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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.
    Maryland Medicaid’s home and community-based services are offered through the regular Medicaid program and special Medicaid programs called “waivers.” Each waiver has different eligibility criteria and target a different population, such as older adults or people with a certain disability.

    Request for Public Comment for Brain Injury Waiver — Amendment Application

    The Maryland Department of Health (MDH) will submit a 1915(c) Home and Community-Based Services Waiver amendment application for the Brain Injury Waiver to the Centers for Medicare and Medicaid Services (CMS) to amend the Brain Injury Waiver effective July 1, 2023. 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.

    View the Brain Injury Waiver amendment​.

    Public comments regarding the proposed changes can be submitted from April 12, 2023 through May 11, 2023. 

    Public comments can be emailed to braininjury.publiccomment@maryland.gov or mailed to Brain Injury Public Comments, Spring Grove Hospital / Vocational Rehab. Building, 55 Wade Avenue, Catonsville, MD 21228.BI EVV Amendment 2023.pdf

    Public Notice​​: Statewide Transition Plan for Compliance with Home and Community-Based Settings Requirements (Final Rule)​

    Waiver and Service Programs

    For more information, see the 2019 Bluebook Guide to Home and Community Based Programs.


    The program, administered by Behavioral Health Administration (BHA),  provides opportunities for community-based services to individuals who have experienced a traumatic brain injury after the age of 17. 
    Community Pathways
    The Community Pathways waiver, administered by the Developmental Disabilities Administration (DDA), provides services and supports to individuals, of any age, living in the community, meet the criteria for a developmental disability.
    The Community Supports program, administered by the Developmental Disabilities Administration (DDA), will provide individual and family supports for people with developmental disabilities on the DDA Waiting List.
    The Family Supports program,  administered by the Developmental Disabilities Administration (DDA), will provide individual and family supports for children birth to 21 with developmental disabilities on the DDA Waiting List.
    Medical Day Care Waiver
    Medical Day Care is a structured group program that provides health, social, and related support services to functionally disabled adults, age 16 and older.
    Model Waiver for Disabled Children
    This waiver targets medically fragile individuals including technology dependent individuals who, before the age of 22, would otherwise be hospitalized and are certified as needing hospital or nursing home level of care.

    Programs and Services

    The Community Personal Assistance Services Program (CPAS; formerly MAPC), Community First Choice (CFC) and Community Options Waiver all offer a similar service package. Services vary based on eligibility. The core services are personal assistance, supports planning, and nurse monitoring. The Community Options Waiver also offers services in assisted living.

    Employed Individuals with Disabilities (EID
    The EID Program provides Medical Assistance to working Marylanders with disabilities who meet the program’s eligibility criteria. 

    Hospice Services
    The provision of hospice care is generally in the home to avoid an institutional setting and to improve the individual’s quality of life during the end of a participants' terminal illness. However, individuals eligible for Medicaid may choose to reside in a nursing facility and receive hospice care in that setting.

    Maryland Health Homes
    The program targets populations with behavioral health needs who are at high risk for additional chronic conditions, including those with serious persistent mental illness, serious emotional disturbance, and opioid substance use disorders. 
    Program of All-Inclusive Care for the Elderly (PACE)
    PACE is a voluntary health program designed to provide and coordinate all needed preventive, primary, acute and long-term care services so that older individuals can continue living in the community.

    Rare and Expensive Case Management (REM)
    The Rare and Expensive Case Management (REM) Program is a case management program for recipients with specified rare and expensive conditions.

    HCBS Forms


    Help Leaving a Nursing Facility
    Community Resources
    Medical Equipment, Supplies or Transportation

    CO Advisory Council Meeting Archive

    Public comment is closed. Documents for reference only.