods and Services (IFDGS)
- Appendix C - Participant Services C1 and 2-5
Appendix E - Participant-Direction of Services: Specifies the participant direction opportunities that are offered in the waiver and the supports that are available to participants who direct their services.
Appendix I - Financial Accountability: Describes the methods by which the State makes payments for waiver services, ensures the integrity of these payments, and complies with federal requirements concerning payment and federal financial participation.
Appendix J - Cost-Neutrality Demonstration: the State's demonstration that the waiver is cost-neutral.
Public Comment and State Response Summary
DDA received a total of 846 unique comments during the public comment period that was held from April 29, 2026 through May 28, 2026. Here is a summary of those comments, and how DDA responded to the comments. Please note that during the public comment period, DDA received several recommendations for which further engagement with stakeholders is needed. These recommendations were not accepted for this amendment but may inform future amendments.
DDA thanks all program participants, families, providers, advocates, and other external partners who submitted comments
We also created a much shorter summary of the public comments.
Key Updates
Self-Directed Services Model:
For participants in the Self-Directed Services model, implementation of the new Reasonable & Customary Wage Standards has been extended. Participants will have the option to freeze wages at the levels in effect on June 30, 2026, to support the extended implementation timeline. Allowable wages will remain at June 30, 2026 levels until CMS approves the waiver amendment. If participants wish to make changes to employee wages, please reach out directly to the Financial Management and Counseling Services (FMCS) vendor.
Community Provider-Managed Model:For the Community Provider-Managed model, the implementation of the rate reduction has been extended. Provider rates will remain at the June 30, 2026 levels until CMS approves the waiver amendment.
What Happens Next:CMS has 90 days to review our waiver amendment application. Any changes would go into effect after CMS approval of our application.
DDA will host regional listening sessions and technical assistance webinars to help providers, participants, and support teams understand upcoming changes, when they take effect, and what actions need to be taken and by when.
DDA is committed to ensuring a seamless transition for all. We will continue to provide updates along the way, including the outcome of the application submission.
Access More Information:If you have questions about this information, please reach out to a
regional office for assistance.
