Community Pathways Waiver Amendment #2

The Department of Health and Mental Hygiene  (DHMH) will be making changes to the Community Pathways Waiver to create a more flexible, person-centered, family oriented system of supports. Requests to make changes to the wavier program are made by submitting a Waiver Amendment to CMS. DHMH plans to make several changes to the waiver program in the coming months that require sequencing, therefore amendments will occur in stages and will address new federal rules; will reflect the development of new services, improved business rules, processes, and service rates; and will provide ample opportunity for meaningful public engagement on the prospective changes.

For Amendment #2, the DDA is proposing to make changes to the current waiver services including service definitions, limitations, and provider qualifications. The purposes of these changes are to:

  • simplify the waiver language and description of processes so that all stakeholders can understand;
  • incorporate best practices;
  • reflect stakeholder listening sessions, consultant reports, and workgroup’s recommendations; and
  • meet federal service requirements.
Services have been grouped under Employment and Day Services, Support Services, and Residential Services in the folders below.

Additional Resources and Information


​Process/Next Steps

  • DDA Proposed Draft Waiver Services Webinars– August 2016
  • State review of comments and consideration for revisions– September 2016
  • Announcement of final waiver service proposals
  • 30 Public comment period
  • Waiver Amendment Submission to CMS
  • Respond to CMS Questions
  • Projected CMS Approval
  • Projected effective Date