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
Request for Public Comment: Medical Day Care Services Waiver — 1915(c) MEDICAL DAY CARE SERVICES WAIVER AMENDMENT & 1915(b)(4) INITIAL MDC CASE MANAGEMENT AWARD APPLICATION
The Maryland Department of Health (MDH) will submit a 1915(c) Medical Day Care Services Waiver amendment application for the Medical Day Care Services Waiver (MDC Waiver) to the Centers for Medicare and Medicaid Services (CMS) to amend MDC Waiver effective February 1, 2026. The MDH proposes that the MDC waiver aligns the number of unduplicated participants being served with the current trends and provides case management services to medical day care participants to support program participants and enable them to remain in their homes and communities.
The Maryland Department of Health (MDH) will submit a 1915(b)(4) Medical Day Care Services Waiver application for the Medical Day Care Services Waiver (MDC Waiver) to the Centers for Medicare and Medicaid Services (CMS) to initiate an MDC Waiver effective February 1, 2026. The MDH proposes that CMS provide authority to award interested vendors a contract to provide case management services to medical day care participants.
The Notice of Request for Public Comments have been posted in the Maryland Registrar issued on August 22 and is available in public libraries throughout the state. In addition, it has been posted at the main offices of the Maryland Association of Medical Adult Day Services (MD-MADS) and participating Medical Adult Day Care agencies. Hard copies of the proposed updates are available for public review at these Adult Day Care locations. To request printed copies, please contact David Cline at (240) 761-1344 or email [email protected].
Public comments can be emailed to [email protected] or mailed to MDC Public Comments, Office of Long Term Services and Supports, Maryland Department of Health, 201 W. Preston St, Office 129, Baltimore, MD 21201. Public comments will be accepted from August 22, 2025, through September 22, 2025.
