1. 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

2. 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

3. Maryland’s Home and Community-Based Services Waivers 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.

4. Maryland’s Home and Community-Based Services Waivers Medicaid Advisory Committee – July 2008 Review of Maryland’s Waivers: Approximate Number of Waiver Slots – FY09 WaiverWaiver Slots Older Adults Waiver Living at Home Waiver Waiver for Children with Autism Spectrum Disorder Waiver for Individuals with Developmental Disabilities Model Waiver for Medically Fragile Children Waiver for Individuals with Traumatic Brain Injury 3,750 600 900 11,000 200 35 New Directions Waiver (Developmental Disabilities)300 4 Medical Day Care Services Waiver 4,800

5. Maryland’s Home and Community-Based Services Waivers 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. 5

6. Maryland’s Home and Community-Based Services Waivers 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 6