Maryland Department of Health
Developmental Disabilities Administration

Forms

​​​​​​​​Waivers & Policies > Forms​​​​​​​​​​​​​​

Thi​​​s page is the main location for forms and worksheets related to DDA services, supports, and programs. The Table of Contents below can help you quickly navigate to the topic you are interested in.​

Related Pages

Table of Contents

Fiscal Fo​​​​​r​​​​ms

          Annual Financial Submission Requirements: GL Data Collection & Audited Financial Statements

          To ensure accurate rate setting and financial compliance, the General Ledger (GL) Data Collection Tool and your organization's Audited Financial                            Statements must be submitted annually to the DDA and The Hilltop Institute.

          Submission Deadline & Reporting Period

                     Due Date: September 1 of each year.

                     Reporting Period: Submissions must cover the previous State Fiscal Year (which runs from July 1 through June 30).

         How to Submit

                     1. General Ledger (GL) Data Collection Tool: The GL Data Collection Tool is managed in partnership with The Hilltop Institute. Providers must                                     complete and submit the tool using the information in the link below:

                    2. Audited Financial Statements: Your organization's final Audited Financial Statements for the corresponding fiscal year must be                                                           submitted directly to the DDA's reconciliation team.



​​​​Financial Incident Report Form

The DDA maintains a financial incident reporting system for DDA providers in accordance with a recommendation by the Task Force on the Quality of Services for Individuals with Developmental Disabilities.

The financial incident report form must be completed biannually by DDA providers. ALL DDA providers are required to submit a signed and completed copy of the form twice a year (October 31 and April 30 annually).  The form due on October 31 covers April through September and the form due on April 30 covers October through March.

Forms should be returned to [email protected] with the subject header “FINANCIAL INCIDENT REPORT FORM.” These forms are due by April 30 and October 31 each year.

In addition, DDA expects all agencies licensed by or under contract with DDA to report bankruptcy filings to the Chief Financial Officer of DDA and the Provider Relations office within 24 hours of the filing.​


​Contributions ​to Care and Room and Board

Other CTC Documentation:

Cost Det​ail Tool

Cost Reports a​nd ​​Wage Survey​

Webinar & PowerPoint

FY2025 Cost Report


FY2024 Cost Report

FY2023 Cost Report

FY2022 Cost Report

FY 2021 Cost Report

FY 2020 Cost Report


Federal Billing Forms

Provider ​Agreement

DDA Procurement ​​Exemption


Community Path​​​way​​s Wa​​​iver Non-FPS Services (excluding Behavioral Support Services)

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