Maryland Unifies Disability Services Under Single Community Pathways Waiver

The Maryland Department of Health has merged its three primary Medicaid waiver programs. This consolidation creates a single, streamlined program called the Community Pathways Waiver. The change is effective October 6, 2025.

State officials state the move will simplify access to vital support services. It aims to provide more consistent, person-centered care for residents with intellectual and developmental disabilities.

What the Waiver Consolidation Means for Maryland Families

The three former waivers were the Family Supports, Community Supports, and Community Pathways programs. They are now unified under the new Community Pathways Waiver. According to the Maryland Department of Health, this ends a fragmented system.

Current recipients do not need to take any action. Their services will continue without interruption under the new single waiver. This automatic transition is designed to prevent any lapse in care for vulnerable individuals.

A Push for Simpler Access and Consistent Care

Maryland health leaders say the change directly addresses long-standing community feedback. Families and providers often reported confusion navigating the multiple, complex waiver systems. The unified program seeks to eliminate that bureaucratic hurdle.

The state assures that all existing services remain available. These include residential supports, employment aids, and personal care. The goal is to empower individuals by making the system easier to use.

This significant reform of Maryland’s disability services framework underscores a statewide commitment to inclusivity. The new Community Pathways Waiver represents a major step toward a more efficient and equitable support system for thousands of residents.

Info at your fingertips

What is the Community Pathways Waiver?

The Community Pathways Waiver is Maryland’s new, single Medicaid program for IDD services. It combines three previous waivers into one. The goal is to simplify how people access and receive support.

Do current waiver recipients need to reapply?

No, current recipients do not need to do anything. They will be automatically moved to the new consolidated waiver. Their services and benefits will continue without change.

What services does the waiver provide?

It provides a wide range of home and community-based services. These include residential support, day programs, and personal assistance. The services are tailored to each individual’s unique needs.

How will this consolidation affect service quality?

State officials believe it will improve service quality through consistency. A single program reduces administrative complexity. This allows providers to focus more resources on direct care.

Why did Maryland decide to make this change?

The change was made to respond to community input about a confusing system. A single waiver is easier for families to navigate. It aims to deliver care more efficiently and equitably.

Trusted Sources

Maryland Department of Health, Developmental Disabilities Administration (DDA)