• English

    Google Translate Disclaimer

    The Maryland Department of Information Technology (“DoIT”) offers translations of the content through Google Translate. Because Google Translate is an external website, DoIT does not control the quality or accuracy of translated content. All DoIT content is filtered through Google Translate which may result in unexpected and unpredictable degradation of portions of text, images and the general appearance on translated pages. Google Translate may maintain unique privacy and use policies. These policies are not controlled by DoIT and are not associated with DoIT’s privacy and use policies. After selecting a translation option, users will be notified that they are leaving DoIT’s website. Users should consult the original English content on DoIT’s website if there are any questions about the translated content.

    DoIT uses Google Translate to provide language translations of its content. Google Translate is a free, automated service that relies on data and technology to provide its translations. The Google Translate feature is provided for informational purposes only. Translations cannot be guaranteed as exact or without the inclusion of incorrect or inappropriate language. Google Translate is a third-party service and site users will be leaving DoIT to utilize translated content. As such, DoIT does not guarantee and does not accept responsibility for, the accuracy, reliability, or performance of this service nor the limitations provided by this service, such as the inability to translate specific files like PDFs and graphics (e.g. .jpgs, .gifs, etc.).

    DoIT provides Google Translate as an online tool for its users, but DoIT does not directly endorse the website or imply that it is the only solution available to users. All site visitors may choose to use alternate tools for their translation needs. Any individuals or parties that use DoIT content in translated form, whether by Google Translate or by any other translation services, do so at their own risk. DoIT is not liable for any loss or damages arising out of, or issues related to, the use of or reliance on translated content. DoIT assumes no liability for any site visitor’s activities in connection with use of the Google Translate functionality or content.

    The Google Translate service is a means by which DoIT offers translations of content and is meant solely for the convenience of non-English speaking users of the website. The translated content is provided directly and dynamically by Google; DoIT has no direct control over the translated content as it appears using this tool. Therefore, in all contexts, the English content, as directly provided by DoIT is to be held authoritative.

    Archive - Community Supports Renewal 2023

    About​​ > Archives > Waivers >​ CSW Renewal 2023

    Important Note: You are viewing an Archive page. This page is maintained for reference purposes only. It contains records that may no longer be current. Refer to the main Developmental Disabilities Administration website for the most current version of all policies and guidance. ​​​​

    ​​​​The Maryland Department of Health (MDH) and the Developmental Disabilities Administration (DDA) submitted a Waiver Renewal application for the Community Supports Waiver to the Center for Medicare and Medicaid Services (CMS), which was approved on April 19, 2023.


    ​Federal Approved Waiver Application


    • Purpose of HCBS and Appendix A - Waiver Administration and Operation specifies the administrative and operational structure of this waiver.
    • ​​Appendix B - Participant Access and Eligibility specifies the target group(s) of individuals who are served in this waiver, the number of participants that the State expects to serve during each year that the waiver is in effect, applicable Medicaid eligibility and post-eligibility (if applicable) requirements, and procedures for the evaluation and reevaluation of level of care.
    • ​Appendix C - Participant Services specifies the home and community-based waiver services that are furnished through the waiver, including applicable limitations on such services.
    • ​Appendix D - Participant-Centered Service Planning and Delivery specifies the procedures and methods that the State uses to develop, implement, and monitor the participant-centered service plan.
    • Appendix E - Participant-Direction of Services specifies the participation direction opportunities that are offered in the waiver and the supports that are available to participants who direct their services.
    • Appendix F - Participant Rights specifies how the State informs participants of their Medicaid Fair Hearing rights and other procedures to address participant grievances and complaints.
    • ​Appendix G - Participant Safeguards describes the safeguards that the State has established to assure the health and welfare of waiver participants in specified areas.
    • Appendix H - Quality Improvement Strategy  contains the Quality Improvement Strategy for this waiver.
    • Appendix I - Financial Accountability describes the methods by which the States makes payments for waiver services, ensures the integrity of these payments, and complies with applicable federal requirements concerning payment and federal financial participation.
    • Appendix J - Cost-Neutrality Demonstration contacts the State's demonstration that the waiver is cost-neutral.

    ​CMS Communications​

    ​Public Comments

    Additional Resources