Home and Community Based Services Waiver by State

Home and Community Based Services Waiver by State

STATE

/ PROGRAM & CONTROL NUMBER / DESCRIPTION OF SERVICES PROVIDED
ALABAMA
Long Term Care Division
HCBS Waiver Service Unit /

1915(c) HCBS Waiver: Elderly & Disabled
No. 068.91.R3

(1915c) Provide case management, personal care, adult day health, companion, respite,home delivered meals, & homemaker services for individuals who require the level of care provided in a nursing facility.

ALASKA

DHHS /

1915(c) Waiver for older Alaskans & Adults with Physical Disabilities
No. 0262

(1915c) Provide case management, respite care, adult day health, environmental modifications, transportation, specialized medical equipment & supplies, chore, meal services, residential supported living arrangements & specialized private duty nursing.

ARKANSASDivision of Medical Services Division of Aging & Adult Services /

1115 Rx Senior Care
1915(c) Home & Community-Based Services Waiver
No. 0195.90.R1
1915(c) Alternatives for Adults with Physical Disabilities
No. 0312.90

(1115) Provides prescription drug coverage to up to two prescriptions per month.
(1915c) Provides an array of home & community-based services to Elderly eligible Medicaid recipients as an alternative to institutionalization in a nursing facility; homemaker services, chore services, home-delivered meals, adult day care, adult day health care, adult foster care, personal emergency response system services & respite care services; also provides environmental accessibility adaptations/adaptive equipment & attendant care services

CALIFORNIAMedical Benefits Branch /

1915(c) Disabled Frail Elderly
No. 0141
1915(c) Inpatient Nursing Facility
No. 01939
1915(c) Disabled Individuals
No. 0348
1915(c) Physically Disabled
No. 0384
1915 (b)(3) & (b)(4) Intermediate Care Facilities for Persons with Developmental Disabilities- Continuous Nursing (ICF/DD-CN)

(1915c) All of the waivers offer a wide range of services including such services as respite care, case management, environmental modifications, personal emergency response systems, family counseling, habilitation, personal care, assistive technology, chore/home maintenance,home delivered meals, & therapy services. All of the waivers serve either a moderate or large population.
(1915b) Provides 24-hour skilled nursing care & support to consumers who would otherwise be placed in a large institutional setting. Frequent medical interventions are provided such as: respiratory therapy, hemodialysis, special feeding requirements, IV administration of medications & wound care. Non-medical services include: developmental training, habilitative services & active treatment to facilitate activities of daily living, prevention of regression & amelioration of developmental delay.

COLORADOOffice of Medical Assistance Department of Health Care Policy & Financing /

1915(c) Aged & Disabled
No. 0006

(1915c) Serves a large number of both aged & physically Disabled adults & offers a range of services including respite care, residential care, & personal care services.

Adapted from

STATE

/ PROGRAM & CONTROL NUMBER / DESCRIPTION OF SERVICES PROVIDED
CONNECTICUT Department of Social Services /

1115 Rx Demonstration Eligibility ExpansionConn PACE
1915(c) Adult Residential Care Aged 65 & Older No. 0140
1915(c) Physically Disabled
No. 0301
1915(c) ICF/MR No. 40110.91.R3

(1115) Prescription drug coverage on the elderly & disabled populations.
(1915c) Provide personal care services including homemaker, transportation, habilitation, environmental modifications, medical equipment/supplies, personal care, case management, respite care, behavior management, vehicle modification, home delivered meals, family counseling, companion services, personal emergency response system, & chore/home maintenance to moderate populations.

DELAWAREDepartment of Social Services

Division of Aging & Adult Services /

1915(b)/(c) Elderly & Physically Disabled Component.
1915(b) Behavioral Health Care Component
1915(c) Elderly & Physically Disabled No. 0136.90.R2.01

(1915b) This program is designed to decrease reliance on institutional care for people who are in need of long term care, create a budget structure that will allow resources to be to be allocated from institutions to community-based services, reduce the rate of growth in Medicaid expenditures for Long Term Care (LTC) services, comply with the Olmstead Supreme Court decision, & make LTC supports more responsive to individual needs & preferences.
(1915c) Provide case management, homemaker, adult day care, respite care, personal emergency response systems, & medical equipment, supplies & appliances.

DISTRICT OF COLUMBIAMedical Assistance Administration /

1915(c) Elderly & Disabled
No. 0334

(1915c) This waiver offers several services including case management, homemaker, chore services, personal care aide, respite, attendant care, & assisted living services.

FLORIDAMedicaid Program Development /

1115 Consumer Direct Care Plus
1115 Senior Rx Program
1915(b) Comprehensive Adult day Care Program
1915(c) MR/DD
No. 0010.91.R4
1915(c) Frail Elders
No. 0116.90.R2.04 & 0280.
1915c Elderly/Disabled
No. 0315
1915c Disabilities
No. 0294

(1115) Consumers receive a monthly cash allotment with which to purchase personal care benefit services such as personal care attendants or homemaker services.
(1115) This approval will permit Florida to make available pharmacy benefits to low-income Medicare beneficiaries age 65 or above with income at or between 88 percent & 120 percent of the Federal poverty level
(1915b) Provide the following services as components of the Comprehensive Adult Day Health Care Program: intake & assessment, case management, transportation, nursing services, medical direction, rehabilitation therapies, social services, day care meals and snacks, nutritional counseling, recreation therapy, personal care assistance, education, information/referral & caregiver assessments/resources.
(1915c) Receive case management & live in assisted living; renal dialysis services; skilled nursing, pest control, financial counseling & training & medication management.

STATE

/ PROGRAM & CONTROL NUMBER / DESCRIPTION OF SERVICES PROVIDED
GEORGIA Departmetn of Community Health Division of Medical Assistance /

1915 (b) MH/MR PASARR
1915(c) Aged & Disabled
No. 0112
1915(c) MR/DD
No. 0175 & 0323

(1915b) Consultation with nursing facility staff & the resident attending physician on medication changes, crisis intervention services, behavior change intervention services, individual group or family activity/counseling services, skills training services, psychiatric assessment & care services, & case management.
(1915c) The waiver offers a variety of services, including: adult day health, alternative living services, extended state plan services, personal care services, respite, & residential modification.

HAWAIIDepartmetn of Human Services Social Service Division /

1915(c) MR/DD No. 0013
1915(c) Aged & Disabled Adults
No. 0014
1915(c) Aged & Disabled
No. 0057

(1915c) Serves a moderate number of adults & offers a range of services including home delivered meals, moving assistance, personal care, respite, case management, transportation, home maintenance, home modifications, adult day health, nursing services, & counseling & training; Case Management, respite, residential care & personal care among its services.

IDAHO Department of Health & Well fare /

1915(c) Aged & Disabled
No. 0076

(1915c) Provide; case management, attendant care, assisted living & adult residential care, homemaker, & skilled nursing services.

ILLINOIS Department of Public Aid – Bureau of Interagency Coordination Bureau of Long Term Care (SLF) Department on Aging (over 60) Dept of Human Service – Office of Rehab Services /

1115 Rx For low Income Seniors
1915(c) Aged & Disabled
No. 0362
1915(c) MR/DD No. 0378
1915(c) Elderly No. 0143

(1115) Provide comprehensive pharmacy benefits, with primary care coordination to low-income seniors.
(1915c) Provides a range of services including affordable assisted living; homemaker & adult day care services; adult day care, personal care, homemaker, & a personal emergency response system.

INDIANA

Bureau of Aging/ In-Home Services /

1115 Hoosier Rx
1915 (b) Hoosier Healthwise
1915(c) Aged & Disabled
No. 0362
1915(c) MR/DD No. 0378
1915(c) Aged & Disabled
No. 0387

(1115) Provides a prescription drug benefit to Indiana residents aged 65 & over, with incomes at or below 135% of the Federal Poverty Level.
(1915b) Provides a full package of Medicaid benefits to enrolled beneficiaries.
(1915c) Provide homemaker, supported employment & adult day care; assisted living, chore & companion services; Medicaid buy-in is available to eligible employed participants. These waivers are moderate in size.

STATE

/ PROGRAM & CONTROL NUMBER / DESCRIPTION OF SERVICES PROVIDED
IOWA
Dept of Human Services, Medical Assistance Unit /

1915(c) Aged & Disabled
No. 0076

(1915c) Provide consumer directed attendant care, personal emergency response system, environmental adaptations & home & vehicle modifications, medical equipment & supplies. Or it can provide a homemaker, respite care, adult day health, nutrition counseling, home & vehicle modifications to a moderate number of adults aged 65 or older who require nursing facility care.

KANSAS Department of Aging
Department of Social & Rehabilitation Services /

1915(c) MR/DD
No. 0224
1915(c) Frail & Elderly
No. 0303

(1915c) Provides a range of services including adult day care, assistive technology, attendant care, nursing evaluation, personal emergency response system, wellness monitoring, & respite care; personal care, assistive technology & Independent Living counseling.

KENTUCKY Department for Medicaid Services /

1915(c) Aged or Disabled
No. 0144
1915(c) Supports for community living

No. 0314

1915(c) Acquired Brain Injury > 21-65 yrs of age

No. 0333 /

(1915c) Provides assessment and reassessment services, attendant care; environmental modifications, case management, homemaker, personal care, adult day health, & respite care.
Provides support coordination, respite, community habilitation, supported employment, prevocation, community living, staffed residence, adult foster care, family homes, group homes, physical therapy, occupational therapy, speech therapy, psych, behavior, special equipment
Provides case management, respite care, personal care, companion services, community residential services, behavior programming, counseling, structured day program, supported employment, specialized medical equipment and supplies, environmental modifications, extended state plan services, speech, hearing and language services, occupational therapy

LOUISIANA Department of Health & Hospitals 225-219-0200 Bureau of Community Supports & Services /

1915(c) Elderly & Adult Disabled No. 0121
1915(c) MR/DD No. 0401
1915(c) Elderly & Disabled Adults No. 0257

(1915c) Offers adult day health care to a moderate number of adults who are elderly or Disabled; personal care attendant; case management, personal care, environmental accessibility adaptations, & adult companion services, to adults who are elderly or Disabled.

MAINE
Bureau of Elder & Adult Services
Bureau of Rehabilitation Services /

1115 Rx Pharmacy
1915(c) Elderly
No. 0088
1915(c) Physical Disabilities
No. 0127

(1115) Provide pharmacy benefits, tailored for specific disease states, to low-income adults with disabilities & seniors.
(1915c) Offers an array of services including personal care, adult day health, transportation, homemaker, personal emergency response systems, home health, & environmental adaptations to a moderate number of elderly individuals aged 60 & over; provides services to a small number of adults aged 18 & over with severe physical disabilities who are their own guardian & have the ability & desire to self-direct the services they receive. This waiver offers services such as personal care, consumer instruction & personal emergency response systems.

MARYLAND Department of Health & Mental Hygiene Maryland Department /

1915(c) Older Adults
No. 0265

(1915c) Assisted living, environmental adaptations & modifications, behavioral consultations, PERS, home delivered meals, personal care, expanded DME, consumer training, & respite. Recipients may receive services in assisted living settings or in their own homes.

MASSACHUSETTS Executive Office of Elder Affairs

1915(c) Aged & Disabled 60 & Older
No. 0059

(1915c) Massachusetts operates one large home & community-based services waiver serving adults aged 60 & over who meet a nursing facility level of care. An array of services are offered including residential habilitation, adult day health, homemaker, companion services, & home delivered meals.

MICHIGAN

Dept of Community Health Office of Services to the Aging /

1915(c) Aged & Disabled
No. 0233

(1915c) The waiver provides services including in-home services, meals, accessibility modifications, adult day health care, transportation, training, specialized medical equipment & supplies, nursing, & respite.

MINNESOTADept. of Human Services, Health Care Division Comm. Supports for Seniors Disabilities Services Division /

1115 Consumer Direct Home Care Demo
1915(c) Aged 65+
No. 0166

(1115) Monthly cash allotment with which to purchase needed personal assistant services. In addition to counseling on available long-term care service alternatives, individuals will receive assistance with identifying their support needs, accessing & successfully using services, & functioning as employers
(1915c) Provides a wide range of services to individuals over 65, including in-home services, meals, adult day health care, assisted living, adult foster care, transportation, family training, equipment & supplies, extended home health, & respite. Chore Services, CDCS, Companion and Transitional supports

STATE

/ PROGRAM & CONTROL NUMBER / DESCRIPTION OF SERVICES PROVIDED
MISSISSIPPIDivision of Medicaid, Community LTC /

1115 Healthier Mississippi
1915(c) Aged/Disabled
No. 0272, 0355 & 0388
1915(c) Assistance Living for Elderly
No. 0353

(1115) Beneficiaries will receive a modified benefit package or a subsidy to purchase employer-sponsored insurance. The only difference for adults in each population group is that the benefit package for Medicaid only, but not the chronic population, will include durable medical equipment
(1915c) Offers case management & assisted living to aged & Disabled adults; homemaker, respite, home delivered meals, & transportation.

MISSOURI

Dept. of Social Services – Division of Medical Services /

1915(c) Aged & Disabled
No. 0026

(1915c) Eligible candidates for these waiver programs must meet a nursing home level of care. One of the programs is a large waiver serving over 24,000 individuals, offering a range of services including respite services, homemaker services, chore services, & home-delivered meals.

MONTANASenior & Long Term Care Division Developmental Disabilities Program /

1915(c) MR/DD
No. 0208

(1915c) This waiver provides a wide array of services including but not limited to, case management, personal care, habilitation including residential, day prevocational, supported employment & habilitation aide & adult residential care to aged & Disabled including AIDS patients & serves a moderate number of individuals.

NEBRASKAHealth & Human Services, Finance & Support /

1915(c) Aged & Disabled
No. 0187

(1915c) This waiver offers an array of services including respite, chore, assisted living, adult day health, nutritional counseling, home modifications, home delivered meals, & nursing home transition services

NEVADA Department of Human Services Division of Aging Services Division of Health Care & Policy /

1915(c) Aged 65 & Older
No. 0152
1915(c) Elderly in Adult Residential Care No. 0267

(1915c) This waiver offers; case management, personal care, homemaker, chore, personal emergency response system, adult companion, respite, & adult day care. It serves a moderate number of elderly recipients. Recipients in group care, case management & personal care.

NEW HAMPSHIRE Department of Health & Human Services Division of Elderly & Adult Services /

1915(c) Aged & Disabled
No. 0060

(1915c) The waiver offers an array of services including: community living services, personal care, adult group day care, & environmental accessibility adaptations.

STATE / PROGRAM & CONTROL NUMBER /

DESCRIPTION OF SERVICES PROVIDED

NEW JERSEY Department of Health & Senior Services Bureau of Home & Community /

1915(c) Adult Residential Care
No. 0285
1915(c) ECO
1915(c) Assistance Living

(1915c) Offers services such as social adult day care, homemaker, case management, & respite; private duty nursing; allows for the transition of elderly individuals from nursing homes to community settings such as adult foster care, assisted living residences & comprehensive personal care homes. An array of services are offered including chore, attendant care, environmental modifications, home-based supportive care, personal emergency response systems, social adult day care, & home delivered meals.

NEW MEXICO Medical Assistance Division Department of Human Services /

1915(c) Elderly & Disabled
No. 0169

(1915c) The waiver provides an array of services including case management, assisted living, homemaker/companion services, & private duty nursing.

NEW YORKDept. of Health, Office of MedicaidManagement /

1915(c) Aged & Disabled
No. 0034

1915c) This waiver program offers a range of services including moving assistance, personal emergency response system, nutritional counseling, chore/home maintenance services, home improvements, respite, social day care, to social day care, home delivered meals & medical social work.

NORTH CAROLINADivision of Medical Assistance /

1115 North Carolina Senior Care
1915(c) Elderly/Disabled Adults No. 0132

(1115) This demonstration is a statewide program that provides a prescription drug benefit to adults 65 years or older whose annual income is at or below 200% of the Federal Poverty Level.
(1915c) The waiver offers an array of services including adult day health, personal emergency response systems, home delivered meals, home mobility aids, & respite.

NORTH DAKOTA
Aging Services Division /

1915(c) MR/DD

No. 0037

1915(c) aged & Disabled
No. 0054
1915(c) TBI 18-64
1915(c) Independence Plus

No. 0416 /

(1915c) The waiver offers an array of services including homemaker, chore, respite, HCBS case management, personal care service, adult foster care, adult day care, non-medical transportation, emergency response system, environmental modification, training for family caregiver, specialized equipment, & adult residential service.

STATE

/ PROGRAM & CONTROL NUMBER / DESCRIPTION OF SERVICES PROVIDED
OHIO Department of Jobs & Family Services Department Aging /

1915(c) Aged & Disabled
No. 0198
1915(c) Elderly 60+

(1915c) A wide range of services include, but are not limited to, personal care, assistive technology, independent living skills, chore/home maintenance, adult day health, & environmental modifications to the aged & Disabled. Elderly 60+ is limited to a small number of individuals at any point in. This waiver includes adult day health, environmental accessibility adaptations, specialized medical equipment & supplies, personal emergency response systems, home care attendant, alternate meals & home delivered

OKLAHOMA Department of Human Services Aging Services Division Oklahoma Health Care Authority /

1115 Sooner Care
1915(c) Aged & Disabled
No. 0256

(1115) The urban program; behavioral health services are with a limit of $10,000 per beneficiary. The rural PCP/CM program is partially capitated & covers primary care office visits, case management activities, plus diagnostic ancillary services directly linked to a primary care visit under the capitation rate.
(1915c) Provides case management, Comprehensive Home Care services, skilled nursing, respite, medical equipment & supplies, PT, OT, speech therapy, advanced personal care services, home-delivered meals, prescription drugs above the state plan limit, & environmental modifications.

OREGON
Senior & Disabled Services Division Mental Health & Developmental Disabilities Services Division /

Services include, but are not limited to, assisted living, residential care, in-home care & respite care for the aged & disabled aged 18 & older

PENNSYLVANIADPW, Office of Social Programs DPW, Office of Medical Assistance Programs, Office of Social Programs

1915(c) Disabled Adults
No. 0319

(1915c) The Aging Waiver serves a large number of adults age 60 & older & offers a variety of services, including: personal care, respite, older adult daily living centers, environmental modifications, & home health services.

RHODE ISLAND Department of Human Services /

1915(c) Aged & Disabled
No. 0040
1915(c) Elderly No. 0176
1915(c) Aged & Disabled residential care No. 0335

(1915c) Provide case management, assistance living services, personal care, environmental modifications, specialized equipment, meals on wheels & PERS

STATE

/ PROGRAM & CONTROL NUMBER / DESCRIPTION OF SERVICES PROVIDED
SOUTH CAROLINADept. of Health & Human Services /

1115 Prescription Drug Benefit for South Carolina's Low Income Seniors
1915(c) Aged & Disabled
No. 0104 0405

(1115) Only prescription drugs covered under the MedicaidState plan are provided under this demonstration.
(1915c) Personal care, personal assistance, care advice, adult day health, & respite services to participating individuals & allow waiver participants to self-direct their supports & services.

SOUTH DAKOTA
Office of Adult Services & Aging, Division of Rehabilitation Services /

1915(c) Aged
No. 0189
1915(c) Severe Disability
No. 0264

(1915c) Waivers serve a small aged population & provide homemaker, adult day health, specialized medical equipment & supplies, personal emergency response systems, private duty nursing, adult residential care, meals, & nutritional supplements. The second waiver serves a small Disabled population & provides case management, consumer preparation services, personal attendant services, emergency response services & private duty nursing.

TENNESSEEDept of Health, Bureau of TennCare, Commission on Aging /

1915(c) Elderly & Disabled
No. 0062
1915(c) Disabled/ Aged

No. 0248

1915(c) Statewide Elderly and Disabled

No. 0381 /

(1915c) ServesShelbyCounty only, provides in-home services, meals and accessibility modifications
Serves Davidson, Hamilton and KnoxCounties only, provides in-home services, meals and accessibility modifications
Serves all counties, provides in-home services, meals, accessibility modifications and short-term institutional respite

TEXAS
Health & Human Services Commission, Texas Department of Human Services /

1915(c) Aged & Disabled
No. 0266

1915(c)Age/Disabled & Medically Dependent Children
No.0373

(1915c) All of the waivers offer a wide range of services that include services such as residential care, skilled nursing, speech, hearing, & language therapies, psychologist services, physical therapy, nutritional counseling, social work, medical equipment & supplies, case management, respite care, dental, environmental modifications, adult foster care, & habilitation.

UTAH Department of Health /

1915(c) Aged
No.0247

(1915c) The waiver serves a small population & offers a wide range of services including personal care, case management, homemaker, chore services, home delivered secondary meals, companion, adult day care, personal response systems, transportation, home modifications, family/caregiver training, respite care & specialized medical equipment & supplies.

VERMONT
Dept. of Aging & Disabilities /

1915(c) Aged & Disabled
No. 0163.90.R2.01
1915(c) Aged & Disabled residential care
No. 40186

(1915c) The Home-Based waiver offers personal care, respite care, companion care, adult day, personal emergency response systems, assistive devices & home modifications & case management services. The Enhanced Residential Care waiver provides residential care (in approved residential care & assistive living facilities) & case management services. Both waivers provide alternatives to nursing home care.

VIRGINIADepartment of Medical Assistance Services /

1915(c) Aged & Disabled
No. 0048

(1915c) Services include personal care, respite care, adult day health services & personal emergency response systems to the aged & Disabled.

WASHINGTONAging & Disabilities Administration, Dept. of Social & Health Services /

1915(c) Aged & Disabled
No. 0049
1915(c) Aged, Blind & Disabled No. 0389
1915(c) MR/DD No. 0050

(1915c) Eligible participants require a nursing facility level-of-care. They each provide a range of services that may include assisted living, adult day care, personal care, skilled nursing, & home delivered meals. The size of the populations served by each waiver range from moderately size to large.

WEST VIRGINIABureau of Medical Services, Bureau of Senior Services /

1915(c) Aged & Disabled
No. 0134

(1915c) This waiver offers case management, consumer-directed case management, adult day care, and homemaker services

WISCONSINDept. of Health & Family Services /

1115 WI Senior Care
1915(c) Aged & Disabled
No. 0154 0367

(1115) Provide Pharmacy Benefits
(1915c) Both waivers include a range of services including respite care, case management, personal care, home modifications, daily living skills, & home delivered meals.

WYOMING
WY Dept of Health, Office of Medicaid /

1915(c) Aged & Disabled
No. 0236

(1915c) One waiver provides case management, residential care, & assisted living services.