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AGED, BLIND, AND DISABLED MEDICAID 900 HCBS/Waiver Overview

Supersedes: ABD 900 (07/01/2024) Reference: ARM 37.40.1401, .1408, .1421, and 37.82.101; 42 CFR 441 Subparts G and H; 42 USC 1396r-5 Overview: Home and Community Based Services (HCBS) waivers are designed to allow individuals to remain in the community, rather than being institutionalized to receive necessary care and services. Individuals living in the community may be eligible for HCBS/waiver if they: 1. Apply for Medicaid or request the additional level of coverage (if Medicaid is already open); 2. Would qualify for Medicaid if placed in a nursing home or intermediate care facility for individuals with Intellectual Disabilities (ICF/IID); 3. Would require nursing home or ICF/IID placement without Home and Community Based Services (HCBS); and 4. Have an HCBS waiver slot available to them. SSI RECIPIENTS: An individual in receipt of SSI or State Supplement payment or 1619b is not required to have an independent evaluation of income and resources when the recipient requests additional coverage, including MSP. FINANCIAL RESPONSIBILITY OF RELATIVES (PD, AGED & DD WAIVERS): If an HCBS/Waiver applicant or recipient (Physically Disabled Waiver, Aged Waiver or any Developmental Disability Waiver) meets all nonﬁnancial criteria, is approved for one of the above-mentioned waivers, and will be enrolled into an HCBS/Waiver opening (slot), treat their responsible relative’s income and resources as follows:

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Official source

AGED, BLIND, AND DISABLED MEDICAID 900 HCBS/Waiver Overview

Supersedes: ABD 900 (07/01/2024) Reference: ARM 37.40.1401, .1408, .1421, and 37.82.101; 42 CFR 441 Subparts G and H; 42 USC 1396r-5 Overview: Home and Community Based Services (HCBS) waivers are designed to allow individuals to remain in the community, rather than being institutionalized to receive necessary care and services. Individuals living in the community may be eligible for HCBS/waiver if they: 1. Apply for Medicaid or request the additional level of coverage (if Medicaid is already open); 2. Would qualify for Medicaid if placed in a nursing home or intermediate care facility for individuals with Intellectual Disabilities (ICF/IID); 3. Would require nursing home or ICF/IID placement without Home and Community Based Services (HCBS); and 4. Have an HCBS waiver slot available to them. SSI RECIPIENTS: An individual in receipt of SSI or State Supplement payment or 1619b is not required to have an independent evaluation of income and resources when the recipient requests additional coverage, including MSP. FINANCIAL RESPONSIBILITY OF RELATIVES (PD, AGED & DD WAIVERS): If an HCBS/Waiver applicant or recipient (Physically Disabled Waiver, Aged Waiver or any Developmental Disability Waiver) meets all nonﬁnancial criteria, is approved for one of the above-mentioned waivers, and will be enrolled into an HCBS/Waiver opening (slot), treat their responsible relative’s income and resources as follows: