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.

AMENDMENT # 1 Overview and Q & A Discussion 
(Click on the above link to register)

The DDA will hold 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 oppurtunity for additional questions. 

DDA's overview of the proposed amendments:

DDA's Townhall overview:


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

Public comments regarding the DDA Waiver Amendments can be submitted from February 2, 2019 through March 3, 2019. Please submit any comments about the amendments 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 for all three waivers should be submitted together under one response.