Hawaii Medicaid Waiver for IDD Provider Standards Manual

“Discovery and Career Planning (DCP)
Discovery and Career Planning combines elements of traditional prevocational services with career planning in order to provide supports that  the participant may use to develop skills and interests toward becoming employed for the first time or at different stages of the participant’s work career to develop skills and interests for advancement or a change in the participant’s career plan.”

Missouri Independent Living Waiver, 2023

“The Independent Living Waiver is similar to the Consumer-Directed State Plan Personal Care program, requiring the same eligibility criteria be met and offering additional personal assistance services beyond the limitations of the state plan. Additional services available include environmental accessibility adaptations, specialized medical equipment and supplies, financial management services, and case management. The Department of Health and Senior Services, Division of Senior and Disability Services administers this program”

Georgia: “Medicaid waiver renewal approved for Georgians with intellectual and developmental disabilities”

“The Georgia Departments of Behavioral Health and Developmental Disabilities (DBHDD) and Community Health (DCH) are pleased to announce that the Centers for Medicare and Medicaid Services (CMS) has approved renewal of the Comprehensive Supports Waiver Program (COMP) through March 31, 2021. This approval follows collaborative work by the departments over a two-year period involving a complex residential cost study, service rate adjustments, and a one-year needs analysis for all waiver participants served in community residential settings. New rates for community residential, community living support, and respite services will go into effect March 1, 2017.

The COMP waiver currently serves nearly 8,000 Georgians with intellectual and developmental disabilities. At the heart of the renewal request is Georgia’s desire to strengthen the provider network and support the delivery of high-quality and accountable care to vulnerable citizens. The renewal includes the following important improvements for waiver participants. It incorporates a tiered reimbursement rate for service providers that correlates to the level of residential services provided; expands respite services; restructures the rate for in-home community living support; and expands community living support to allow shared services among participants who wish to live independently as housemates but require supervision and some assistance.”

MaineCare Benefits Manual Chapter II “Home and Community Based Services for Adults with Other Related Conditions”

~~“Application: After receiving the choice letter, the DHHS Care Monitor will meet with the member and guardian or legal representative (where applicable) and complete the initial ORC application. If the member appears to qualify and is interested in Money Follows the Person/ Homeward Bound MFP/HB, the member will be referred for MFP/HB determination for Money Follows the Person/ Homeward Bound MFP/HB. Enrollment and Transition coordination through MFP/HB will be provided per Money Follows the Person/ Homeward Bound MFP/HB program requirements as outlined in the CMS approved Operational Protocol for Money Follows the Person/ Homeward Bound MFP/HB.”

Georgia Medicaid Comprehensive Supports Waiver Program (COMP) Renewal Implementation FAQs

“On February 23, 2017, the Centers for Medicare and Medicaid Services (CMS) approved renewal of the Comprehensive Supports Waiver Program (COMP) through March 31, 2021. The renewal reflects collaborative work by the Georgia Departments of Behavioral Health and Developmental Disabilities (DBHDD) and Community Health (DCH) over a two-year period involving an in-depth review of services requirements, a complex rate study, and a one-year needs analysis of all waiver participants served in community residential settings.”

DC Statewide Transition Plan for Medicaid Home and Community-Based Services Waivers (2015)

“The Centers for Medicare & Medicaid Services (CMS) issued a final rule effective March 17, 2014, that contains a new, outcome-oriented definition of home and community-based services (HCBS) settings. The purpose of the federal regulation, in part, is to ensure that people receive Medicaid HCBS in settings that are integrated in and support full access to the greater community. This includes opportunities to seek employment and work in competitive and integrated settings, engage in community life, control personal resources, and receive services in the community to the same degree as people who do not receive HCBS. CMS expects all states to develop an HCBS transition plan that provides a comprehensive assessment of potential gaps in compliance with the new regulation, as well as strategies, timelines, and milestones for becoming compliant with the rule’s requirements. CMS further requires that states seek input from the public in the development of this transition plan.”

Washington State’s Statewide Transition Plan for New HCBS Rules

The Washington State Health Care Authority (HCA, the state’s Medicaid Agency), the Department of Social and Health Services (DSHS) Aging and Long-Term Support Administration (ALTSA) and Developmental Disabilities Administration (DDA) submit this proposed transition plan in accordance with the requirements set forth in the Centers for Medicare and Medicaid Services new requirements for Home and Community-based Services (HCBS Final Rule 42 CFR Parts 430, 431, 435, 436, 441 and 447) that became effective March 17, 2014. Washington State fully supports the intent of the HCBS setting rules. Washington State has long been an advocate for providing services to clients in the most integrated home and community-based settings, and is a leader in providing clients with choices regarding the settings in which long-term services and supports are provided and will continue its partnership with participants, advocacy groups, stakeholders and Tribes.

Georgia Medicaid HCBS Transition Plan

“Georgia begins process to address new regulations issued by CMS for Home and Community Based Services. The Centers for Medicare & Medicaid Services (CMS) have issued regulations that define the settings in which it is permissible for states to pay for Medicaid Home and Community-Based Services (HCBS), otherwise known as waiver services. The purpose of these new regulations is to ensure that individuals receive Medicaid HCBS in settings that are integrated and that support full access to the greater community. This includes opportunities to seek employment and work in competitive and integrated settings, engage in community life, control personal resources, and receive services in the community to the same degree as individuals who do not receive HCBS.”

DC Announcement Submitted to CMS: District of Columbia Plan to Comply… (2015)

“The Centers for Medicare and Medicaid Services (CMS) issued a final rule effective March 17, 2014, that contains a new, outcome-oriented definition of home and community-based services (HCBS) settings. The purpose of the federal regulation, in part, is to ensure that people receive Medicaid HCBS in settings that are integrated in and support full access to the greater community. This includes opportunities to seek employment and work in competitive and integrated settings, engage in community life, control personal resources and receive services in the community to the same degree as people who do not receive HCBS. CMS expects all states to develop an HCBS statewide transition plan that provides a comprehensive assessment of potential gaps in compliance with the new regulation, as well as strategies, timelines and milestones for becoming compliant with the rule’s requirements. CMS further requires that states seek input from the public in the development of this transition plan.

The District maintains two HCBS waiver programs: the Elderly and Persons with Disabilities (EPD) Waiver, run by the District’s Department of Health Care Finance (DHCF), and the Intellectual and Developmental Disabilities (IDD) waiver, run by the District’s Department of Disability Services (DDS). The EPD waiver program is for the elderly and individuals with physical disabilities who are able to safely receive supportive services in a home and community-based setting. The IDD waiver program provides residential, day/vocational and other support services in the community for District residents with intellectual and developmental disabilities.”

Supports for Community Living Waiver

~~“The Supports for Community Living (SCL) waiver provides Medicaid-paid services to adults and children with intellectual or developmental disabilities. These supports allow individuals to live at home rather than in an institutional setting.  “

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