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Maryland DDA Programs

Community Pathways Waiver (CPW)

HAVE Support provides services under the Maryland Developmental Disabilities Administration (DDA) Community Pathways Waiver, supporting individuals with intellectual and developmental disabilities to live safely, independently, and meaningfully in their communities.

Adults (21+)Transition-Age Youth (18–20)Children (17 and under)

Services are available through provider-led (traditional) and self-directed service models depending on eligibility and individual choice.

Community Pathways Waiver — At a Glance

Program
Maryland DDA Community Pathways Waiver
Who it supports
Adults, transition-age youth (18–20), and children with intellectual and developmental disabilities
Where delivered
In home and community settings statewide across Maryland
Service models
Provider-Led or Self-Directed
Authorization required
Yes — in the Person-Centered Plan
Age groups
Children (17 & under), transition-age youth (18–20), adults (21+)
  1. Learning
  2. Applying
  3. Approved
  4. Planning
  5. Choosing Services
  6. Receiving Services

About the Waiver

Designed for Long-Term Community Living

The Community Pathways Waiver is designed for individuals who require ongoing supports to maintain community living rather than institutional care. HAVE Support partners with individuals, families, Coordinators of Community Services (CCS), and Support Brokers to deliver DDA-approved services that align with waiver requirements and individual goals.

DDA-Administered

Overseen by the Maryland Developmental Disabilities Administration.

Medicaid HCBS-Funded

Funded through Medicaid Home and Community-Based Services (HCBS).

Provider-Led

HAVE Support coordinates staffing, scheduling, and service delivery.

Self-Directed

Individuals and families maintain control over staffing and schedules.

How DDA services begin

The Path from Learning DDA to Receiving Services

Not sure where you are in this process? Answer a few quick questions in the DDA Navigator to find your starting point and relevant next steps.

Find My Starting Point
  1. Start by understanding how Maryland's Developmental Disabilities Administration works and what the Community Pathways Waiver covers.

    • Who DDA serves and how eligibility works
    • The difference between DDA, Medicaid, and waiver services
    • Provider-led vs. self-directed service models

Meaningful Day Services

Community Engagement and Skill Development

Community Development Services

Community Development Services help individuals build skills, relationships, and routines that support meaningful participation in community life.

  • Community integration and social engagement
  • Skill development for daily living
  • Volunteer and community-based activities
  • Personal goal exploration
Community Development Services

Support Services

Flexible Supports for Daily Life and Stability

Support Services are designed to assist individuals with behavioral, medical, personal, and daily living needs, ensuring safety, continuity, and quality of life.

Behavioral Support Services (BSS)

Most Requested

Behavioral assessments, behavior plans, consultation, and implementation focused on positive behavior supports and skill development.

Learn more

Housing Support Services

Assistance with maintaining safe, stable housing, including coordination of supports that promote independence and community living.

Live-In Caregiver Supports

Support provided by a live-in caregiver to ensure continuous assistance while promoting autonomy and stability.

Nursing Support Services (NSS)

Most Requested

Skilled nursing oversight, health monitoring, and coordination with medical providers as required by DDA standards.

Learn more

Personal Support Services

Hands-on assistance with activities of daily living, community access, and personal goals.

Learn more

Respite Care Services

Short-term relief services that support individuals and families by providing safe, temporary care.

Learn more

Transportation Services

Transportation that enables access to community activities, services, employment, and medical appointments.

Learn more

Residential Services

Community-Based Living Options

Residential Services support individuals who require structured living environments while maintaining dignity, choice, and community inclusion.

Supported Living

Services provided in an individual's own home or apartment, offering flexible supports tailored to personal needs and goals.

Learn more

Shared Living

A home-based model where individuals live with a host family or caregiver in a shared environment that promotes stability and belonging.

Learn more

Community Living – Group Home

Residential services in a group home setting that provide structured support, supervision, and community integration.

Learn more

Community Living – Enhanced Supports

Enhanced residential services for individuals with more complex support needs, including behavioral or medical considerations.

Learn more

How it fits together

From DDA Authorization to Your Services

Eligibility, authorization, and funding are controlled by Maryland DDA — not by HAVE Support. HAVE Support delivers the services once they are authorized in your Person-Centered Plan.

How it fits together

How a DDA service fits together

HAVE Support delivers services once they are authorized — eligibility, authorization, and funding are controlled by the State, not by HAVE Support.

  1. Maryland DDA

    State administrator

    Determines eligibility, funds services, and oversees providers.

  2. CCS

    Coordination

    Your Coordinator of Community Services coordinates eligibility, planning, and referrals.

  3. Person-Centered Plan (PCP)

    Plan

    Documents your goals and the services DDA authorizes.

  4. Service Authorization

    Authorization

    DDA authorizes the specific services in your PCP.

  5. Provider Selection

    Provider

    You choose an approved provider such as HAVE Support.

  6. HAVE Support

    Service delivery

    Delivers the services authorized in your plan.

  7. Individual receives support

    Service delivery

    Services begin and adjust as your plan and needs evolve.

Understanding Maryland's DDA Regions

Maryland DDA organizes the state into four administrative regions, each served by a regional office that coordinates services locally.

Understanding Maryland’s DDA RegionsMap of Maryland showing the Developmental Disabilities Administration’s Central Maryland, Eastern Shore, Southern Maryland, and Western Maryland regions.WesternMarylandCentralMarylandSouthernMarylandEasternShore
County-to-region key
Western Maryland
Allegany · Carroll · Frederick · Garrett · Washington
Central Maryland
Anne Arundel · Baltimore City · Baltimore County · Harford · Howard
Southern Maryland
Calvert · Charles · Montgomery · Prince George's · St. Mary's
Eastern Shore
Caroline · Cecil · Dorchester · Kent · Queen Anne's · Somerset · Talbot · Wicomico · Worcester

Service Delivery Models

Choose the Model That Works for You

This flexibility allows individuals and families to choose the model that best fits their needs, preferences, and level of independence.

Provider-Led (Traditional) Services

HAVE Support coordinates and delivers services through our trained staff and qualified professionals.

Self-Directed Services

Individuals and families maintain greater control over staffing, schedules, and how authorized supports are delivered.

Getting Started

Ready to Begin?

Our team works closely with individuals and families, Coordinators of Community Services (CCS), and Support Brokers to ensure referrals, service authorization, and service initiation are handled smoothly and in compliance with Maryland DDA requirements.

Which path applies?

Are you currently enrolled with DDA?

CCS or professional? Refer to HAVE Support using the Professional Referral form.

Learning trail

  1. You just learned

    What the Community Pathways Waiver is

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