​Maryland Home and Community Based Waiver for Adults with Brain Injury program  

​The Maryland Department of Health has operated the Medicaid Waiver for Adults with Brain Injury since 2003. The program provides residential, day, supported-employment, and individual-support services to adults with neurobehavioral, cognitive, and physical deficits resulting from a brain injury.
 
MDH has recently expanded the technical eligibility for its 1915(c) Home and Community-Based Services Waiver for Adults with Brain Injury (“Brain Injury Waiver”) to include private nursing facilities as one of its access points. Per CMS, this expansion has been approved to remain in effect until at least six months after the end of the federal public health emergency. MDH is currently evaluating the sustainability of this expansion.
 
Marylanders residing in Maryland nursing facilities, chronic hospitals, or state owned and operated facilities may be eligible for this program if:

  • They are between the ages of 22-64;
  • They have sustained an acquired brain injury that occurred after the age of 17;
  • The brain injury resulted in a cognitive, physical, behavioral, or emotional disability;
  • The individual’s income does not exceed $2,742 per month nor has assets that exceed $2,000 in value;
  • Their needs meet a nursing facility or chronic hospital level of care; and
  • Their medical issues are chronic, predictable, stable, and routine.
 
Brain Injury Waiver Services include:
  • Residential Habilitation – 24 hour on-site and overnight supervision in a licensed group home or alternative living unit with a staff to participant ratio of 1:3 or higher.
  • Day Habilitation - Assistance with acquisition, retention, or improvement in self-help, socialization, and adaptive skills which takes place in a nonresidential setting.
  • Supported Employment – Activities needed to support paid work by individuals receiving waiver services, including supervision and training.
  • Medical Day Care - Medically supervised, health-related services provided in an ambulatory setting to medically handicapped individuals who, due to their degree of impairment, need health maintenance and restorative services supportive to their community living.
  • Individual Support Services - Assistance provided to an individual to enable participation in the community. This service is a step down from residential services available to individuals living in independent housing or living at home with family.
  • Case management - The services provided by a case manager who assists an individual in gaining access to needed medical, social, educational, and other services.
 
Participating Brain Injury Providers include:  
 
To connect eligible residents with the Brain Injury Waiver  program, submit an interest form HERE ​
 
You can also contact the Brain Injury Association of Maryland 410-448-2924 or mdtbiwaiver@biamd.org.
 
The MDH Brain Injury Waiver Program Coordinator can be reached by email at elena.janetopoulos@maryland.gov