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.
Public Notice: Statewide Transition Plan for Compliance with Home and Community-Based Settings Requirements (Final Rule) - Revised 03/09/2023
Community Pathways Waiver, Community Supports Waiver, and Family Supports Waiver
The Maryland Department of Health is amending the 1915(c) waiver application for the Medicaid waiver operated by the Developmental Disabilities Administration (DDA)—the Community Pathways Waiver (CPW). This amendment aims to consolidate the three existing Medicaid waivers operated by the DDA—the Community Supports Waiver and the Family Supports Waiver—into a single, comprehensive Community Pathways Waiver.
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 DDA Waiver Program website page at https://tinyurl.com/3s8cc226 on June 9, 2025.
The Notice of Request for Public Comment has also been posted at the local DDA Regional Offices. Hard copies of the proposed updates are available for public review and comment via request submitted to wfb.dda@maryland.gov.
Public comments can be submitted to wfb.dda@maryland.gov or mailed to the DDA
Federal Program Unit at 201 West Preston Street, 4th Floor, Baltimore, MD 21201.
Comments will be accepted beginning June 9, 2025 through July 8, 2025.
*Due to technical difficulties with uploads to the DDA website, the proposed amendments for Respite Services and Supported Living Services were not posted on June 9, 2025, as originally scheduled.
To ensure all stakeholders have adequate time to review and provide feedback, the public comment period for Respite Services and Supported Living Services services will be extended until July 13, 2025.
Waiver for Adults with Brain Injury Waiver — AMENDMENT APPLICATION: Request for Public Comment
The Maryland Department of Health (MDH) will submit a 1915(c) Home and Community-Based Services Waiver amendment 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 September 1, 2025. 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 amendment will be available on the MDH site at:
https://health.maryland.gov/mmcp/waiverprograms/Pages/Home.aspx.
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 braininjury.publiccomments@maryland.gov.
Public comments can be emailed to: braininjury.publiccomments@maryland.gov 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 June 30, 2025 through July 30, 2025.
Brain Injury Waiver Amendment
