Community Pathways Waiver Renewal Federal Application

​The Developmental Disabilities Administration (DDA) is pleased to share the Community Pathways Waiver renewal federal application for public review. The Community Pathways Waiver program provides 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. It supports individuals and families as they focus on experiences that point the trajectory toward a good quality of life across the lifespan. Services can support integrated life domains that are important to a good quality of life, including daily life, safety and security, community living, healthy lifestyle, social and spirituality, and citizenship and advocacy. These services will build on each participant’s current support structures to work toward individually defined outcomes, which focus on developing the participant’s abilities for self-determination, community living, socialization, and economic self-sufficiency.

  • The Community Pathways Waiver includes:
    Innovative service options aimed at providing supports that build on the DDA’s existing community of practice related to employment and supporting families;
  • Participant and family self-direction opportunities;
  • New supported living and housing support services to increase independent living opportunities; and
  • Transition to new employment services and provider rates.

Public comments can be submitted to wfb.dda@maryland.gov or mailed to DDA Federal Programs at 201 West Preston Street, 4th Floor, Baltimore MD 21201 from November 13, 2017 through December 12, 2017.

The application is composed of 10 appendixes as noted below.

  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 groups 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 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.
  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.