January 2026 Proposed Waiver Amendments Submitted to CMS
The Office of Developmental Programs (ODP) is pleased to announce that amendments to the Targeted Support Management State Plan and the 1915(b)(4), Consolidated, Community Living, and Person/Family Directed Support (P/FDS) waivers were submitted to the Centers for Medicare and Medicaid Services (CMS) on July 31, 2025. The amendments include changes made based on public comment.
The amendments will allow ODP to implement performance-based contracting for Supports Coordination and Targeted Support Management services. More information about performance-based contracting is available at the MyODP website. Additional changes to the Consolidated, Community Living, and P/FDS waivers that are not related to performance-based contracting were also submitted to CMS.
CMS has 90 days to review the amendments. Additional changes may occur based upon discussion with CMS during the approval process. It is anticipated that the amendments will be approved and effective January 1, 2026. ODP will inform all stakeholders when approval from CMS has been received and will make the approved amendments available at that time.