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Maryland Department of Health
Developmental Disabilities Administration
Developmental Disabilities Administration
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Family Supports Waiver Amendment #3 - 2020
The Maryland Department of Health (MDH) and the Developmental Disabilities Administration (DDA) will be making changes to the Family Supports Waiver by submitting a Waiver Amendment to the Center for Medicare and Medicaid Services (CMS)
Proposal
Purpose of HCBS and Appendix A - Waiver Administration and Operation
specifies the administrative and operational structure of this waiver.
Purpose of HCBS and Appendix A - Waiver Administration and Operation Initial - August 28, 2020
Purpose of HCBS and Appendix A - Waiver Administration and Operation Revised - October 30, 2020
Purpose of HCBS and Appendix A - Waiver Administration and Operation Revised - January 19, 2021
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 - August 28, 2020
Appendix B - Participant Access and Eligibility Revised - October 30, 2020
Appendix B - Participant Access and Eligibility Revised - January 19, 2021
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 Initial - August 28, 2020
Appendix C - Participant Services Revised - October 30, 2020
Appendix C - Participant Services Revised - January 19, 2021
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 - August 28, 2020
Appendix D - Participant-Centered Service Planning and Delivery Revised - October 30, 2020
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 services.
Appendix E - Participant-Direction of Services Initial - August 28, 2020
Appendix E - Participant-Direction of Service Revised - October 30, 2020
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 - August 28, 2020
Appendix F - Participant Rights Revised - October 30, 2020
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 - August 28, 2020
Appendix G - Participant Safeguards Revised - October 30, 2020
Appendix H - Quality Improvement Strategy
contains the Quality Improvement Strategy for this waiver.
Appendix H - Quality Improvement Strategy Initial - August 28, 2020
Appendix H - Quality Improvement Strategy Revised - October 30, 2020
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 - August 28, 2020
Appendix I - Financial Accountability Revised - October 30, 2020
Appendix I - Financial Accountability Revised - January 19, 2021
Appendix J - Cost-Neutrality Demonstration
contacts the State’s demonstration that the waiver is cost-neutral.
Appendix J - Cost-Neutrality Demonstration Initial - August 28, 2020
Appendix J - Cost-Neutrality Demonstration Revised - October 30, 2020
Appendix J - Cost-Neutrality Demonstration Revised - January 19, 2021
CMS Communications
Family Supports Waiver - Amendment #3 Approval Letter - January 19, 2021
CMS 1st Round of Informal Request for Additional Information - December 14, 2020
CMS 2nd Round of Informal Request for Additional Information - January 6, 2021
CMS 3rd Round of Informal Request for Additional Information - January 13, 2021
Public Comments
Next Steps
Summary of stakeholders’ comments will be posted on the DDA website.
DDA Waiver Amendments # 3 was submitted to CMS on October 30, 2020
DDA Waiver Amendments # 3 proposed effective date January 1, 2020
Webinars
Developmental Disabilities Administration (DDA) Waiver Amendments #3 2020
Developmental Disabilities Administration (DDA) Waiver Amendments #3 2020 - Presentation
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