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    Maryland Department of Health
    Home and Community-Based Services

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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 the 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 technical eligibility criteria to include access from private nursing facilities. This amendment will also include updates to the cost neutrality estimates for the Brain Injury Waiver program.

    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 a copy of the Brain Injury Waiver amendment​​​. 

    Public comments can be emailed to braininjury.publiccomments@maryland.gov ​​or mailed to Maryland Department of Health Behavioral Health Administration Brain Injury Waiver Program, Spring Grove Hospital, 55 Wade Avenue, Vocational Rehab  Building, Catonsville, MD 21228. Public comments can be submitted from October 10, 2023 through November 9, 2023.

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