The Community Pathways Waiver is a home and community-based services waiver. It helps you get services and support in your home and community instead of in an institution.
The Maryland Department of Health Developmental Disabilities Administration (DDA) runs this waiver program for Medicaid. This is known as the Operating State Agency (OSA). The OSA focuses on serving the people in the waiver and manages specific waiver services.
Am I eligible for the Community Pathways Waiver?
You must meet all the medical, technical and financial rules to be eligible for this waiver.
- Medical Eligibility Rules:
- Have a developmental disability.
- Need intermediate care facility for individuals with intellectual disabilities (ICF/IID) level of care.
- Technical Eligibility Rules:
- No age limit.
- Not be in another waiver program at the same time.
- The cost of community-based services must not be more than institutional care.
- Financial Eligibility Rules:
- Based on income and assets of the applicant only.
- Monthly income may not exceed 300% of SSI benefits.
- Countable assets may not be more than $2,000 or $2,500, depending on eligibility category.
The best way to know if you are eligible is to apply. See How to Apply.
What services does the Community Pathways Waiver provide?
You get all Medicaid covered services and benefits. You also may get
waiver services that include:
- Meaningful day services
- Career exploration
- Community development services
- Day habilitation
- Employment services
- Medical day care
- Support services
- Assistive technology and services
- Behavior support services
- Environmental assessment
- Environmental modifications
- Family and peer mentoring supports
- Family caregiver training & empowerment services
- Housing support services
- Individual and family directed goods and services
- Live-in caregiver supports
- Nursing support services
- Participant education, training & advocacy supports
- Personal support services
- Remote support services
- Respite care services
- Support broker services
- Transition services
- Transportation
- Vehicle modifications
- Residential services
- Community living - enhanced supports
- Community living - group home
- Shared living
- Supported living
How to Apply
Contact your DDA Regional Office. They will assign you a Coordinator of Community Services who will help you complete and submit the Medicaid waiver application packet.
Resources
The Code of Maryland Regulations, COMAR chapter 10.09.26, governs the Community Pathways Waiver.
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