DDA Waivers - Amendment #1 2019

The Developmental Disabilities Administration (DDA) is 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 first amendment will include programmatic adjustments, such as:

  • Alignment of the services scope, requirements, limitations, qualifications, and effective date for the three home and community-based service waivers programs that support individuals with developmental disabilities which includes the Family Supports Waiver, Community Supports Waiver, and the Community Pathways Waiver.
  • Adjustment of some of the service implementation to provide additional time for rate setting and development of critical operational and billing functionality.

DDA's overview of the proposed amendments:

DDA's Townhall overview:

The DDA held a meeting on February 13, 2019 from 6:30 PM to 8:30 PM to share information about questions and answers reviewed and to hear participants shared suggestions, recommendations, concerns and provide an opportunity for additional questions.​

For more information about the DDA Waiver Amendments, please visit:


Public comments regarding the DDA Waiver Amendments was conducted from February 2, 2019 through March 3, 2019. Comments about the amendments were submitted to DDA by email to wfb.dda@maryland.gov or by mail to DDA Federal Programs at 201 West Preston Street, 4th Floor, Baltimore, MD 21201.  

To support the stakeholder input process and minimize public burden, comments were considered for all of the DDA waivers.

​​