​1115 HealthChoice Waiver Renewal


Update: As of April 18, 2017, the Department of Health and Mental Hygiene (DHMH) continues to work with the Centers for Medicare & Medicaid Services (CMS) to negotiate the necessary post-approval protocols for the Home Visiting Services (HVS) and Assistance in Community Integration Services (ACIS) pilot programs. Once these have been finalized, DHMH will release a Letter of Intent so that prospective applicants can provide DHMH with their interest as to upcoming pilot programs.  DHMH anticipates that this will take place in the near future.


Effective January 1, 2017, the Centers for Medicare & Medicaid Services (CMS) approved and renewed Maryland's §1115 demonstration waiver, known as HealthChoice, for a period of five years.
HealthChoice, first implemented in 1997 under the authority of Section 1115 of the Social Security Act, is Maryland’s statewide mandatory managed care program for Medicaid enrollees. Under HealthChoice, eligible families and individuals are required to enroll in a managed care organization that has been approved by the Maryland Department of Health and Mental Hygiene. Each managed care organization is responsible for ensuring that HealthChoice enrollees have access to a network of medical providers that can meet the health needs of each enrollee.
The 2017 extension made the following changes to the demonstration:

  • Created a Residential Treatment for Individuals with Substance Use Disorder (SUD) program as part of a comprehensive SUD strategy;
  • Created two community health pilot programs:
    • Evidence-based Home Visiting (HV) pilot program to provide home visiting services for high-risk pregnant women and children up to two years of age; and
    • Assistance in Community Integration Services (ACIS) pilot program to provide housing-related support services for high-risk, high utilizers who are either transitioning to the community from institutionalization or at high-risk of institutional placement;
  • Raised the enrollment cap for the Increased Community Services program from 30 to 100; and
  • Expanded dental benefits for former foster youth.
Application Resources
Hard copies may be obtained by calling: (410) 767-1439.
For additional information or questions, please email dhmh.healthchoicerenewal@maryland.gov.