Community Pathways Waiver - Amendment # 1 2019 

Track Change Documents

 
The Developmental Disabilities Administration (DDA) is pleased to share the Community Pathways Waiver Amendment federal application for public review. The waiver program is designed to provide support services to individuals and their families, to enable participants’ to work toward self-determination, independence, productivity, integration, and inclusion in all facets of community life across their lifespans. 

The application is composed of 10 appendixes as noted below. Click on each link to view the proposed track changes for the amendment for each specific appendix. 

1. Purpose of HCBS Waiver Program and Appendix A - Waiver Administration and Operation specifies the administrative and operational structure of this waiver. 


2. Appendix B - Participant Access and Eligibility specifies the target group(s) of individuals who are served in this waiver, the number of participants that the State expects to serve during each year that the waiver is in effect, applicable Medicaid eligibility and post-eligibility (if applicable) requirements, and procedures for the evaluation and reevaluation of level of care. 


3. Appendix C - Participant Services specifies the home and community-based waiver services that are furnished through the waiver, including applicable limitations on such services.


4. Appendix D - Participant-Centered Service Planning and Delivery specifies the procedures and methods that the State uses to develop, implement and monitor the participant-centered service plan. 


5. Appendix E - Participant-Direction of Services specifies the participant direction opportunities that are offered in the waiver and the supports that are available to participants who direct their services. 


6. Appendix F - Participant Rights specifies how the State informs participants of their Medicaid Fair Hearing rights and other procedures to address participant grievances and complaints. 

 
7. Appendix G - Participant Safeguards describes the safeguards that the State has established to assure the health and welfare of waiver participants in specified areas. 

**New**Appendix G - Participant Safeguards (April 1, 2019) 

8. Appendix H - Quality Improvement Strategy contains the Quality Improvement Strategy for this waiver. 


9. Appendix I - Financial Accountability describes the methods by which the State makes payments for waiver services, ensures the integrity of these payments, and complies with applicable federal requirements concerning payments and federal financial participation. 


10. Appendix J - Cost-Neutrality Demonstration​ contains the State’s demonstration that the waiver is cost-neutral. 

**New**Appendix J – Cost-Neutrality Demonstration (April 1, 2019)

Public comments regarding the DDA Waiver Amendments was conducted from February 2, 2019 through March 3, 2019. Comments about the amendments were submitted to DDA by email to wfb.dda@maryland.gov or by mail to DDA Federal Programs at 201 West Preston Street, 4th Floor, Baltimore, MD 21201.

To support the stakeholder input process and minimize public burden, comments were considered for all of the DDA waivers.