Medicaid Waiver Services Eligibility

An individual must be determined eligible and annually redetermined eligible to receive services under the Medicaid waivers that provide home and community services for individuals with intellectual disabilities. Each individual must satisfy the level of care and financial eligibility requirements established in federal and state regulations. The County BH/DS Office is authorized to determine the level of care eligibility for all individuals applying for waiver services. Financial eligibility is determined by the CAO (County Assistance Office) based upon the individual’s reporting of personal income and resources. Your Supports Coordinator will assist you in completing and submitting all necessary documentation. Eligibility for waiver services does not automatically ensure that funding for services will be available.

Center for Medicaid and Medicare Services (CMS) is the federal agency that administers the Federal Medicaid Programs including the Medicaid Waivers.