1915(i) State Plan Amendment for Children, Youth, and Families
Over the past several years, Maryland has operated a special CMS demonstration project known locally as the Residential Treatment Center (RTC) Waiver. This time limited demonstration project used a special authority granted by the federal government under Section 1915(c) of the Social Security Act to provide home and community-based services for children and youth with emotional disturbances and their families. The demonstration project has now effectively reached its statutory end.
In order to sustain and refine the approach undertaken in the initial CMS Demonstration Project, Maryland intends to apply for a 1915(i) State Plan Amendment (SPA) to serve a similar, but not identical, population of youth and families as prescribed by the federal government. The service mix proposed is also similar to the initial demonstration, but has been refined and enriched, based on lessons learned from the process of implementing the original project.
In addition to the full range of Medicaid somatic and behavioral health benefits available to all eligible individuals, participants enrolled in the proposed 1915(i) SPA will have access to a number of additional specialized services if they meet applicable medical necessity criteria. These specialized services and the proposed approach under which they will operate are described in the application.
Please follow the links below to review the draft 1915i State Plan Amendment, as well as the Department's Q&A response to stakeholder feedback received during the public comment period.