February 27, 2008 |
2008-R-0122 | |
STATES WITH SINGLE MEDICAID WAIVERS FOR HOME AND COMMUNITY-BASED SERVICES | ||
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By: Robin K. Cohen, Principal Analyst | ||
You asked whether any states have Medicaid home- and community-based service (Section 1915(c)) waivers that jointly cover elderly and disabled residents, as opposed to having separate waivers for these populations, as Connecticut does.
According to the federal Centers for Medicare and Medicaid Services (CMS), it appears that 31 states use single Medicaid 1915(c) waivers to provide home- and community-based services to both their elderly and disabled, younger adult populations. Vermont also offers home- and community-based services to both populations but it uses a Medicaid 1115 waiver to do so.
Table 1 lists the states offering combined waivers.
Table 1: States Offering Single HCBS Waiver Program to Both Aged and Disabled Adults
State |
Program Name |
Services Offered |
Alabama |
Elderly and Disabled Individuals |
Case management, homemaker, respite, personal care, and adult day health |
Arkansas |
Elder Health Choices |
Homemaker/chore, home delivered meals, personal emergency response system (PERS), adult day health, adult foster care, and respite. Separate Assisted Living waiver offers assisted living, prescription drugs, and pharmacy consultant services from age 21 to death. |
California |
Home and Community-Based Services Assisted Living Waiver |
HCBS services to adults aged 21 and older who receive Supplemental Security Income and are living in nursing homes or at risk of placement. |
Delaware |
Waiver for the Elderly and Disabled |
Personal care, respite, adult day health, special equipment and supplies, and PERS |
Florida |
Elderly and Disabled Adults |
Numerous HCBS, including case management, homemaker, personal care, respite, PERS, and adult day health |
Hawaii |
Residential Alternatives Community Care Program; Nursing Home Without Walls |
Case management, respite, adult day health, adult foster care, and other services |
Idaho |
Aged and Disabled |
Case management, homemaker, respite, adult day health, environment access adaptations, and several other HCBS |
Indiana |
Aged and Disabled |
Case management, homemaker, respite, adult day, transportation, and numerous other HCBS |
Kentucky |
H & CB Waiver for Elderly and Disabled Individuals |
Case management, homemaker, personal care, and several other HCBS |
Louisiana |
Elderly and Disabled Adult Waiver |
Case management, personal care, environment modifications, PERS, homemaker, and companion services |
Maine |
Disabled and Elderly 18 and Over |
Case management, homemaker, personal care, respite, and several other HCBS |
Mississippi |
Elderly and Disabled HCBS Waiver |
Case management, homemaker, respite, adult day, home health, home delivered meals, and escorted transportation |
Missouri |
Aged and Disabled Waiver |
Homemaker, respite, home-delivered meals, adult day care |
Michigan |
MI Choices |
Homemaker, personal care supervision, respite, and several other HCBS |
Nebraska |
Aged and Disabled Adult and Children |
Assisted living, personal care, and several other HCBS |
New Hampshire |
Elderly and Chronically Ill |
Homemaker, respite, home health aide, and several other services |
New Jersey |
Community Care Program for the Elderly and Disabled; Enhanced Community Options |
Case management, homemaker, respite, social adult day care, and other HCBS |
New York |
No specific name |
Respite, home improvement, transportation, and other HCBS |
North Carolina |
NC-CAP Choice |
Adult day health, respite, personal assistant, and other HCBS |
Ohio |
Ohio Home Care Waiver |
Respite, adult day health, environmental access adaptations, PERS, and other services |
Oklahoma |
Oklahoma's Advantage Waiver |
Case management, respite, adult day health, and several other HCBS |
Oregon |
Seniors and People with Disabilities |
Respite, adult day health, home improvements, and several other HCBS |
Rhode Island |
RI-Aged and Disabled |
Homemaker, personal care, environmental access adaptations, and other HCBS |
South Carolina |
SC-Waiver for Elderly and Disabled Individuals; SC Choice |
Case management, personal care, respite, and several other HCBS |
Tennessee |
Elderly and Disabled Individuals |
Case management, homemaker, respite, PERS, minor home modifications, personal care, and home delivered meals |
Texas |
Community Based Alternatives |
Personal care, respite, and several other HCBS |
Virginia |
HCBS 1915(c) Waiver Alzheimer's Disease Assisted Living |
Assisted living services to people with Alzheimer's or related dementia who would otherwise need nursing home care |
Vermont [1] |
Vermont Long-Term Care Plan |
Numerous HCBS |
Washington |
Community Options Program Entry System; Aged, Blind and Disabled |
Home health aide, personal care, skilled nursing, and several other HCBS |
West Virginia |
Aged and Disabled in Assisted Living |
Adult residential care and assisted living |
Wisconsin |
Wisconsin Community Options Program; Family Care-Aged/Physically Disabled |
Case management, homemaker, home health aide, personal care, relocation related housing start-up and utilities, and other HCBS |
Wyoming |
LTC/HCBS Waiver |
Case management, respite, adult day health, transportation, PERS, and home delivered meals |
Source: Various CMS documents
[1] Vermont has a unique 1115 waiver, not a 1915c waiver, for its innovative long-term care program. See OLR report 2007-R-0025 for a description of that program
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