Page Reviewed / Updated - April 24, 2015
The Maryland Community Pathways Medicaid Waiver provides developmentally and intellectually disabled Maryland residents with home and community based services to enable them to continue residing in their homes.
This waiver is strictly for individuals who are developmentally or intellectually disabled, and is unfortunately not available to those who are physically disabled. Therefore, it does not serve seniors suffering from a physical disability related to aging. However, there is a Medicaid waiver program suitable for individuals who are physically disabled, as well as those seniors who need a nursing home level of care due to the process of aging: Community Options.
Services via Community Pathways are funded by Maryland’s Developmental Disabilities Administration (DDA) under the Department of Health and Mental Hygiene. Services can be delivered via licensed providers or one may choose a self-directed model. Self-direction means program participants can elect who provides their care services. As such, certain family members can be retained to provide some care services. However, spouses cannot be paid to provide services.
To be eligible for services under the Community Pathways Waiver, candidates must:
Note that persons who exceed these income limits may still qualify through "spending down" their income on their care / medical expenses and qualifying through what’s known as the “medically needy” pathway.
Unfortunately, this pathway to Medicaid eligibility does not help one spend down extra assets. However, one can spend extra assets on ones that are not counted towards eligibility. For instance, one may add a first floor bedroom or make other home modifications that allow one to age in place. Important: Applicants must not give away assets or sell them cheaply in order to meet Medicaid's asset limit. This is because Medicaid has a rule in place, a look-back period, that if violated, a period of Medicaid ineligibility will result.
A benefits adviser or an elder law attorney knowledgeable about Maryland Medicaid rules can provide guidance and strategies on the best ways of meeting the income and asset requirements. Learn more.
This program does not have age requirements. Participants’ eligibility must be reevaluated annually.
Among the many benefits, this waiver provides support for caregiving in the home, live-in caregiver rent, accessibility adaptations (up to $15,000 in a three year period, including vehicle modifications), and various types of housing arrangements and family/individual support. Participants are empowered to select and self-direct their own service providers. A list of other common services follows. Note that not every applicant is eligible for all of these services.
Please note: Beginning in July of 2019, new benefits will be available via this waiver: Supported living and community living (enhanced supports and group homes).
One can learn more about this waiver on the Community Pathways webpage.
To apply, one should contact his/her Maryland Department of Health Area Agency on Aging. Look up the Area Agency on Aging for your region of the state using this search tool.