Home and Community-Based Services (HCBS) Regulatory Information

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 Notice 2026 Community Pathways Medicaid Waiver Amendment

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 2026 Community Pathways Medicaid Amendment webpage at https://tinyurl.com/45edtn7m on April 29, 2026. More information about the Community Pathways Waiver Federally Approved Application/Amendments can be viewed at https://tinyurl.com/37fnpht5.

The Public Input Notice - 2026 Community Pathways Medicaid Amendment has also been posted at 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 April 29, 2026 through May 28, 2026.