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Home and Community-Based Services (HCBS)

Maryland Medicaid offers home and community-based services for older adults, persons with disabilities and children with chronic illnesses through special Medicaid programs and waivers. ​​To learn more about each and its eligibility criteria, see Long-Term Services and Supports.

Public Notices

Public Input Community Pathways Waiver Amendment #4 2026

The Maryland Department of Health (MDH) is proposing an amendment to the 1915(c) waiver application for the Medicaid waiver operated by the Developmental Disabilities Administration (DDA)—the Community Pathways Waiver (CPW). 

The Medicaid waiver program provides various home and community-based services to support participants as they work toward individually defined life outcomes, self-determination, community living, socialization, and economic self-sufficiency. 

Information regarding this amendment will be posted on the dedicated Community Pathways Amendment #4 2026 webpage at https://tinyurl.com/45edtn7m on March 2, 2026. More information about the Community Pathways Waiver Federally Approved Application/Amendments can be viewed at https://tinyurl.com/37fnpht5

The Public Input Notice - Community Pathways Waiver Amendment #4 2026 has also been posted at the MDH and the local DDA Regional Offices. Hard copies of the proposed updates are available for public review and comment via request submitted to [email protected]. Hard copies are also available at DDA regional offices and MDH headquarters. Individuals may also request support from their Coordinator of Community Services or service providers to obtain hard copies.

Public comments can be submitted to [email protected] or mailed to the DDA Federal Programs Unit at 201 West Preston Street, 4th Floor, Baltimore, MD 21201. Comments will be accepted beginning March 2, 2026 through April 1, 2026. ​

​Waiver for Adults with Brain Injury: Waiver Renewal Application Request for Public Comment​

The Maryland Department of Health (MDH) will submit a 1915(c) Home and Community-Based Services Waiver renewal application for the Waiver for Adults with Brain Injury (Brain Injury Waiver) to the Centers for Medicare and Medicaid Services (CMS) to amend Brain Injury Waiver effective July 1, 2026. The Brain Injury Waiver provides various home and community-based services to support program participants and enable them to remain in their homes and communities. All services must be provided in settings that meet federal home and community-based settings requirements.

A copy of the Brain Injury Waiver renewal application is available below: Brain Injury Waiver renewal application.

The Notice of Request for Public Comment has also been posted at the main offices of the Brain Injury Association of Maryland (BIAMD) and participating Brain Injury Waiver Provider agencies. Hard copies of the proposed updates are available for public review at these locations. To request a printed copy, please contact Elena Janetopoulos at (240) 761-1344 or email [email protected]

Public comments can be emailed to: [email protected] or mailed to Brain Injury Public Comments, Spring Grove Hospital / Vocational Rehab. Building, 55 Wade Avenue, Catonsville, MD 21228. Public comments will be accepted from February 20, 2026 through March 22, 2026.