Marylands Home and CommunityBased Services Waivers

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Marylands Home and Community-Based Services
Waivers

• Medicaid Advisory Committee
• July 2008

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Review of Marylands Waivers

• Maryland has eight operating home and
  community-based services (HCBS) waivers.
• Maryland is developing an RTC Waiver to be
  implemented on 10/1/08
• HCBS waivers provide support services in
  community settings to individuals traditionally
  served in long term care facilities paid for by
  Medicaid.

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Review of Marylands Waivers

• There is a high demand for waiver services.
• In FY09, Maryland will serve more than 20,000
  individuals in waivers.
• Many waivers are out of slots and not accepting
  new community applicants.

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Review of Marylands WaiversApproximate Number
of Waiver Slots FY09
Waiver
Waiver Slots
4,800
Medical Day Care Services Waiver
Older Adults Waiver
3,750
Living at Home Waiver
600
Waiver for Children with Autism Spectrum Disorder
900
Waiver for Individuals with Developmental
Disabilities
11,000
New Directions Waiver (Developmental Disabilities)
300
Model Waiver for Medically Fragile Children
200
Waiver for Individuals with Traumatic Brain Injury
35
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Waiver Services Registry

• Community applicants have to enter the Older
  Adults, Living at Home, Autism, Model and TBI
  Waivers through the Waiver Services Registry.
• The Waiver Services Registry is a list of people
  who are interested in receiving waiver services.
  
• Individuals may place themselves on the Registry
  by calling a toll-free number (OAW, LAH, AUT) or
  calling the Department or its designee (Model,
  TBI).
• Individuals can find out their place (or number)
  on the Registry by calling the Registry and
  providing their SSN.

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Waiver Services Registry

• As of June 2008, the Waiver Services Registry
  has
• 12,492 individuals interested in OAW
• 2,114 individuals interested in LAH
• 2,537 individuals interested in AUT
• 16 individuals interested in Model Waiver
• 47 individuals interested in TBI Waiver

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