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Medicaid Waiver Guide – Maryland

Hey there, parent of a neurodivergent kid! We know the healthcare system can feel like a maze. Especially when it comes to Medicaid, and more specifically, Maryland Medicaid. It’s like trying to solve a Rubik’s cube blindfolded, right? But don’t fret; we’re here to help untangle the knots and shine a light on this complex subject.

Decoding Maryland Medicaid

First, let’s break down what Maryland Medicaid is. It’s a program designed to provide medical assistance to eligible low-income families, older people, and individuals with disabilities. This includes our wonderful neurodivergent kids. In short, it’s a lifeline for many families, ensuring their loved ones receive the care they need.

how do you know if your child is eligible? Maryland Medicaid determines eligibility based on income, age, disability status, and other factors. For instance, kids with thinking and learning differences may qualify under the “Children with Special Health Care Needs” category. It’s like finding the right puzzle to fit into the Medicaid eligibility puzzle.

Read more: Autism Support Groups Maryland

Applying for Maryland Medicaid

Now, let’s talk about the application process. It may seem daunting, but it’s pretty straightforward. You can apply online, by mail, or in person. However, it’s crucial to have all the necessary documents ready. This includes proof of income, residency, and disability status. It’s like gathering all your ingredients before you start baking a cake.

Once you’ve gathered all your documents, it’s time to submit your application. This can be done online, by mail, or in person. The Maryland Medicaid website has all the information you need to guide you through the process. It’s like having a GPS for your Medicaid journey.

maryland medicaid. two parents are meeting with a medicaid specialist.
Read more: Special Education Schools in Maryland | Parent Guide

Understanding Maryland Medicaid Waivers

But what if your child doesn’t fit the traditional eligibility criteria? That’s where Maryland Medicaid waivers come in. These waivers allow certain individuals, including kids with thinking and learning differences, to receive Medicaid benefits even if they don’t meet the standard eligibility requirements. It’s like getting a backstage pass to a concert.

several types of waivers are available, each designed to meet specific needs. For example, the Autism Waiver services children with autism, while the Community Pathways Waiver caters to individuals with developmental disabilities. It’s like having a menu of options to best suit your child’s needs.

Applying for a Waiver

Applying for a waiver differs from applying for standard Maryland Medicaid. You’ll need to submit an application to the specific waiver program, and your child’s eligibility will be determined based on their specific needs and circumstances. It’s like applying for a specialized program at school.

Remember, patience is key during this process. It can take time, but the benefits are worth it. After all, the goal is to ensure your child receives the care they need. As a Goally user, you know the importance of patience and perseverance when helping your child thrive.

CriteriaScore
Website clarity and ease of navigation3/5
Access and requirements of qualification1/5
Healthcare coverage3/5

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

Maximizing the Benefits

Once you’ve navigated the maze of Maryland Medicaid and waivers, it’s time to maximize the benefits. This means understanding what services are covered, scheduling appointments, and advocating for your child’s needs. It’s like finally reaching the end of a challenging video game level.

Goally | Apps To Support Child Development

Looking for fun ways to help your child learn life skills? Try Goally! The Goally tablet comes with award-winning learning apps and video classes to help kids develop the skills they need to become independent with FUN & evidence-based practices.

An assortment of interactive video class thumbnails, including dental care and cooking, on the best tablet for kids by Goally.

Our apps teach executive function, language, emotional regulation, finger dexterity skills, and more.

As your child develops new skills, you can increase the difficulty level of the tasks in the app to challenge and motivate them even further. This helps your child grow and progress at their own pace, while also keeping them engaged and excited about their development.

Goally kids tablet makes bedtime easy with bedtime routines completely controlled by the parent.

Most importantly, remember that you’re not alone. Resources and support are available to help you every step of the way. Goally, for instance, is always here to support you and your child on this journey. After all, you’re not just a parent but a champion for your child.

So, while the journey through Maryland Medicaid can be complex, it’s a path worth traversing. The benefits can make a significant difference in the lives of neurodivergent kids, providing them with the care and support they need to thrive. So, while it may seem daunting, remember, you’ve got this. After all, you’re not just a parent but a champion for your child.

Who Can Apply?

Circumstances/Diagnosis: Any child under 21 who is diagnosed with autism. The state requires that individuals need at least an intermediate care facility level of care to qualify. This has a technical definition but essentially just means that the individual is unable to get through their day without a lot of supervision. Children must also have an Individualized Family Service Plan (IFSP) or an Individualized Education Plan (IEP) and be receiving at least 15 hours of special education services per week.
Income: Income eligibility is only based on the child’s income and not the parents income. This means that your child is financially eligible for the waiver if they don’t earn over $2,313 a month or have over $2,000 in assets.

What do I get?

• Adult life planning • Environmental accessibility adaptations • Family consultation • Intensive individual support services • Intensive residential habilitation • Respite care • Service coordination • Residential habitation • Therapeutic integration • Intensive therapeutic integration • All other standard Medicaid services

How do I apply?

The waiver is currently full and there is a waitlist. You can be placed on this waitlist by calling Waiver Services Registry at 1-866-417-3480. Once it is your time to apply you will be contacted with more instructions.

What does the Goally Team Think?

Maryland has long waitlists for all of their waivers. They fulfill critical needs first so you will probably end up waiting years for services if your situation is not an emergency. While you wait to receive the important services these waivers provide we recommend you check out Maryland’s Low Intensity Support Services to find out how you can get $2000 a year with no wait. Additionally, there are an incredible amount of waivers that provide varied and unique services. This is good because it provides case-specific services, but makes navigating the waiver process far more difficult. Additionally, these waivers are managed by several different entities like the Maryland State Department of Education and the Developmental Disabilities Administration. Make sure to call these organizations to get the information you need on waiver programs because their website does little to distinguish which waiver is best for who.

This post was originally published on 02/16/2021. It was updated on 09/18/2023.