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Developmental Disabilities Administration

How to Become a DDA Provider in Maryland

To serve people with intellectual and developmental disabilities through Maryland's DDA, your agency must be approved as a Qualified Services Provider. Here's what that takes — and how we get your application approved the first time.

DDA provider — quick facts
What it lets you do
Deliver DDA-funded services to people with I/DD
Who approves it
Maryland Dept. of Health, Developmental Disabilities Administration
Governing regulation
COMAR 10.22
How it's funded
Medicaid Home & Community-Based Services waivers
Who can apply
Provider agencies and qualified individuals
The basics

What is a DDA provider?

The Developmental Disabilities Administration funds community-based services for Marylanders with intellectual and developmental disabilities — residential, day, employment, and support services, among others. To deliver and bill for those services, your organization has to be approved by the DDA as a Qualified Services Provider.

Important distinction: this is about becoming a provider — the agency or individual delivering services. It's a different process from the DDA eligibility application that individuals and families complete to receive services. If you're starting a business, the provider application is the one you need.

DDA services are funded primarily through Maryland's Medicaid Home and Community-Based Services waivers, and the administration operates through regional offices across the state. Provider approval comes with real expectations around your capacity, your staff's qualifications, and your quality and service planning — which is exactly where a strong application makes the difference.

Scope

Services DDA providers deliver

Depending on your approval, a DDA provider may offer services such as:

Residential services Day services Supported employment Personal supports Respite care Behavioral & nursing supports

You'll choose the specific services you're seeking approval for on your application, and you'll need to show you have the capacity and qualified staff to deliver them.

Two ways to apply

Agency or individual provider

The DDA approves both. The path that fits depends on whether you're building an organization or providing services yourself.

Provider agency

For organizations delivering services through staff. This is the path for most people starting a business.

  • Resumes for your leadership and supervisors
  • A program service plan & quality assurance plan
  • Evidence of financial capability and insurance

Individual provider

For qualified individuals — for example, an individual nurse or behavioral support specialist — providing services directly.

  • Submitted via the DDA's individual provider application
  • Focus on your own credentials and experience
  • Describe how you'll support participants with complex needs
The application

What a DDA provider application needs

The Qualified Services Provider application is detailed, and the attachments matter as much as the form itself. At a high level, an agency application typically includes:

  • The services you're seeking approval to provide
  • Resumes for your CEO, directors, managers, and supervisors
  • Professional letters of reference (new providers)
  • Copies of relevant licenses, certifications, or accreditation
  • General commercial liability insurance
  • Ownership disclosures for direct and indirect owners
  • Background checks and child protective clearances (request early)
  • A program service plan & quality assurance plan (COMAR 10.22.02)
  • Evidence of financial capability to deliver services
  • Your mission statement and approach to person-centered support
  • The agency questionnaire and information form
  • A completed, signed application checklist

The service plan, quality assurance plan, and the way you demonstrate capacity are where most applications get strong — or get held up. That's the heart of what we prepare with you.

How we help

From idea to approved provider

We build the plans, organize the attachments, and make sure your application demonstrates real capacity — not just that the boxes are checked.

1

Free consultation

We confirm DDA provider approval is the right path and which services to seek.

2

We build your plans

Service plan, quality assurance plan, policies, and the full attachment set.

3

We assemble & submit

A complete application to the DDA, with help responding to follow-ups.

4

You get approved

We support you through approval and into operating and staying compliant.

Also worth knowing

Do you also need an RSA license?

Some agencies serving people with disabilities also provide in-home personal or skilled care, which can require a separate Residential Service Agency license. If your plans span both, we'll map out exactly what you need so nothing trips up your launch. Read about RSA licensing →

Questions

DDA provider FAQ

No — and this trips a lot of people up. Applying for services is what individuals and families do to receive support. Becoming a provider is what your business does to deliver and bill for those services. This page, and our help, is about the provider path.

It varies and depends heavily on how complete and well-documented your application is. The service plan, quality assurance plan, and evidence of capacity are common sticking points — preparing them properly up front is the fastest path to approval.

New providers are generally asked to submit professional references attesting to your team's ability to deliver the services you're seeking approval for. Existing DDA agencies are typically exempt. We'll confirm the current requirement for your situation.

Criminal background checks and, where applicable, child protective service clearances are part of the process. These take time, so we have you request them early — well before submission — so they don't hold up your application.

Primarily through Maryland's Medicaid Home and Community-Based Services waivers. Becoming an approved provider is what allows your agency to deliver and bill for waiver-funded services.

Yes — that's central to what we do. We prepare these and your policies to demonstrate genuine capacity to provide the supports you're seeking approval for, in line with COMAR 10.22.

Ready to Become a DDA Provider?

Book a free consultation and we'll confirm the right services to seek, then map out exactly what it takes to get your agency approved.

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