Home and Community Based Services 510-05-15

 

Home and Community Based Services (HCBS) 510-05-15-05

(Revised 1/03 ML #2833)

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The Medicaid program provides home and community based services (HCBS) to eligible individuals who have been screened as requiring nursing care services but who choose to receive those services in the community. Eligibility for individuals with an ineligible community spouse may be determined using the Spousal Impoverishment Provision found at 05-65. Services may be provided through one of the following waivers:

 

1. Waiver for Developmentally Disabled:  Services are provided to individuals who meet the developmental disability criteria and who are screened intermediate care-mentally retarded.  These individuals generally meet the disability criteria of the Social Security Administration, however, the few who do not may still be eligible for these wavered services. (Began in 1981.)

2. Waiver for the Aged or Disabled: Services are provided to individuals who, from birth to age sixty-five meet the disability criteria of the Social Security Administration and to individuals sixty-five years of age and over. These individuals must be screened as requiring care in a nursing facility but choose to receive services in the community. (Began October 1, 1983.)

3. Waiver for the Traumatic Brain Injured: Services are provided to individuals between the ages of 18 and 65 who meet the criteria for traumatic Brain Injury and who are screened as requiring care in a nursing facility but choose to receive services in the community. These individuals must meet the disability criteria of the Social Security Administration. (Began in 1994.)