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Medicaid Waiver Guide – Maryland

Maryland Medicaid

Maryland currently has four waivers that are open to children. All are HCBS 1915(c) Medicaid waivers. Three waive parental income but one does not. Previously, the Community Pathways and Community Supports Waivers accepted children; however, the most recent federal documents specifies these programs are for those over age 18, though those under age 18 currently in these programs can remain in the programs. For an overview of Maryland’s programs, see Maryland’s Home and Community Based Services page or this booklet on home and community based programs.

Maryland also participates in the Community First Option, which allows states to provide assistant services through Medicaid without a waiver, and has a state-based waiver program (1915(i)) for children with behavioral issues. The latter replaced a 1915(c) waiver that previously served the same population.

Types of Waivers

Model Waiver for Fragile Children

  • Description from medicaid.gov: Provides case management, medical day care, principal physician’s participation in the plan of care meeting, and private duty nursing services to individuals who are medically fragile ages 0 or older who meet a hospital or nursing facility level of care.
  • Online State Information: Model Waiver Page
  • Official Federal Information
  • How to Apply: Contact Coordinating Center for Home and Community Care (CCHCC) at 410-987-1048 (Baltimore) or 301-621-7830 (Washington).

Family Supports Waiver

  • Description from medicaid.gov: Provides personal supports, respite care services, support broker services, assistive technology and services, behavioral support services, environmental assessment, environmental modifications, family and peer mentoring supports, family caregiver training and empowerment services, housing support services, individual and family directed goods and services, nursing support services, participant education, training and advocacy supports, transportation, and vehicle modification services to individuals with developmental disabilities ages 0-21 years who meet an ICF/IID level of care.
  • Online State Information: Family Supports Waiver
  • Official Federal Information
  • How to Apply: Apply through your Developmental Disabilities Administration Regional Office, with application instructions on this page.

Waiver for Children with Autism Spectrum Disorder

  • Description from medicaid.gov: Provides residential habilitation, respite, adult life planning, environmental accessibility adaptations, family consultation, intensive individual support service, and therapeutic integration services to individuals with autism ages 1-21 years who meet an ICF/IID level of care.
  • Online State Information: Autism Waiver Information
  • Official Federal Information
  • How to Apply: Contact the Maryland State Department of Education at 410-767-1446 or the Department of Health and Mental Hygiene at 410-767-5220. To get on the waiting list, call 1-866-417-3480.

Medical Day Care Services

  • Description from medicaid.gov: Provides medical day care services to individuals ages 65 or older and individuals with physical or other disabilities ages 16-64 years who meet a nursing facility level of care.
  • Online State Information: Medical Day Care Page
  • Official Federal Information
  • How to Apply: Contact Maryland Access Point (MAP) at 410-767-1444 and the local health department AERS (Adult Evaluation and Review Services) Program in your county.

Other online resources for Maryland:

Telephone Resources

  • To get more information on the Waiver for Children with ASD: Contact your local school system and ask to speak to the Autism Waiver Coordinator. You may also call the Maryland State Department of Education at: 410-767-1446
  • To get more information of any of the Developmental Disabilities Administration waivers and their waitlists call your regional office
  • Developmental Disabilities Administration main office: (844) 253-8694

Ordering Goally with a Medicaid Waiver

Talk with your case manager to see if the waiver program you have will cover Goally. If so, have your case manager email us at: [email protected] to place an order on your behalf.