Home and Community Based Services 510-05-15
Home and Community Based Services (HCBS) 510-05-15-05
(Revised 4/1/07 ML #3071)
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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:
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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.)
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Waiver for Self Directed Supports for Families: Allows families or individuals, where at least one individual, age 3 to age 21, meets the developmental disability criteria and requires long-term supports and services, to direct their own care and financial resources so the individual may remain in the home. (Began July 1, 2006.)
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Waiver for Self Directed Supports for Adults: Allows individuals, age 21 or over, who meet the developmental disability criteria and require long-term supports and services, to direct their own care and financial resources so the individual may remain in their own home. (Began July 1, 2006.)
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Medicaid Waiver for Home and Community Based Services: Services are provided to individuals who meet the disability criteria of the Social Security Administration, or are at least 65 years of age who are screened as requiring care in a nursing facility, but choose to receive services in the community. As of April 1, 2007, this waiver merged the Waiver for the Aged or Disabled (which began October 1, 1983) and the Waiver for the Traumatic Brain Injured (which began in 1994).
