Service Array for Medicaid HCBS Waivers

 
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Disabilities Assistance
Developmental Disabilities
 
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No

What would you like to do?

What you need to know

​As a participant in Medicaid Home and Community-Based Services (HCBS) Waiver services, there are many community-based services you may choose. The services available to you are based on which waiver you have.

Services Available by Waiver

What services are available to you depend on which Medicaid HCBS waiver you have. HCBS Waivers Available for Eligible People looks at the four waivers and includes a chart of services by waiver.

Aged and Disabled (AD) Waiver

AD Waiver services help people who are aged or have disabilities. Services meet needs while the participant lives where they choose.

AD Waiver services include:

  • Assisted living;
  • Independent skills building service;
  • Non-medical transportation; and
  • Assistive devices and modifications: 
    • Assistive technology includes devices, controls, and appliances to increase your independence.
    • Home modifications to your private home help you stay safe and do things yourself.
    • Vehicle modifications to your primary vehicle meet your needs and keep you safe.
    • Personal Emergency Response System (PERS) provides a device to call for help in an emergency.

Comprehensive Developmental Disabilities (CDD) Waiver

CDD Waiver services help people of all ages who have developmental disabilities. Services maximizes independence as participants live, work and socialize in their communities. 

CDD Waiver services include:

  • Day services focus on finding a job and increasing skills needed to work in the community. Services include prevocational, supported employment, habilitative workshop, and habilitative community inclusion. 
  • Residential services occur in your own home or apartment, your family home, or a provider-operated location. All services help you learn independent living skills and do things in your community. 
    • Provider-operated locations include
      • Shared Living with a family.
      • Group Home with three or fewer people with disabilities.
      • Centers for Developmentally Disabled (CDDs) home with four or more people with disabilities. These are licensed by Public Health.
  • Respite provides relief for your usual non-paid caregiver who lives with you. 
  • Assistive devices and modifications: 
    • Assistive technology includes devices, controls, and appliances to increase your independence.
    • Environmental modification assessment determines devices and modifications to meet your needs.
    • Home modifications to your private home help you stay safe and do things yourself.
    • Vehicle modifications to your primary vehicle meet your needs and keep you safe.
    • Personal Emergency Response System (PERS) provides a device to call for help in an emergency.

The DD Policy Manual Chapter 8 gives CDD Waiver service definitions. 

Developmental Disabilities Adult Day (DDAD) Waiver

DDAD Waiver services help people ages 21 and over who have developmental disabilities. Services maximize participants' independence to work in their communities. There is a focus on competitive, integrated employment.

DDAD Waiver services include:

  • Day services focus on finding a job and increasing skills needed to work in the community. Services include prevocational, supported employment, habilitative workshop, and habilitative community inclusion. 
  • Residential services occur in your own home or apartment, your family home, or in your community. This waiver does not focus on residential services, but some options may be available to you.
  • Respite provides relief for your usual non-paid caregiver who lives with you. 
  • Assistive devices and modifications: 
    • Assistive technology includes devices, controls, and appliances to increase your independence.
    • Environmental modification assessment determines devices and modifications to meet your needs.
    • Home modifications to your private home help you stay safe and do things yourself.
    • Vehicle modifications to your primary vehicle meet your needs and keep you safe.
    • Personal Emergency Response System (PERS) provides a device to call for help in an emergency.

The DD Policy Manual Chapter 8 gives DDAD Waiver services definitions.

Traumatic Brain Injury (TBI) Waiver

The TBI Waiver provides specialized assisted living, which includes assistance with personal care activities and activities of daily living, such as:

  • Escort services (an escort is a person who will accompany the individual with TBI to a medical appointment if he or she is unable to go alone);
  • Essential shopping;
  • Health maintenance activities;
  • Housekeeping services;
  • Laundry services;
  • Provision of medications;
  • Personal care services; and 
  • Transportation services.


 

Service Coordination

When you are on a waiver, a Service Coordinator provides case management to coordinate and oversee your services. 

Your Service Coordinator:

  • Works with you to develop your service plan based on your needs
  • Completes referrals for developmental disabilities providers and assists with visits
  • Helps a person enroll as an independent provider
  • Helps you access resources such as Medicaid, SSI, and SNAP
  • Helps you identify and access community resources
  • Holds meetings at least every six months to help you work toward life goals
  • Monitors your plan to ensure it is being implemented and adequately addresses your needs
  • Follows up with you to ensure your needs are being met
  • Follows up with your guardian and, as requested, your family
  • Adjusts your service plan when changes are needed for success
  • Helps advocate for what you need from your service provider(s), family, and community
  • Makes sure services promote independence, productivity, and inclusion

Who provides your Service Coordinator depends on which waiver you have:

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Provider Options

You can choose the provider(s) you want to work with. There are different types of providers available for Medicaid HCBS waiver services.

  • AD provider - a person enrolled as a Medicaid provider and employed by you. You are responsible for hiring and supervising your AD provider. Once you choose a person, the state has an approval process to ensure requirements are met. Your Service Coordinator will help with the process.
  • DD agency provider - a company which is an enrolled Medicaid provider and certified by DHHS to provide developmental disabilities services. The agency provider is responsible for hiring or contracting, and supervising employees and contractors who work with you, and other administrative functions. The DD Agency Providers Directory includes alphabetical and geographical listings, what services each provider offers, and contact information.
  • DD independent provider - a person enrolled as a Medicaid provider and employed by you. You are responsible for hiring and supervising your independent provider. Once you choose a person, the state has an approval process to ensure requirements are met. Your Service Coordinator will help with the process.
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