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Maryland seeks ways to reduce HCBS waiver registries; staffing and provider capacity cited as constraints
Summary
The Department of Health told the subcommittee it increased outreach and is pursuing data clean-up and process changes to reduce Home and Community-Based Services (HCBS) waiver registries, but staffing shortages and limited provider capacity continue to slow enrollment.
The Maryland Department of Health told the Health and Social Services Subcommittee on Jan. 29 that it has increased outreach and data-cleaning measures to reduce waiting registries for Home and Community-Based Services (HCBS) waivers but continues to face staffing and provider-capacity constraints.
DLS analyst Ann Bridal emphasized that registries and waiting lists vary by waiver. The Community Options Registry had more than 20,000 individuals at the end of fiscal 2024, while the Developmental Disabilities Administration (DDA) waivers combined had under 4,000. MDH reported outreach increases and a legislative requirement to mail 600 Community Options invitations monthly; as of December 2024 the department was mailing 700 invitations each…
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