Community Living Waiver Effective January 1, 2018 Approved by CMS

On December 20, 2017, the Community Living Waiver was approved by the Centers for Medicare and Medicaid Services (CMS). The new Waiver is effective January 1, 2018.

The Community Living Waiver was developed in accordance with the enacted budget for Fiscal Year 2017-2018, which provided funding for the development and implementation of a new intermediate waiver that will provide services to approximately 1,000 individuals with an intellectual disability or autism, as well as children under age 9 with a developmental disability who have a high probability of resulting in an intellectual disability or autism.

The Community Living Waiver will support individuals to live more independently in their homes and communities through the provision of a variety of services that promote community living, employment, communication, self-direction, choice and control.

 

Eligibility criteria:

  • There is no age limit for individuals with an intellectual disability or autism. Individuals with a developmental disability with a high probability of resulting in an intellectual disability or autism are eligible from age 0 through 8
  • Level of Care
    • Medical Evaluation
    • Diagnosis of an intellectual disability, autism, or developmental disability
  • Recommended for an intermediate care facility (ICF) level of care based on a medical evaluation
  • Determined eligible for Medical Assistance (MA)
  • Meet the financial requirements as determined by your local County Assistance Office
  • Individual cost limit of $70,000 per person per fiscal year (Supports Coordination is excluded from this limit)

Services:

  • Advanced Supported Employment
  • Assistive Technology
  • Behavioral Support
  • Benefits Counseling
  • Communication Specialist
  • Community Participation Support
  • Companion
  • Consultative Nutritional Services
  • Education Support
  • Family/Caregiver Training and Support
  • Home Accessibility Adaptations
  • Homemaker/Chore
  • Housing Transition and Tenancy Sustaining Services
  • In-Home and Community Support
  • Life Sharing (Needs Groups 1 and 2, or less than 30 hours per week)
  • Music, Art, and Equine Assisted Therapy
  • Participant-Directed Goods and Services
  • Respite
  • Shift Nursing
  • Small Group Employment
  • Specialized Supplies
  • Supported Employment
  • Supported Living (Needs Groups 1 and 2)
  • Supports Broker
  • Supports Coordination
  • Therapy
  • Physical
  • Occupational
  • Speech
  • Language
  • Orientation, Mobility and Vision
  • Transportation
  • Vehicle Accessibility Adaptations

 

Waiver Information: 

Community Living Waiver, Effective January 1, 2018

Changes were made to the waiver application since it was submitted to CMS in October 2017. Changes include corrections or clarifications as a result of conversation and correspondence with the Centers for Medicare and Medicaid Services (CMS). A side-by-side comparison of the substantive changes made to the Waiver is available in the link below.

Side-by-Side of Substantive Changes Made to the Community Living Waiver