Community Pathways Waiver - Renewal 2018

​The Community Pathways Medicaid home and community-based services (HCBS) waiver require renewal by the federal government, through the Centers for Medicare and Medicaid Services (CMS), every five years.  The current waiver is approved through the end of June 2018.  In order to prevent a gap in services, the renewal application must be submitted to CMS in January 2018.

The goals for the renewal application include:

  • Creating a more flexible, person-centered, family oriented system of supports;
  • Reflecting stakeholder listening sessions and consultant reports, and various stakeholder individual and group recommendations over the past two years;
  • Simplifying the waiver language and description of processes so that all stakeholders can understand;
  • Incorporating best practices;
  • Developing new services,
  • Meeting federal community setting service requirements; and
  • Improving business rules, processes, and service rates.

Services have been grouped under “Employment and Day Services”, “Support Services”, “Residential Services”, and "Self-Directed Services”.

For more info, see


Waiver Renewal Process/Next Steps

  • DDA Service Symposium May 15, 2017 – May 16, 2017
  • State review of symposium input for consideration of final revisions – May 2017
  • Community Pathways Waiver Renewal Application posted to DDA website – September 2017
  • Information Sessions on Community Pathways Waiver Renewal Application – September 2017
  • Rate Study Townhall Meetings – October 2017
  • Official final public input –  November 2017
  • Waiver renewal submission to CMS – January 2018
  • Respond to CMS Questions – January through June 2018
  • Projected CMS Approval – June 2018
  • Projected effective Date – July 1, 2018