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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 General Assembly is currently finalizing the FY 2027 budget for the state. Based on legislative actions as part of the budget development process, DDA is pausing the proposed waiver amendment to implement a $500,000 cap on participant plans. After the FY 2027 budget is finalized, DDA will meet with stakeholders to discuss program changes resulting from the budget and whether waiver amendments are needed to implement its provisions. If waiver amendments are needed, you will have an opportunity to provide feedback before the amendment request is submitted to the U.S. Department of Health and Human Services' Centers for Medicare and Medicaid. Check back soon for more information.

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