Community Integration and Habilitation (CIH) Home and Community-Based Services (HCBS) waiver

The Community Integration and Habilitation (CIH) HCBS waiver provides services that enable individuals to remain in their homes or community-based settings as well as assist individuals transitioning from state-operated facilities or other institutions into community settings. This HCBS waiver is designed to provide supports for persons to gain and maintain optimum levels of self-determination and community integration while allowing flexibility in the provision of those supports. .

WHO IS ELIGIBLE?

You must meet HCBS waiver eligibility and Medicaid eligibility guidelines in order to be eligible for a Medicaid HCBS waiver.  To be eligible you must be:

  • Diagnosed as having an intellectual disability prior to the age of 22
  • Meet the ICF/IID level of care
  • Reside in or transitioning into an HCBS-compliant setting (non-institutionalized)
  • Income must not exceed 300% of maximum Supplemental Security Income (SSI) amount (parental income for children under 18 years of age is disregarded)

For more information on eligibility, see the Eligibility Guide.

What is ICF/IID Level of Care?

To be eligible for intellectual disability services, an individual must meet the required "ICF/IID level of care."  Level of care is the minimum need an individual must have to be considered eligible for HCBS waiver services. Level of care is evaluated both when you apply and then at least once a year after that. For the purposes of ICF/IID level of care, a person must have a disability that:

  • Results in impairment of functioning similar to that of a person who is intellectually disabled, including autism spectrum disorder, epilepsy, cerebral palsy, or a similar condition (other than mental illness)
  • Originates before the person is twenty-two (22) years of age
  • Has continued or is expected to continue indefinitely
  • Substantially limits a person's ability to function normally in society in three of the six major life areas: self-care, receptive and expressive language, learning, mobility, self-direction, and capacity for independent living.
  • Requires access to 24-hour assistance, as needed.

AVAILABLE CIH HCBS WAIVER SERVICES

  • Adult Day Services
  • Behavioral Support Services/ Crisis Assistance
  • Case Management
  • Community-Based Habilitation-Group
  • Community-Based Habilitation-Individual
  • Community Transition Services
  • Electronic Monitoring
  • Extended Services
  • Environmental Modifications
  • Facility-Based Habilitation-Group
  • Facility-Based Habilitation-Individual
  • Facility-Based Support Services
  • Family & Caregiver Training
  • Intensive Behavior Intervention
  • Music Therapy
  • Occupational Therapy
  • Personal Emergency Response System
  • Physical Therapy
  • Prevocational Services
  • Psychological Therapy
  • Recreational Therapy
  • Rent & Food for Unrelated Live-In Caregiver
  • Residential Habilitation & Support
  • Respite
  • Specialized Medical Equipment & Supplies
  • Speech/ Language Therapy
  • Structured Family Caregiving
  • Transportation
  • Wellness Coordination
  • Workplace Assistance

APPLYING FOR THE CIH WAIVER

When should I apply?

It is helpful to apply as soon as you identify a need for waiver services.

Where do I apply?

First, go to your local Bureau of Developmental Disabilities Services (BDDS) District Office. There are 8 BDDS District Offices throughout the State. You must also apply for Medicaid.  You can learn more about applying for Medicaid by going to the Apply for Medicaid webpage.

What if there is a waiting list?

Sometimes a waiting list exists.  You will need to update the BDDS whenever your contact information, including phone or address, changes.

What is available while I am waiting?

Families waiting for CIH waiver services are eligible to receive a small amount of Care Giver Support Services (i.e. Respite) each year. Your local BDDS office can provide information and a listing of providers for this service. Contact your local BDDS office directly to find out how to access Care Giver Support funding while waiting for a waiver slot.

If you should have an emergency (serious illness or incapacitation of a primary care giver) while your loved one is waiting for CIH waiver services, you may be able to receive Emergency Support Services. This is not a waiver but rather an individualized package of supports created to address the needs of an individual when a primary caregiver is not able and no other supports exist. If you are in need of this type of assistance, contact your local BDDS office and ask about Emergency Support Services.