The Model Waiver began January of 1985. This waiver targets medically fragile individuals including technology dependent individuals who, before the age of 22, would otherwise be hospitalized and are certified as needing hospital or nursing home level of care. Through the waiver, services are provided to enable medically fragile children to live and be cared for at home rather than in a hospital. Model Waiver services includes case management, private duty nursing, shift home health aide assistance, physician participation in the Plan of Care development, and durable medical equipment and supplies. Individuals that would like to apply for Model Waiver Services must contact the Coordinating Center for Home and Community Care, Inc., a case management organization.

Since 1993, the Senior Assisted Housing Waiver has been giving eligible low-income adults a choice of receiving long term care services in a community-based setting rather than in a nursing facility. On July 1, 2000 the waiver was expanded statewide and the number of available slots increased from 135 up to 1,135. Effective January 2001 the minimum age was reduced from 62 years of age to 50 years of age, new services became available, and eligible participants can receive services in their homes or in large or small assisted living facilities. MDoA administers this waiver.

Effective July 1, 2001, the Maryland State Department of Education began administering the autism waiver, targeted to children ages 1 through the end of the school year that the child turns 21. As a part of determining eligibility, a child must be diagnosed with Autism Spectrum Disorder, meet an Intermediate Care Facility for the Mentally Retarded Level of Care, not be enrolled in any other waiver, and have an Individualized Educational Program (IEP) or Individualized Family Service Plan (IFSP) and receive at least 12 hours of special education and related services per week. The services provided under the Autism Waiver are intensive individual support services, therapeutic integration services, respite care, family training, environmental accessibility adaptations, supported employment, residential habilitation, and targeted case management.

Effective April 1, 2001, the Maryland Department of Human Resources began providing services for those eligible individuals that meet a nursing home level of care and are between the ages of 21 and 59 years of age. This waiver is designed to provide consumer-directed personal assistance services for adults with physical disabilities in their own homes. Waiver services include attendant care, administrative case management, family and/or consumer training, skilled nursing supervision, personal emergency response systems, environmental accessibility adaptations, and occupational and speech/language therapies.