Nebraska Aged and Disabled Waiver

“As a participant in Medicaid Home and Community-Based Services (HCBS) Waiver services, there are many community-based services you may choose. The services available to you are based on which waiver you have. HCBS Waivers Available for Eligible People looks at the four waivers and includes a chart of services by waiver.

The Medicaid Home and Community-Based Services (HCBS) Aged and Disabled (AD) Waiver offers an array of services to support people in their homes. This page focuses on those services, coordination of services, and providers of service.”

Links:

Louisiana Medicaid Long-Term Care Services

“Long-term services are delivered in institutional and home and community-based settings. Medicaid coverage is available to eligible people receiving long-term care services in nursing facilities, intermediate care facilities for individuals with intellectual disabilities, and home and community-based settings. Long-term care services may be more immediately available in a facility setting than other long-term care options.”

Links:

Louisiana Medicaid Long-Term Care Services

Maryland Medicaid Community Options Waiver (formerly Waiver for Older Adults)

“Until recently, the Maryland Community Options Medicaid Waiver was called the Waiver for Older Adults. That program and the Living at Home Medicaid Waiver are now merged under this new title. This waiver is also called the Home and Community-Based Options (HCBO) Waiver and, in this article, it is referred to as simply the CO Waiver.

The new CO waiver allows elderly individuals and those with physical disabilities who need nursing home level care to receive care services in their home or a group living community facility instead. Group living communities can include assisted living residences, provided they are participating in the program and willing to accept the Medicaid payment rates.

The CO Waiver is popular both with families and the state of Maryland, but for different reasons. Participants generally prefer to remain living at home for as long as possible; this waiver assists them in doing so. The cost of caring for someone at home is also less expensive for the state than it would be to place the individual in a nursing home. This is because home care utilizes caregiving assistance from family members.

Maryland Medicaid programs in general are sometimes referred to as Medical Assistance (MA).”

Links:

Maryland Medicaid Community Options Waiver

Louisiana Medicaid HCBS Services

OAAS Home and Community Based-Services
The Office of Aging and Adult Services (OAAS) administers home and community-based (HCBS) long-term care services through various waiver and state plan programs for older adults or have adult onset disabilities, assisting them with remaining in their homes and in the community. The intent of these HCBS programs is to provide services and supports that are not otherwise available and that assist an individual to remain in or return to the community.

HCBS programs do not individually or in combination provide 24-hour-per-day supports. This means that in many cases, it may be necessary for individuals to use other paid and unpaid supports at their disposal.

Links:

Louisiana Medicaid HCBS Services

Hawaii Medicaid State Plan and Demonstration

“The Hawaiʻi Medicaid State Plan is an agreement between Hawaii and the Federal government describing how that Hawaiʻi administers its Medicaid programs. Department of Human Services is the single State agency designated to administer the Medicaid program under Title XIX of the Social Security Act.”

Links:

Hawaii Medicaid State Plan and Demonstration

Hawaii Behavioral Health Employment Services

“Developmental Disabilities Division (DDD) Program
Medicaid Waiver Services provide a range of services and support in the home and community for eligible participants. Services assist participants with achieving their goals and increasing their quality of life. HBH takes pride in the quality of services our dedicated staff provide. In addition to meeting the Medicaid Waiver Program requirements, HBH staff are also certified in Crisis Prevention Institute (CPI) training to increase the knowledge and skills of our staff. HBH’s DDD Program offers the following Medicaid Waiver Services to children and adults referred by the Department of Health, Developmental Disabilities Division on the islands of Oahu and Hawaii:

Discovery and Career Planning (DCP)
Services combine elements of traditional pre-vocational services with career planning to provide supports that the participant may use to develop skills and interests for advancement or a change in the participant’s career plan.

Individual Employment Services (IES)
Services are designed to maximize the participant’s skills, talents, abilities, and interest for employment in a competitive integrated work setting.”

Links:

Hawaii Behavioral Health Employment Services

Alabama Proposed Section 1115 Demonstration – Work Requirements (2018)

“From 2013 through the current date, the able‐bodied Parent or Caretaker Relative (POCR) eligibility group has more than doubled from 31,889 to more than 74,000. This has been during a time of steady economic growth and job creation in the state reflected in the current 3.5 percent unemployment rate, the lowest in Alabama’s history. Thus, in keeping with the overall policy initiatives of the State, Alabama Medicaid’s stewardship of limited resources, and the original Medicaid program design, Alabama Medicaid is proposing a work requirement for the able‐bodied POCR eligibility group.

Currently, both the Temporary Assistance for Needy Families (TANF) and the Supplemental Nutrition Assistance Program (SNAP) programs in Alabama contain certain work requirements for individuals participating in those programs. Alabama Medicaid plans to utilize the resources that have been successful in these programs to assist Medicaid recipients in gaining the tools necessary to become more self‐sufficient.”

Links:

Alabama Proposed Section 1115 Demonstration - Work Requirements

Connecticut Nursing Home Diversion and Transition Program

“The purpose of this program is to ensure that nursing home placements for DMHAS clients (or DMHAS-eligible clients) are necessary, appropriate, and safe. Preadmission Screening Resident Review (PASRR) is an integral part of the program.

The program focuses on two specific goals: (1) Reducing inappropriate admissions of DMHAS clients to nursing homes; and (2) Transitioning nursing home residents with a mental illness back to the community with support services. To accomplish these goals, DMHAS funds Nurse Clinicians, and Case Managers located at agencies identified below, who work directly with community providers, nursing home staff, and hospital discharge planners. There is ongoing collaboration with the state’s Money Follows the Person Demonstration Project and the Medicaid Home and Community-based Waiver for Persons with Serious Mental Illness.”

Links:

Connecticut Nursing Home Diversion and Transition Program

Hawaii Medicaid Section 1115(a) Renewal Request

“The State of Hawaii, Department of Human Services (the State), hereby notifies the public that it intends to seek a five-year renewal of its Section 1115 Demonstration from the Centers for Medicare & Medicaid Services (CMS). This renewal, which will be effective January 1, 2019, will be entitled “QUEST Integration.”

Links:

Hawaii Medicaid Section 1115(a) Renewal Request (download)

Arkansas Works: Project Number 11-W-00287/6

“Approval of this demonstration amendment allows Arkansas, no sooner than June 1, 2018, to require all Arkansas Works beneficiaries ages 19 through 49, with certain exceptions, to participate in and timely document and report 80 hours per month of community engagement activities, such as employment, education, job skills training, or community service, as a condition of continued Medicaid eligibility. Community engagement requirements will not apply to Arkansas Works beneficiaries ages 50 and older so as to ensure alignment and consistency with the state’s Supplemental Nutrition Assistance Program (SNAP) requirements. The alignment is appropriate and consistent with the ultimate objective of improving health and well-being for Medicaid beneficiaries.”

Links:

Arkansas Works: Project Number 11-W-00287/6 (PDF)