Maryland Department of Health and Mental Hygiene – Developmental Disabilities Administration (DDA) – Eligibility Determinations Division (EDD) fax number

Fax destination details

Department

Eligibility Determinations Division (EDD), Developmental Disabilities Administration (DDA), Maryland Department of Health

Purpose

Used to submit eligibility determinations and related inquiries for the Developmental Disabilities Administration (DDA), including Community Pathways Waiver (CTC) and other eligibility matters; documents can be faxed to this number.

Form

DHMH OES-001 DDA — Community Pathways - Request for Non-Covered Services

Address

6 Saint Paul Street, Suite 400, Baltimore, MD 21202

Voice phone

(410) 767-6603

Website

Visit organization website

Before you send

• Confirm that this exact department handles your document or request.
• Check the organization website or call its main line for the current fax number.
• Include a cover sheet and any case, member, claim, or form reference required.
• Keep the delivery confirmation with your submission records.

Providers complete the DHMH OES-001 DDA form with provider and customer information, attach proof of medical expenses, and fax to 410-333-0109 for consideration of non-covered services; the final determination typically requires review by the Division of Eligibility Policy and may take about 30 days.

Official form instructions are published as a downloadable file on the organization's website.