Developmental Disabilities Administration (DDA) Transformation Update
The DDA continues to transform our service delivery system to support people with developmental disabilities to have full lives in the communities of their choice where they are included, participate and are active citizens.
In order to keep our stakeholders informed of the progress, there will be a transformation email update every two weeks.

Review of progress throughout the last six months:

  • DDA had two new waivers approved by the Centers for Medicare & Medicaid Services (CMS) in record time that will provide service to 800 on the DDA’s waiting list. 
  • The Family Supports Waiver (FSW) was submitted to the CMS Sept. 1, 2017 and was approved November 21, 2017.
  • The Community Supports Waiver (CSW) was submitted Oct. 13, 2017 and approved Dec. 7, 2017.
  • Johnston, Villegas-Grubbs and Associates (JVGA), a DDA contractor, completed Phase I of a Rate Setting Study required by the Maryland legislature.
  • DDA formed a technical and quality work group, held town halls and met with providers to ensure the success of the new rates.
  • DDA released the Person-Centered Planning Guide and started training for the Coordinators of Community Services (CCSs) and will begin training our partners around the state in the planning process. 
What's New?

The DDA’s Community Pathways Waiver was submitted by the Office of Health Services (OHS) to the Centers for Medicare & Medicaid Services (CMS) April 2, 2018. Look for documents to be posted on the DDA website with public comments by the end of the week.

DDA and all of our stakeholders are working hard to prepare our system for the delivery of services under the new waivers. 
Individual Support Services (ISS) / Family & Individual Support Services (FISS)

The DDA regional offices continue to align currently authorized supplemental and FISS services to allowable services in the Community Pathways Waiver approved by CMS March 26, 2014. Under an agreement with CMS, the DDA must complete this transition and alignment of services. 
Individual Family Care/Shared Living

From now through July 2019, the DDA will work with Individual Family Care (IFC) providers to transition to Shared Living , as defined in the comprehensive waiver renewal application. 
Phase II of Rate Setting Study

The DDA is working closely with the Rate Setting Study’s technical work group, Maryland Association of Community Services (MACS), and the consultants contracted by MACS to review the assumptions in the rate structure. The goal is to make decisions about the outstanding items by early May. 
Supporting the DDA Delivery System

While people in services and their families are the top priority to DDA, we depend on providers to deliver the services. DDA funds and provides oversight to these service providers. The administration has provided the following opportunities for providers to build capacity as they move through the transformation process with DDA.

  • Technical assistance under the Office of Disability Employment Policy (ODEP) Employment First State Leadership Mentoring Program (EFSLMP)
  • Maryland was recognized by ODEP as a Core State and a leader in achieving employment results for people in services.
  • Free webinars provided by Subject Matter Experts on a variety of topics
  • The Maryland Department of Disabilities (DOD) and the DDA partnered with five providers of vocational services throughout the state to implement a two-year initiative addressing employment barriers for job seekers with developmental disabilities that was funded through Kessler Foundation.
  • A week-long Leadership Institute with national experts assisting agencies in transforming
  • So far, 20 agencies have attended through two sessions.
  • There will be other sessions, including during the Fall of 2018. The DDA will continue to support agencies interested in attending.
The mission of the Maryland Developmental Disabilities Administration is to c reate a flexible, person-centered, family-oriented system of supports so people can have full lives. 
Maryland Department of Health
Developmental Disabilities Administration
201 W. Preston St. | Baltimore MD, 21201
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