DDA Waivers - Amendment #2 2019

The Developmental Disabilities Administration (DDA) is pleased to announce that the federal Centers for Medicaid & Medicare Services (CMS) approved amendments made to the Community Pathways, Community Supports, and Family Supports Waiver Home and Community Based Services (HCBS) Waiver applications in mid-November 2019.  Amendment # 2 for all three waivers will go into effect on December 1, 2019.


The DDA Waivers Amendment # 2 includes:

  • ​ A transition strategy to Maryland's Long-Term Services and Supports (LTSSMaryland) fee-for-services billing starting with a small pilot group
  • New procedure codes and associated rates for services associated with dedicated staffing (i.e. 1:1 and 2:1) in residential services
  • Shared living levels
  • Day habilitation (small and large groups)
  • Enhanced personal supports for people with complex health and/or behavioral needs
  • Updates to the self-directed service delivery model 

To view a copy of the approved DDA Waivers Amendment # 1 applications, please visit:

      Family Supports Waiver - Amendment #2 2019​

      Community Supports Waiver - Amendment #2 2019​

      Community Pathways Waiver - Amendment #2 2019​

For more information about the DDA Waivers Amendment # 2 applications, please visit: 

      Self-Directed Services Framework and Amendment #2

      Transition to LTSS and Fee for Service Strategy

      DDA Waiver Amendments #2 Overview Presentation

      DDA Waivers Amendment 2 2019 - Stakeholder Input Summary Final