Page 1

Louisiana Medicaid Eligibility Manual Eligibility Determinations

Issued June 1, 2026

Page 1 of H-900 Replacing June 08, 2021 Revised/added text indicated by underscore

Deleted text indicated by “” H-900 HOME AND COMMUNITY-BASED SERVICES (HCBS)

H-910 GENERAL INFORMATION

Home and community-based services offered under a waiver program are provided: • To individuals who would otherwise require long-term care services in an institutional setting; and • The total cost of waiver services is no more than the average cost of institutional care services the individual would otherwise require.

Eligibility for HCBS differs from other Medicaid eligibility in the following ways: • Persons covered under a waiver must meet specific medical criteria; • The number of beneficiaries that can be served may be limited; and • The geographical area where services are provided may be limited.

Medicaid HCBS Waivers

In Louisiana, there are seven (7) HCBS waivers offered that are administered through waiver and state plan programs and overseen by various State agencies.

The Office of Aging and Adult Services (OAAS) serves seniors and individuals with onset disabilities in home and community based services as an alternative to nursing facility care through the: (1) Adult Day Health Care (ADHC); and (2) Community Choices Waiver (OAAS-CCW);

The Office for Citizen’s with Developmental Disabilities (OCDD) coordinates statewide services to individual and families who require specialized support and services through the: (3) Children’s Choice waiver (OCDD-CC); (4) New Opportunities Waiver (NOW);