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    Regulations & Medicaid State Plan

    Waivers & Policies​​​ > Regulations & Medicaid State Plan

    COMAR

    COMAR is an acronym for Code of Maryland Administrative Regulations. These are the regulations that DDA follows as well as all provider agencies. In the regulations, you will find the expectations that people have to follow. Although there are 33 titles in COMAR, the regulations that apply to DDA are found in chapter 10 (Department of Health and Mental Hygiene) Subtitle 22 (Developmental Disabilities Administration) beginning at Chapter 20.

    COMAR regulations perta​ini​ng to ​​​DDA​​


    Regulations And State Authority

    DDA REGULATIONS

    • COMAR 10.22.01: Definitions
    • COMAR 10.22.02: Administrative Requirements for Licensees
    • COMAR 10.22.03: Procedures for Licensee Denials and Disciplinary Sanctions
    • COMAR 10.22.04: Values, Outcomes and Fundamental Rights
    • COMAR 10.22.05: Individual Plan
    • COMAR 10.22.09: Resource Coordination Program Service Plan
    • COMAR 10.22.12: Eligibility for and Access to Community Services for Individuals with DD
    • COMAR 10.22.15: Waiting List Equity Fund
    • COMAR 10.09.26: Community Based Services for Individuals with Developmental Disabilities

    ​WAIVER REGULATIONS

    • COMAR 10.09.26: Community Based Services for Developmentally Disabled Individuals Pursuant to a 1915(c) Waiver​​​​
    • Updates to Waiver Regulations are planned for late 2024, including new regulations to specifically govern DDA Community Supports and Family Supports waivers.

    MEDICAID REGULATIONS FOR TARGETED CASE MANAGEMENT (TCM)

    • COMAR 10.09.48: Targeted Case Management for People with Intellectual and Developmental Disabilities
    • COMAR 10.09.36: General Medical Assistance Provider Participation Criteria

    MEDICAID STATE PLAN - TARGETED CASE MANAGEMENT  FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES

    • ​​Maryland State Pl:an Amendment (SPA) 21-0010 including: 
      • ​​​​TCM for People with Intellectual and Developmental Disabilities on DDA Waiting List 
      • TCM for People with Intellectual and Developmental Disabilities Transitioning to the Community ​
      • TCM for People with Intellectual and Developmental Disabilities Community Coordination
    • Maryland State Plan Amendment (SPA) 20-0011 including:​
      • ​​TCM for People with Intellectual and Developmental Disabilities on DDA Waiting List
      • TCM for People with Intellectual and Developmental Disabilities Transitioning to the Community
      • TCM for People with Intellectual and Developmental Disabilities Community Coordination
    • Maryland State Plan A​mendment (SPA) MD-21-0002 – Approved June 4, 2021​
      • ​TCM for People with Intellectual and Developmental Disabilities on DDA Waiting List
      • ​TCM for People with Intellectual and Developmental Disabilities Transitioning to the Community
      • ​TCM for People with Intellectual and Developmental Disabilities Community Coordination
    • ​Maryland State Plan Amendment (SPA)  MD-22-0015   – Approved Oct 19, 2022
      • ​TCM for People with Intellectual and Developmental Disabilities on DDA Waiting List
      • TCM for People with Intellectual and Developmental Disabilities Transitioning to the Community
      • ​TCM for People with Intellectual and Developmental Disabilities Community Coordination