“Transition assistance and services provided for individuals living in an institution or nursing facility, choosing to move back to their own home or community with community based services. Services include home modifications, assistive devices, household set up such as security and utility deposits, help with daily activities such as bathing, eating, toileting and tranferring. This program is only for eligible people that want to move out of an institution back to the community.”
Indiana Notice of Public Comment Period for Statewide Transition Plan (2016)
“Notice is hereby given that the Indiana Family and Social Services Administration (FSSA) will submit to the Centers for Medicare and Medicaid Services (CMS) a revision to Indiana’s Statewide Transition Plan for compliance with the Home and Community-Based Services (HCBS) regulations of 42 CFR 441.301(c)(4)-(5) and Section 441.710(a)(1)-(2). Additional information on the Statewide Transition Plan for compliance with the federal regulations of 42 CFR 441.301(c)(4)-(5) and Section 441.710(a)(1)-(2) can also be found at http://www.in.gov/fssa/4917.htm.”
“Prevocational services” means services that provide career exploration, learning and work experiences, including volunteer opportunities, where the member can develop non-job-task-specific strengths and skills that lead to paid employment in individual community settings…
Prevocational services include career exploration activities to facilitate successful transition to individual employment in the community. Participation in prevocational services is not a prerequisite for individual or small group supported employment services.”
Home and community based services (HCBS) provide opportunities for Medicaid beneficiaries to receive services in their own home or community rather than institutions or other isolated settings. Eligible individuals must demonstrate the need for a Level of Care that would meet the state’s eligibility requirements for services in an institutional setting.
About Home and Community Based Services Coverage
Services available under the HCBS program will be approved based on individual needs and may include:
case management (i.e. supports and service coordination)
homemaker services
home health aide
personal care
adult day health services
habilitation (both day and residential)
respite care
Other services may be approved when they assist in diverting and/or transitioning individuals from institutional settings into their homes and community.”
Illinois DHS Home and Community Based Services Waiver Programs
“What is an HCBS Waiver?
A waiver is a program that provides services that allow individuals to remain in their own homes or live in a community setting, instead of in an institution. Illinois has nine HCBS waivers. Each waiver is designed for individuals with similar needs and offers a different set of services.
Who is eligible for a HCBS Waiver?
Individuals must be U.S. citizens or legal aliens and residents of the state of Illinois;
Individuals must meet Medicaid financial eligibility criteria as specified in each waiver;
Individuals must require an institutional level of care as specified in each waiver;
Individuals’ service needs must be able to be provided in the waiver at a cost equal to or less than the cost for institutional care; and
Individuals must meet any other requirements, such as age or diagnosis requirements, specific to the waiver program.”
“MassOptions connects older adults, individuals with disabilities and their caregivers with agencies and organizations that can best meet their needs. Learn more about MassOptions, the network of partners and State agencies and how to contact them here.”
Idaho Home Choice Money Follows the Person program
Idaho Home Choice
Idaho Home Choice is Idaho’s Money Follows the Person program is designed to help people to move, also called “transition," from an institution into home-and community-based living settings, such as a home or an apartment.
Goals for Idaho Home Choice
Increase the use of Home and Community-Based Services (HCBS) and reduce the use of institutionally-based services;
Eliminate barriers and mechanisms in state law, state Medicaid plans, or state budgets that prevent or restrict the flexible use of Medicaid funds to enable Medicaid-eligible individuals to receive long-term care in the settings of their choice;
Strengthen the ability of Medicaid programs to assure continued provision of HCBS to those individuals who choose to transition from institutions; and,
Ensure that procedures are in place to provide quality assurance and continuous quality improvement of HCBS.
ELIGIBILITY To participate in the Idaho Home Choice Program, the individual must:
Have lived for at least ninety consecutive days in a nursing facility, an intermediate care facility for individuals with mental retardation/intellectual disabilities, or an institution for mental diseases
Be a resident of Idaho
Be Medicaid eligible at the time of discharge
Qualify for either the Aged and Disabled or Developmental Disability waivers
California DDS: Home and Community-Based Services Programs
“Medicaid, known as Medi-Cal in California, is a jointly-funded, federal-state health insurance program for certain low income and needy people that includes long-term care benefits. In 1981, President Reagan signed into law the Medicaid Home and Community-Based Services (HCBS) Waiver program, section 1915(c) of the Social Security Act. The legislation provided a vehicle for California to offer services not otherwise available through the Medi-Cal program to serve people (including individuals with developmental disabilities) in their own homes and communities. The HCBS Waiver program recognizes that many individuals at risk of being placed in medical facilities can be cared for in their homes and communities, preserving their independence and ties to family and friends at a cost no higher than that of institutional care.”
Arkansas Community and Employment Support (CES) Waiver
“The Division of Developmental Disabilities Services Waiver Services section provides a variety of community-based services to eligible individuals in addition to the management, policy development, planning and administration of the Medicaid Home and Community Based Waiver.
The Community and Employment Support (CES) Waiver offers services in your community to support clients with intellectual or developmental disabilities (IDD) with all major life activities, such as living independently and working at a job with help from an employment coach. The program promotes inclusion for clients through community experiences and provides care coordination for getting services.”
