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MMA Waiver Programs


Maryland Medical Assistance offers waiver programs to individuals who are developmentally disabled, have suffered traumatic brain injuries, or have other long term care needs. Waivers allow individuals to seek care and assistance to live as normally as possible within a community or home setting. Prior to the waiver program, individuals would only be approved for long term care services in a nursing facility or other institution. This way, people with disabilities can get the care they need, covered by Medicaid, and without being forced to live in a nursing home.While these programs are not the same has having full Medicaid or health insurance they do help with necessary services a health plan may not cover.


Community Pathways & New Direction Waivers

These waivers are designed for Individuals with Developmental Disabilities, and administered by the Developmental Disabilities Administration (DDA).

Community Pathways offers supports and services to people of any age living in the community through DDA-funded agencies. To qualify, individuals must be defined as developmentally disabled according to the Annotated Code of Maryland Title VII. Recipients may receive one or multiple services, based on what they require.

New Directions gives individuals the opportunity to self-direct their services and supports in their own home or their family’s home. Those who qualify will meet the same requirements as the Community Pathways waiver to determine having a developmental disability.

Services provided by each of these waivers include:

  • Residential and day habilitation
  • Resource coordination
  • Support services (family and individual)
  • Supported employment
  • Customized employment
  • Community supported living arrangements
  • Assistive technology and adaptive equipment
  • Respite care
  • Environmental modifications
  • Medical day care
  • Transition services
  • Live-in caregiver rent
  • Community learning
  • Transportation
  • Behavioral support services

To find out more about these waivers, visit the DDA Waiver site.


Traumatic Brain Injury Waiver (TBI)

This Home and Community-Based Services Waiver provides services to Maryland adults who have experience a traumatic brain injury after age 17. Qualifying residents must be inpatients in a State Mental Hygiene Administration facility, a state owned and operated nursing home, a Maryland licensed Special Hospital for Chronic Disease (CARF accredited for Brain Injury Inpatient Rehabilitation), or those who have been placed in an out-of-state facility by Medicaid. This waiver provides residential and day habilitation, supported employment, and more services as needed.


For more information on the TBI Waiver, visit the MHA website.


Autism Waiver

Children diagnosed with Autism Spectrum Disorder age 1 through 21 are eligible for this program. Those who qualify will meet an Intermediate Care Facility for Intellectually Disabled Level of Care, will not be enrolled in any other waiver program, and have an Individualized Education Program (IEP) or Individualized Family Service Plan (IFSP). Eligible children will also receive a minimum of 12 hours of special education an related services each week. The Autism Waiver covers the following services:

  • Individual support services
  • Adult life planning
  • Environmental modifications
  • Residential habilitation
  • Targeted case management
  • Therapeutic integration
  • Family training
  • Respite care


Model Waiver

This waiver is available to children with disabilities, who are medically fragile (including technology-dependent persons). If a disabled child would otherwise have been hospitalized before age 22, and be certified as requiring hospital or nursing home level of care, they will qualify for this program. The Model Waiver provides services enabling medically fragile children to live at home, and receive their care in a more personal environment than a hospital. In order to apply, you must contact the Coordinating Center for Home and Community Care, Inc. Services include:

  • Private duty nursing
  • Case management
  • Shift home health aide assistance
  • Durable medical equipment and supplies
  • Physician assistance in developing the Plan of Care


Waiver for Older Adults

Adults age 50 and older who meet the criteria for nursing facility level of care, yet prefer receiving their long term care services at home or in assisted living, may participate in this statewide program. Administered by the Maryland Department of Aging, this waiver offers various services that can be of great medical and personal assistance. The Waiver for Older Adults covers the following services for eligible residents:

  • Assisted living services
  • Dietician/nutritionist services
  • Assistive devices
  • Senior center plus
  • Family/consumer training
  • Personal Emergency Response Systems
  • Behavior consultation
  • Meal delivery
  • Case management
  • Medical day care
  • Transition services

For more information and how to apply, visit the Maryland Department of Aging.


Living at Home Waiver

A statewide program offered to individuals with physical disabilities, the Living at Home Waiver Program serves Maryland residents who need daily living assistance. Those who are eligible will be between ages 18 and 64, and currently living in a nursing facility though they wish to return to a home or community setting, or are already living in the community though they need nursing home services. The Living at Home Waiver provides access to these services:

  • Case management
  • Attendant care
  • Family and/or consumer training
  • Personal Emergency Response Systems
  • Speech/language therapy
  • Occupational therapy
  • Environmental accessibility adaptations
  • Skilled nursing supervision

To find out more about this waiver, go to the program website at the DHMH or call 410-767-7479.



Maryland Medical Assistance: Waiver Programs

Contact the Department of Health & Mental Hygiene

410-767-6500 or 877-463-3464






1. Maryland Department of Health & Mental Hygiene. “Waiver Programs”. http://mmcp.dhmh.maryland.gov/waiverprograms/SitePages/Waiver%20Programs%20Overview.aspx.