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HCBS waivers · Maryland

Maryland Medicaid waivers

Maryland runs 7 Medicaid home and community-based services (HCBS) waiver programs in our records; 1 has a state-published waiting list.

Verified Oct 6, 2026Sources: official state and federal agencies

Waiver programs
7
With a waiting list
1
On this page
Programs

Maryland waiver programs

Maryland runs 7 Medicaid home and community-based services (HCBS) waiver programs in our records; 1 has a state-published waiting list.

WaiverAuthorityWho it servesWaiting listApproved through
1915(i) Home and Community-Based Behavioral Health Services for Children, Youth and FamiliesServices: Youth peer support, Intervention-based in-home services, Respite care1915(i)Young people with intensive behavioral health needs at risk of higher levels of care such as inpatient or residential treatment——
Waiver for Children with Autism Spectrum DisorderMD.0339Services: residential habilitation, respite, adult life planning, environmental accessibility adaptations, family consultation, intensive individual support service, therapeutic integration1915(c)Individuals with autism ages 1-21 years who meet an ICF/IID level of care—Jun 30, 2029
Brain Injury WaiverMD.40198Services: day habilitation, individual support services, medical day care, residential habilitation, supported employment1915(c)Individuals with brain injury ages 22 and older who meet a hospital or nursing facility level of care—Jun 30, 2031
Community Pathways WaiverMD.0023Services: career exploration, community living-group home, day habilitation, live-in caregiver supports, medical day care, personal supports, respite care services, supported employment…1915(c)Individuals with developmental disabilities ages 0 or older who meet an ICF/IID level of care3,767as of Feb 1, 2026Jun 30, 2028
Medical Day Care Services WaiverMD.0645Services: medical day care and medical day care case management1915(c)Individuals ages 65 or older and individuals with physical or other disabilities ages 16-64 years who meet a nursing facility level of care—Jun 30, 2028
Model Waiver for Fragile ChildrenMD.40118Services: case management, medical day care, principal physician's participation in the plan of care meeting, private duty nursing1915(c)Individuals who are medically fragile ages 0 or older who meet a hospital or nursing facility level of care—Jun 30, 2028
Home and Community Based Options WaiverMD.0265Services: assisted living, case management, medical day care, respite care, senior center plus, behavior consultation services, family training, nutritionist/dietitian1915(c)Individuals ages 65 or older and individuals with physical disabilities ages 18-64 years who meet a nursing facility level of care—Dec 31, 2027

Waiting-list counts are the state's own published figures, as of the date shown; states count differently, so compare with care.

FAQ

Frequently asked questions

What Medicaid waivers does Maryland have?

Maryland runs 7 Medicaid home and community-based services (HCBS) waiver programs in our records; 1 has a state-published waiting list. They are: 1915(i) Home and Community-Based Behavioral Health Services for Children, Youth and Families; Waiver for Children with Autism Spectrum Disorder; Brain Injury Waiver; Community Pathways Waiver; Medical Day Care Services Waiver; Model Waiver for Fragile Children; Home and Community Based Options Waiver.