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ICF/IID Waivers

This section specifically discusses the Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID) Waivers, formerly referred to as the DD Waivers. These waivers are for children and adults with an intellectual disability, and assist a person to:

  • Become involved in the community where he/she lives and works;
  • Develop social relationships in the person's home and work communities;
  • Develop skills to make decisions about how and where the person wants to live;
  • Be as independent as possible.

Community Integration and Habilitation (CIH) Waiver [formerly Developmental Disabilities (DD) Waiver and Autism Waiver]

The Community Integration and Habilitation Waiver provides services that enable individuals to remain in their homes or in community settings and assists those people who transition from state-operated facilities or other institutions into community settings. This 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.  This waiver includes individuals who were previously receiving services on the Autism Waiver.   Services available on the CIH Waiver

Family Supports Waiver (FSW) [formerly Support Services Waiver (SSW)]

The Family Supports Waiver provides limited, non-residential supports to individuals with developmental disabilities who live with their families or in other settings with informal supports.  Services available on the Family Supports Waiver

Who is Eligible?

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

  • Eligible for intellectual disability services;
  • Diagnosed as having an intellectual disability;
  • Meet ICF/IID level of care;
  • Medicaid eligible based on 300% of maximum SSI amount (parental income for children under 18 years of age is disregarded)

What is ICF/IID Level of Care?

To be medically eligible for the waiver program, an individual must meet the required "level of care."  Level of care is the minimum need an individual must have to be considered eligible for the waiver. 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 is attributable to:

  • Intellectually disabled, autism, epilepsy, cerebral palsy or a condition (other than mental illness) similar to an intellectual disability that results in impairment of functioning similar to that of a person who is intellectually disabled;
  • Originates before the person is twenty-two (22) years of age;
  • Has continued or is expected to continue indefinitely; and
  • Constitutes a substantial disability to the person's ability to function normally in society due to substantial functional limitations in three of the six major life areas: self-care, receptive and expressive language, learning, mobility, self-direction, and capacity for independent living.

The disability must result in the person requiring 24-hour supervision. (For purposes of the waiver, the person must require access to 24-hour assistance, as needed. This can be provided through emergency beepers, telephone systems or in other ways.) The person must also need lifelong, or for an extended duration, an aggressive program of both specialized and generic services, individually planned and coordinated by an interdisciplinary team, and intended to promote greater self-determination and functional independence.

Eligibility Summary

The tables below show the current eligibility requirements for waiver. Notice that members must meet both financial and medical need criteria.

 

CIH Waiver

FS Waiver

Financial Eligibility

  • 300% of SSI
  • Parental income and resources disregarded for children under 18
  • 300% of SSI
  • Parental income and resources disregarded for children under 18

Medical Eligibility

  • ICF/IID Level of Care
  • ICF/IID Level of Care

 

Available Waiver Services

Available Services- CIH Waiver (services formerly provided under DD Waiver or Autism Waiver)

  • Adult Day Services
  • Behavioral Support Services/ Crisis Assistance
  • Case Management
  • Community-Based Habilitation-Group
  • Community-Based Habilitation-Individual
  • Community Transition Services
  • Electronic Monitoring
  • 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
  • Supported Employment Follow Along
  • Transportation
  • Workplace Assistance

Available Services- Family Supports Waiver (formerly Support Services Waiver)

  • Adult Day Services
  • Behavioral Support Services
  • Case Management
  • Community-Based Habilitation- Group
  • Community-Based Habilitation- Individual
  • Facility-Based Habilitation-Group
  • Facility-Based Habilitation-Individual
  • Facility-Based Support Services
  • Family & Caregiver Training
  • Intensive Behavioral Support
  • Music Therapy
  • Occupational Therapy
  • Participant Assistance and Care
  • Personal Emergency Response System
  • Physical Therapy
  • Prevocational Services
  • Psychological Therapy
  • Recreational Therapy
  • Respite
  • Specialized Medical Equipment & Supplies
  • Speech/ Language Therapy
  • Supported  Employment Follow Along
  • Transportation Services
  • Workplace Assistance

 

Frequently Asked Questions