Maryland�s Home and Community-Based Services Waivers by HC111208204612

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									           Maryland’s
     Home and Community-
     Based Services Waivers


           Medicaid Advisory Committee
                    July 2008
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.

Maryland’s Home and Community-Based Services Waivers   2
Medicaid Advisory Committee – July 2008
      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.


Maryland’s Home and Community-Based Services Waivers
Medicaid Advisory Committee – July 2008
     Review of Maryland’s Waivers:
     Approximate Number of Waiver Slots – FY09
Waiver                                                   Waiver Slots
Medical Day Care Services Waiver                             4,800

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

Waiver for Individuals with Traumatic Brain Injury            35

 Maryland’s Home and Community-Based Services Waivers                   4
 Medicaid Advisory Committee – July 2008
            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.
Maryland’s Home and Community-Based Services Waivers   5
Medicaid Advisory Committee – July 2008
            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

Maryland’s Home and Community-Based Services Waivers   6
Medicaid Advisory Committee – July 2008

								
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