LISTING OF MEDICAID, MR/DD, DEEMING WAIVER, TEFRA & OTHER ASSISTANCE PROGRAMS


Updated June 20, 2005


UNITED STATES: BY STATE


CANADA: BY PROVINCE


INTERNATIONAL: BY COUNTRY


====================================================


 


UNITED STATES


General Info:


CMS - Waiver programs by state (map): http://cms.hhs.gov/medicaid/waivers/waivermap.asp


State Medicaid websites: http://www.medi-cal.ca.gov/RelSites_Oth_States.asp


Home & Community Based Services (HCBS) websites by state (map): http://www.hcbs.org/state_by_state.htm


Understanding Medicaid Home & Community Services - A Primer: http://aspe.os.dhhs.gov/daltcp/reports/primerpt.htm


Family Voices info on waivers: http://www.familyvoices.org/fs/ma-kbw.html


Year 2002 FPL (Federal Poverty Level) Chart: http://www.safetyweb.org/resources/misc/fplchart.asp


Medicaid Policy Manual (section 9.14 covers Katie Beckett/TEFRA children & section 9.17 covers Home & Community Based Services): http://medsweb.clemson.edu/policymanual/ch9.htm 



Programs By State:


 

ALABAMA

IDT based on individual choice, resources and appropriateness of care. Resources are considered in decision.

Alabama Medicaid:

http://www.medicaid.state.al.us/                     

HCBS MR/DD Waiver

http://www.medicaid.state.al.us/MANUALS/AdminCode/ad_ch_52.htm 

 

ALASKA

Regions serve from waiting lists based on available funds. Eligible individuals are selected from waiting list until no funds are available.

Alaska Medicaid:              

http://www.hss.state.ak.us/dma/

MAKING HCBS WAIVERS WORK FOR ALASKANS:

http://add.infoinsights.com/hcbswaivers/                       

Dept. of Health & Social Services � DMHDD Division:

http://www.hss.state.ak.us/dmhdd/

 

ARIZONA

1115 Demonstration Waiver, all eligible enrolled.

Arizona Medicaid:

http://www.ahcccs.state.az.us/

Arizona Office for Children with Special Health Care Needs:

http://www.hs.state.az.us/phs/ocshcn/index.htm               

ALTCS Program (Long Term Care System):

http://www.ahcccs.state.az.us/Services/Overview/ForArizonans.asp#ALTCS

 

ARKANSAS

First come, first served. Plan of care caps for different program levels.

Arkansas Medicaid:

http://209.12.159.21/

ArkKids First:

http://www.arkidsfirst.com/home.htm

Arkansas DDS Services:                  

http://www.state.ar.us/dhs/ddds/ddsback.html                                                      

 

CALIFORNIA

Individual's planning team. All eligible, but must be "cost-effective".

California Medicaid:

http://www.dhs.ca.gov/mcs/                          

Department of Developmental Services (DDS):

http://www.dds.ca.gov/                    

To find the location of your Regional Center:

http://www.arcanet.org/map.htm#map

California Children's Services pays for medical equipment and supplies. Read about CCS at:

http://www.dhs.ca.gov/prp/cms/html/ccs.htm

Genetically Handicapped Persons Program (GHPP):

http://www.dhs.ca.gov/prp/cms/HTML/GHPP.htm                       

DHS contacts:  

http://www.dhs.cahwnet.gov/home/comments.htm


California Waivers (.pdf document):


 


 

COLORADO

First come, first served - case management agency. Opening matched with identified needs, new resources usually go to high needs.

Colorado Medicaid:

http://www.chcpf.state.co.us/index.html

Children�s Extensive Support Waiver Program:


http://www.chcpf.state.co.us/StateRules/503ces.html 



 



             

CONNECTICUT

Individual's IDT and QMRP. State matching funds must have been appropriated.


Connecticut Medicaid:


http://www.dss.state.ct.us/svcs/medical/index.htm



Family Support Grant Program:

 

http://www.dss.state.ct.us/svcs/adults.htm

 

 

DELAWARE

Division of MR based on person's support needs. Limited in aggregate by division's budget.


Delaware Medicaid:

 

http://www.state.de.us/dhss/irm/dss/dsshome.htm


Disabled Children DSS Program:


http://www.state.de.us/dhss/dss/disabledchildren.html


 

DISTRICT OF COLUMBIA

District of Columbia Medicaid:

 

http://dchealth.dc.gov/information/maa_outline.shtm                     

 

 

FLORIDA

Florida Medicaid:


http://www.fdhc.state.fl.us/Medicaid/about/index.shtml 



 

Medi-Kids � Florida KidCare Program:

 

http://www.fdhc.state.fl.us/Medicaid/MediKids/index.shtml 


 

Children�s Medical Services (CMS):

 

http://www.floridakidcare.org/partners/programs.html#cms


A really helpful .pdf document of Florida programs:





 

GEORGIA

MHMRSA regional boards. Regional board must identify the state match for placement.


Georgia Medicaid (Dept. of Community Health):

 

http://www.communityhealth.state.ga.us/

 


Babies Can�t Wait Program:

 

http://www.ph.dhr.state.ga.us/programs/bcw/index.shtml

 

HAWAII

DD division determines eligibility for DD services/Medicaid agency determines admission to HCBS. No applicant denied based on availability of funds/priority to persons placed in or risk of placement in institutions.


Hawaii Medicaid:

 

http://www.state.hi.us/dhs/ 

 

IDAHO

Regional DD authority and central office.


Idaho Medicaid:

 

http://www2.state.id.us/dhw/medicaid/index.htm

 

Developmentally Disabled HCBS waiver:

 

http://www2.state.id.us/dhw/medicaid/waivers/dd_waiver_main.htm

 

 

ILLINOIS

DMHDD approves resident placement and supports/person must be eligible to receive the waiver. Priority given to consent decree class members, people living in state operated facilities, and community crisis.


Illinois Medicaid:

 

http://www.state.il.us/dpa/medical_programs.htm


Illinois Waivers:

http://www.state.il.us/dpa/home_and_community_based_servi.htm


 

Auditor�s report on Illinois medicaid programs:

 

http://www.state.il.us/auditor/meddig.htm 






 

INDIANA

Area agencies for diversions, state case managers for conversions/first come, first served. DNF.


Indiana Medicaid:

 

http://www.state.in.us/fssa/servicedisabl/medicaid/index.html

 

Bureau of Developmental Disabilities (BDDS):

 

http://www.state.in.us/fssa/servicedisabl/ddars/bdds.html 

 

FSSA First Step Program:

 

http://www.state.in.us/fssa/first_step/index.html

 

IOWA

County makes decision based on case manager recommendations. Ill and handicapped waiver � after age 18, MR Waiver.


Iowa Medicaid:

 

http://www.dhs.state.ia.us/MedicalServices/hcbs_waivers.asp

 

Community Living Program - Info on Special Needs Grants

 

http://www.dhs.state.ia.us/mhdd/MHDDSpecialNeeds.htm

 

KANSAS

Community developmental disability organization. Effectively no constraints. 


Kansas Medicaid:

 

http://www.srskansas.org/hcp/medicalpolicy/MPmain.html

 

HCBS Waiver Info:

 

http://www.srskansas.org/services/hcbs.htm 

 

KENTUCKY

Waiting list/first come, first served. State cap for waiver services.


Kentucky Medicaid:

 

http://chs.state.ky.us/dms

 

Home & Community Based (HCB) Waiver Program:

 

http://chs.state.ky.us/dms/services/hcb/default.htm 


 

LOUISIANA

State regional officers. First come, first served with a few emergency exceptions.


Louisiana Medicaid:

 

http://www.dhh.state.la.us/medicaid/index.htm

 

Louisiana CHIP Program:

 

http://www.dhh.state.la.us/medicaid/LaCHIP/Index.htm


Louisiana Waivers:

http://www.dhh.state.la.us/BCSS/
http://www.dhh.state.la.us/BCSS/MRDD_page.htm
http://www.dhh.state.la.us/BCSS/CC_page.htm




 

MAINE

Case Manager, registered nurse, Medicaid rules, available funding.


Maine Medicaid:

 

http://www.state.me.us/bms/bmshome.htm

 

Katie Beckett waiver info:

 

http://www.mainecite.org/ping/page17.htm 



 

MARYLAND

Services coordinator, case manager. State match must already be appropriated.


Maryland Medicaid:

 

http://www.dhmh.state.md.us/mma/mmahome.html

 

Waiver Programs:


http://www.dhmh.state.md.us/mma/waiverprograms/


HealthChoice:

 

http://www.dhmh.state.md.us/mma/healthchoice/


 

MASSACHUSETTS

Recommendation of service coordinator and ISP team/HCBS eligibility. Prioritized waiting lists.


Massachusetts Medicaid:

 

http://www.magnet.state.ma.us/dma/ 


 

MICHIGAN

Local responsible mental health agency. Persons with most severe conditions served first.


Michigan Medicaid:

 

http://www.mdch.state.mi.us/msa/mdch_msa/msahome.HTM

 

Children�s Special Health Care Services (CSHCS) info:

 

http://www.mdch.state.mi.us/msa/cshcs/CSHCS.htm

 

Trust Fund for Children With Special Health Care Needs info:

 

http://www.mdch.state.mi.us/msa/cshcs/


 

MINNESOTA

County social service agency. Aggregate average allowed each county.


Minnesota Medicaid:

 

http://www.dhs.state.mn.us/HealthCare/asstprog/mmap.htm

 

Info on Home & Community Based Waivers:

 

http:http://www.dhs.state.mn.us/Contcare/disability/hcbwaiver.htm

 

MR/RC Waivers:

 

http://www.dhs.state.mn.us/Contcare/disability/mrrcwaiver.htm 


 

MISSISSIPPI

Regional retardation facilities. Person and financial caps as approved in waiver.


Mississippi Medicaid:

 

http://www.dom.state.ms.us/

 

First Step - Early Intervention Program:

 

http://www.msdh.state.ms.us/OPHS/EARLYINT/home.htm

 

MR/DD Waiver info:

 

http://www.dmh.state.ms.us/mental_retardation_developmental_disabilities_services.htm




 

MISSOURI

State agency determines eligibility/individual chooses to accept HCBS. 


Missouri Medicaid:

 

http://www.dss.state.mo.us/dms/

 

Sarah Lopez waiver:

 

http://www.dss.state.mo.us/dms/pages/description.htm#waivers

  

MONTANA

Team composed of state and provider staff. Assessment information used to determine if provider can meet person's needs.


Montana Medicaid:

 

http://www.dphhs.state.mt.us/hpsd/medicaid/index.htm

 

Developmental Disabilities Program:

 

http://www.dphhs.state.mt.us/dsd/govt_programs/ddp/index.htm


 

NEBRASKA

State Medicaid agency/Dept. of Social Services. Individual Medicaid eligibility.


Nebraska Medicaid:

 

http://www.hhs.state.ne.us/med/medindex.htm

 

Children With Disabilities � programs offered (Adobe Acrobat .PDF files):

 

http://www.hhs.state.ne.us/chd/chdindex.htm 


 

NEVADA

Caseworker in conjunction with IDT, director of community services. Review of persons needing supports, state priority and waiting list, comparison of alternative settings.


Nevada Medicaid:

 

http://dhcfp.state.nv.us/index.htm 






 

NEW HAMPSHIRE

State decides on proposals from local agencies. Sufficient funds, HCFA cap, overall average.


New Hampshire Medicaid:

 

http://www.dhhs.state.nh.us/DHHS/MEDICAIDPROGRAM/default.htm

 

Division of Developmental Services:

 

http://www.dhhs.state.nh.us/DHHS/DDS/default.htm

 


 

NEW JERSEY

Eligibility for DD services and received waiver eligible services. Availability of funds.


New Jersey Medicaid:

 

http://www.state.nj.us/humanservices/dmahs/index.html

 

NJ Developmental Disabilities Council:

 

http://www.njddc.org/index.htm

 

NEW MEXICO

DD division determines eligibility for DD services and budget availability, HSD/ISD determines financial eligibility, BC/BS determines medical eligibility. Federal and state appropriations determines number of individuals served based on aggregate costs.


New Mexico Medicaid:

 

http://www.state.nm.us/hsd/mad/Index.htm

 

New Mexico Waiver Programs:

 

http://www.health.state.nm.us/ltsd/medwaiv_3.html

 


NEW YORK

Regional office directors. OMRDD's annual priorities for HCBS enrollment and funding.


New York Medicaid:

 

http://www.health.state.ny.us/nysdoh/medicaid/medicaid.htm

 

Early Intervention Program:


http://www.health.state.ny.us/nysdoh/eip/index.htm


New York MR/DD Office:

www.omr.state.ny.us

 


 

NORTH CAROLINA

Local DD programs (eligibility determined by state DD and MA). Priority listing in terms of client needs.


North Carolina Medicaid:

 

http://www.dhhs.state.nc.us/dma/

 

CAP-MR/DD and CAP/C Programs:

 

http://www.dhhs.state.nc.us/dma/commaltprog.htm

 

NORTH DAKOTA

DD case manager. HCBS level of care does not include resource considerations.


North Dakota Medicaid:

 

http://lnotes.state.nd.us/dhs/dhsweb.nsf/ServicePages/MedicalServices

 

Developmental Disabilities services:

 

http://lnotes.state.nd.us/dhs/dhsweb.nsf/fc0f0c1fcf4943e6862566730066a4cd/e1373afbce9c32d8862566730065ec8f?OpenDocument

 

 

 

OHIO

First come, first served. State regulations include cost as a component of eligibility.


Ohio Medicaid:

 

http://www.state.oh.us/odjfs/ohp

 

Ohio Home Care Program:

 

http://www.state.oh.us/odjfs/ohp/bcltcs/ohiocare.stm


Ohio Waivers:

http://198.30.214.7/employment/waiver/default.htm
http://odmrdd.state.oh.us/Includes/Waivers/Waivers_Forms.htm
http://www.state.oh.us/olrs/fsc/asp/WaiverServicesTopicTXT.asp



 

OKLAHOMA

Waiting list/ first come, first served. No disqualification from HCBS due to severity of need.

Oklahoma Medicaid:

 

http://www.ohca.state.ok.us/


Oklahoma Developmental Disabilities Services Division:


http://www.okdhs.org/ddsd/

 


 

OREGON

State based on eligibility and funding. Waiting list, based on whether or not appropriate service can be provided in the community.  


Oregon Medicaid:

 

http://www.dhs.state.or.us/healthplan/index.html

 


 

PENNSYLVANIA

Placement controlled by county MH/MR program. Caps on number of people served and maximum per capita expense.


Pennyslvania Medicaid:

 

http://www.dpw.state.pa.us/omap/dpwomap.asp

 

Home & Community Based Services info:

 

http://www.dpw.state.pa.us/general/hacbbroc.asp 


 

RHODE ISLAND

State case manager. Overall state budget must be met, no individual cost limit.


Rhode Island Medicaid:

 

http://www.dhs.state.ri.us/dhs/dheacre.htm


Children with special needs:


http://www.dhs.state.ri.us/dhs/famchild/dchspec.htm



 

SOUTH CAROLINA

Dept. of Disabilities and Special Needs. HCBS can not exceed the cost of serving an individual in an ICF-MR.


South Carolina Medicaid:

 

http://www.dhhs.state.sc.us/Medicaid_info/mediciaidindex.htm

 

South Carolina Dept. of Disabilities & Special Needs:

 

http://www.state.sc.us/ddsn/



SOUTH DAKOTA

Division of DD. Prioritized waiting list.


South Dakota Medicaid:

 

http://www.state.sd.us/state/executive/social/medicaid/index.htm

 

Children�s Special Health Services:

 

http://www.state.sd.us/doh/Famhlth/child.htm

 

TENNESSEE

DMH/MR. Statewide average may not be exceeded; individual averaging allowed. 


TennCare:

 

http://www.state.tn.us/tenncare/

 

Council for Developmental Disabilities:

 

http://www.state.tn.us/cdd/

 

TEXAS

DMH/MR. Persons enrolled first come, first served off waiting list.


Texas Medicaid:

 

http://www.hhsc.state.tx.us/Medicaid/index.html

 

Children With Special Health Care Needs (CSHCN) Programs:

 

http://www.tdh.state.tx.us/cshcn/ 

http://www.tdh.state.tx.us/cshcn/familysupport.htm


 

Medically Dependent Children Waiver Program (MDCP):

 

http://www.dhs.state.tx.us/programs/communitycare/mdcp/

 

UTAH

Waiver case manager. Considered in scope of services, must stay within aggregate average.


Utah Medicaid:

 

http://hlunix.hl.state.ut.us/medicaid/


Children with Special Health Care Needs - Community Based Services:


http://health.utah.gov/cshcn/cbs/index.htm


 

VERMONT

State DD division. Provided to eligible people in accordance with funding that prioritizes funding based on need.


Vermont Medicaid:

 

http://www.dsw.state.vt.us/districts/HAEU/Medicaid.htm

 

Disabled Children Health Care (DCHC) & Katie Beckett Waiver & other Vermont programs:

 

http://www.partoparvt.org/SixWays.html

 

Vermont Dept. of Social Welfare � policy bulletin:

 

http://www.dsw.state.vt.us/policy/partm2/m200s.htm 


 

VIRGINIA

Local community services board and case manager. Financial constraints may limit access, localities prioritize need.  


Virginia Medicaid:

 

http://www.dmas.state.va.us/

 

DD Waiver Program:

 

http://www.dmas.state.va.us/ltc-dev_disability_waiver.htm 


  

 

WASHINGTON

Individual case manager. Amount of funding determines capacity.


Washington Medicaid:

 

http://maa.dshs.wa.gov/

 

Division of Developmental Disabilities (DDD):

 

http://www1.dshs.wa.gov/ddd/services.shtml 








 

WEST VIRGINIA

Selection committee form MR/DD waiver service coordinator agencies, with final eligibility determined by state certification agency. Prioritization guidelines examine natural supports, entitlement programs, current resources, and unmet needs due to unavailability or inaccessibility of needed supports through alternative resources.  


West Virginia Medicaid:

 

http://www.wvdhhr.org/bms/

 

MR/DD Home and Community-Based Services Waiver and TEFRA Programs:

 

http://www.wvdhhr.org/bms/BehAltCare/bms_beh_alt_main.htm

http://www.wvdhhr.org/bhhf/mrddwaiver/default.asp


 

WISCONSIN

County program. Financial resources.


Wisconsin Medicaid:

 

http://www.dhfs.state.wi.us/medicaid/

 

Developmental Disabilities Services & Programs:

 

http://www.dhfs.state.wi.us/bdds/index.htm

 

Katie Beckett Waiver Program (Wisconsin):

 

http://www.dhfs.state.wi.us/bdds/kbp.htm

 

WYOMING

Adult and child DD manages within limits of waiver.


Wyoming Medicaid:

 

http://wyequalitycare.acs-inc.com/

 

Wyoming Developmental Disabilities Division:

 

http://ddd.state.wy.us/

 

Children�s Waiver & Respite Services:

 

http://ddd.state.wy.us/Documents/kathy1.htm 

http://ddd.state.wy.us/Documents/kidsvcs.htm

 

 

 

CANADA

Programs By Province:

 

ALBERTA

 Handicapped Children�s Services (HCS):

http://www.gov.ab.ca/cs/services/hcs/hcs.htm

 

BRITISH COLUMBIA

 

MANITOBA

 

NEW BRUNSWICK

 Community Based Services For Children With Special Needs:

http://www.gov.nb.ca/hcs-ssc/english/services/fcss/support.htm

 

NEWFOUNDLAND

 

NOVA SCOTIA

 

ONTARIO

Ontario OHIP:

http://www.gov.on.ca/MOH/english/program/ohip/ohip_mn.html 



Ministry of Community, Family & Children�s Services:


 - Developmental Services / Special Services At Home (SSAH):

http://www.cfcs.gov.on.ca/CFCS/en/programs/SCS/DevelopmentalServices/default.htm


- Ontario Disabilities Support Program:


http://www.cfcs.gov.on.ca/CFCS/en/programs/IES/OntarioDisabilitySupportProgram/default.htm

 


Ministry of Health & Long Term Care:


- Long Term Care / In Home Services:

http://www.gov.on.ca/health/english/program/ltc/homecare.html


- Assisted Devices Program:

http://www.gov.on.ca/health/english/program/adp/adp_mn.html


- Ontario Drug Benefit

http://www.gov.on.ca/health/english/program/drugs/drugs_mn.html


Ministry of Transportation:


- Handicapped Parking Permit:

http://www.mto.gov.on.ca/english/dandv/vehicle/disabled.htm


PRINCE EDWARD ISLAND

 

QUEBEC

Info on grants for adapting your home:

SOCIETE HABITATION DU QUEBEC - PAD PROGRAM (in french)

 

http://www.shq.gouv.qc.ca/fr/pg/ad/pgadah00.html

 

Info on grants for adapting your vehicle:

 

SOCIETE AUTOMOBILE DU QUEBEC

 

Info on how to receive a handicapped parking permit:

 

SOCIETE AUTOMOBILE DU QUEBEC (in french)

 

http://www.saaq.gouv.qc.ca/route/vignette_stationnement.html

 

SASKATCHEWAN

 

YUKON & NW TERRITORIES

 

 

INTERNATIONAL

Programs By Country:

 

AUSTRALIA

 

NEW ZEALAND

 




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