Maryland

Maryland currently has four waivers that are open to children. All are HCBS 1915(c) Medicaid waivers. Two waive parental income, one does not, and the other is uncertain. For an overview of Maryland's programs, see Maryland's Home and Community Based Services page

Maryland also has several adult-only waivers, including Living at Home, Older Adults, and TBI.

It also participates in the Community First Option, which allows states to provide assistant services through Medicaid without a waiver, and has a state-based waiver program (1915(i)) for children with behavioral issues. The latter replaced a 1915(c) waiver that previously served the same population.

Maryland Advocacy Organizations:

Programs in Maryland

MODEL WAIVER FOR FRAGILE CHILDREN
  • Target Population: Children who are medically fragile and technology dependent.
  • Ages: all, as long as services begin before age 22
  • Levels of Care: Nursing Facility, Hospital
  • Income Waiver: Yes, the waiver is based on the child's income only.
  • Waiver Type: 1915(c)
  • Spots: 216
  • Expiration Date: 6/30/2018
  • Description from medicaid.gov: Provides case management, certified nursing assistant, medical day care, principal physician's participation in the plan of care meeting, private duty nursing for medically fragile individuals, ages 0 - no max age.
  • Online State Information: Model Waiver Page
  • Official Federal Information
  • How to Apply: Contact Coordinating Center for Home and Community Care (CCHCC) at 410-987-1048 (Baltimore) or 301-621-7830 (Washington).
  • Waiting List: There are 1401 people with physical disabilities and 4468 children on Maryland's waiting lists.
COMMUNITY PATHWAYS
  • Target Population: Children and adults with developmental or intellectual disabilities.
  • Ages: all
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: Yes, the waiver is based on the child's income only.
  • Waiver Type: 1915(c)
  • Spots: 17,625
  • Expiration Date: 6/30/2018
  • Description from medicaid.gov: Provides community residential habilitation, day habilitation-traditional, live-in caregiver rent, medical day care, personal supports, respite, supported employment, support brokerage, assistive technology and adaptive equipment, behavioral supports, community learning services, community supported living arrangement, employment discovery and customization, environmental accessibility adaptations, environmental assessment, family/individual support, shared living, transition, transportation, vehicle mods for individual with ID/DD, ages 0 - no max age.
  • Online State Information: Community Pathways Page
  • Official Federal Information
  • How to Apply: Apply for services through the Developmental Disabilities Administration.
  • Waiting List: There are 12,975 people with developmental disabilities and 4468 children on Maryland's waiting lists.
WAIVER FOR CHILDREN WITH AUTISM SPECTRUM DISORDER
  • Target Population: Children with autism.
  • Ages: 1-21
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: unknown
  • Waiver Type: 1915(c)
  • Spots: 1500
  • Expiration Date: 6/30/2019
  • Description from medicaid.gov: Provides residential habilitation, respite, adult life planning, environmental accessibility adaptations, family consultation, intensive individual support, and therapeutic integration for individuals with autism, ages 1 – 21.
  • Online State Information: Autism Waiver Information and Fact Sheet
  • Official Federal Information
  • How to Apply: Contact the Maryland State Department of Education at 410-767-1446 or the Department of Health and Mental Hygiene at 410-767-5220. To get on the waiting list, call 1-866-417-3480.
  • Waiting List: Waiver is currently full. There are 12,975 people with developmental disabilities and 4468 children on Maryland's waiting lists.
MEDICAL DAY CARE SERVICES
  • Target Population: Teens and adults with physical or other health disabilities.
  • Ages: 16+
  • Levels of Care: Nursing Facility
  • Income Waiver: No
  • Waiver Type: 1915(c)
  • Spots: 7720
  • Expiration Date: 6/30/2021
  • Description from medicaid.gov: Provides medical day care for aged individuals (65 yrs - no max age) and physically disabled (16-64).
  • Online State Information: Medical Day Care Page
  • Official Federal Information
  • How to Apply: Contact the local health department AERS (Adult Evaluation and Review Services) Program in your area.
  • Waiting List: There are 1401 people with physical disabilities and 4468 children on Maryland's waiting lists.
OTHER PROGRAMS