DDA Waivers - Amendment #2 2019

The Developmental Disabilities Administration (DDA) will be amending the Community Pathways Waiver, Family Supports Waiver, and Community Supports Waiver programs which provides various home and community-based services to support participants as they work toward individually defined life outcomes, self-determination, community living, socialization, and economic self-sufficiency. Requests to make changes to waiver programs are made by submitting a Waiver Amendment to the federal Center for Medicare and Medicaid Services (CMS).


The second amendment will include but limited to:

      Updates to the self-directed service delivery model

      A transition strategy for the new Long-Term Services and Supports (LTSS) fee-for-service billing starting with a small pilot group, and

      New procedure codes and associated rates for services associated with dedicated staffing (i.e. 1:1 and 2:1) in residential services; shared living levels; day habilitation (small and large groups); and enhanced personal supports for people with complex health and/or behavioral needs.

DDA Waivers Amendment #2 Proposal Documents

Track change documents regarding the proposals for the DDA Waivers Amendments can be viewed on the dedicated web pages: 

      Family Supports Waiver – Amendment #2 2019​

      Community Supports Waiver – Amendment #2 2019

      Community Pathways Waiver—Amendment  #2 2019​

For more information about the DDA Waivers Amendment # 2 applications, please visit: 

      Self-Directed Services Framework and Amendment #2

      Transition to LTSS and Fee for Service Strategy

      DDA Waiver Amendments #2 Overview Presentation

      Recording of DDA Waivers Amendments # 2 Presentation​ (Coming Soon)

      DDA Waivers Amendment 2 2019 - Stakeholder Input Summary Final