Maryland Brain Injury Waiver, Medicaid, and Fair-Hearing Help
Maryland operates a Medicaid home and community-based waiver for adults with brain injury. This page explains the official starting points, the types of information to save, and the fair-hearing route when a decision is disputed.
Start here
If you need brain injury waiver services: review the Maryland Department of Health Brain Injury Waiver page and current eligibility rules.
If you are applying or already enrolled: keep the eligibility form, assessments, plan of care, service authorizations, and every written decision.
If Medicaid denied, reduced, suspended, or ended eligibility or services: follow the notice and request a fair hearing before the stated deadline.
Brain Injury Waiver
The Maryland Department of Health Brain Injury Waiver page describes a home and community-based services waiver for eligible adults with brain injury who meet medical, technical, and financial rules. Listed services include day habilitation, individual supports, medical day care, residential habilitation, and supported employment.
The governing Maryland Brain Injury Waiver regulations state that applicants and participants must be informed of adverse eligibility decisions and the right to appeal and request a fair hearing.
Prepare a complete record
Write down:
The applicant or participant name and Medicaid ID.
The exact service, waiver, assessment, or accommodation requested.
The date requested and who received it.
Every notice, assessment, service plan, email, and call reference number.
How the decision affects safety, health, communication, mobility, work, or community living.
If you disagree with a decision
Maryland's Request a Fair Hearing page explains that people applying for or enrolled in Medicaid can ask for a fair hearing when they believe a decision to deny, suspend, end, or reduce eligibility or services is wrong. Managed-care members generally must follow the plan's appeal process before requesting a State fair hearing. Follow the deadline and instructions in the actual notice.
Ask for the complete written reason and rule used, the records relied on, an accessible copy, language or disability assistance, and written confirmation that the appeal was received. Ask immediately whether continued services are available during a timely appeal.
Communication support
You can ask the agency or health plan for plain language, extra processing time during calls, written follow-up, an authorized representative, an interpreter, large print, audio, Braille, or another effective communication method. Put the request in writing when possible and keep a copy.
Official sources
Scope and safety
ABI Resources provides direct care services in Connecticut. This Maryland page is national informational content and does not claim that ABI Resources provides Maryland services or represents any government agency. Program rules and deadlines can change. Verify details with the agency and follow your written notice. This is general information, not medical or legal advice. Call 911 for an emergency. Call or text 988 for a suicide or mental-health crisis.
Reviewed: September 19, 2026.
