The Developmental Disabilities Administration (DDA) historically has administered the Community Pathways and New Directions Waiver programs. The two programs are Medicaid home and community-based services (HCBS) waivers and require renewal by the Federal government, through the Centers for Medicare and Medicaid Services (CMS), every five years.
Maryland submitted a renewal application for the Community Pathways Waiver that was approved March 26, 2014 with an effective start date of July 1, 2013. The renewal merges the Community Pathways and New Directions Waivers in order to provide participants greater opportunity to self-direct certain services and simplify administration. The merger provides administrative efficiencies for participants and the State. In addition, the merger helps to streamline access to services, update and standardize service descriptions and provider qualifications, and enhance quality and oversight activities.
While the effective start date is July 2013, the transition of participants to the merged waiver will occur over the course of 18 months from the waiver approval date. Alignment of Individual Plans, to include any new service options, will take place during annual planning meetings or sooner as determined by the participant and their team.