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 wavier 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 Information Sessions and Overview of Proposed Amendment #2:

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:  


Next Steps:

  • The official public comments period will begin June 15, 2019 through July 14, 2019. 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 on June 15, 2019 through July 14, 2019.
  • The DDA will take stakeholders’ comments into consideration, and make changes to the DDA Waivers Amendments # 2 proposals before submitting the amendments to CMS.
  • The DDA will submit the DDA Waivers Amendments # 2 to CMS on September 1, 2019
  • The DDA will post their responses to stakeholders’ questions and comments on the DDA website.