Community Pathways Waiver Amendment #1

The Department of Health and Mental Hygiene (DHMH) will be making changes to the Community Pathways Waiver to create a more flexible, person-centered, family oriented system of supports. The changes contained herein are based on feedback from individuals receiving services and their families, recommendations from the independent consultants, and are aimed at furthering compliance with new federal rules and requirements from the Center for Medicare and Medicaid Services (CMS) and the Department of Labor (DOL).

Requests to make changes to the wavier program are made by submitting a Waiver Amendment to CMS. DHMH plans to make several changes to the waiver program in the coming months that require sequencing, therefore amendments will occur in stages and will address new federal rules; will reflect the development of new services, improved business rules, processes, and service rates; and will provide ample opportunity for meaningful public engagement on the prospective changes.

Community Pathways Waiver Amendment #1 – Effective July 1, 2016

Amendment #1 - Proposal

Process/Next Steps

  • Public comment period December 18, 2015 through January 31, 2016
  • State review of comments and consideration for revisions to amendment – February 2016
  • Waiver Amendment Submission to CMS – March 2016
  • Respond to CMS Questions – March through May 2016
  • Projected CMS Approval – June 2016
  • Projected effective Date – July 1, 2016