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Maryland’s Home and Community-Based Services Waivers. Medicaid Advisory Committee July 2008. Review of Maryland’s 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
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Maryland’s Home and Community-Based Services Waivers Medicaid Advisory Committee July 2008
Review of Maryland’s 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. 2
Review of Maryland’s 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.
Review of Maryland’s Waivers:Approximate 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 35 Waiver for Individuals with Traumatic Brain Injury 4
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. 5
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 6