HWD option for DDA and HCS waiver services

HWD functionality eligible and approved for services from the Developmental Disabilities Administration (DDA) or Home and Community Services (HCS), they pay a monthly premium for all services and do not participate in the cost of services under "institutional" rules. If residing in an alternate living facility, they continue to pay room and board; room and board cannot be paid for with Medicaid funds. As a result, the individual who is working may be able to keep more of his/her earned income. A monthly premium amount is most likely less than the participation amount when using institutional rules. One exception applies to DDA clients who live at home, who may be working, but do not have income and/or resources that require them to enroll in HWD to keep their coverage. They can keep up to the income standard for services at home for their personal needs allowance. DDA resource case managers review client circumstances on an individual basis to determine which option is better for them and communicate this information to designate HWD staff, using the DSHS 15-345 CSO/DDA Communication.

Waiver services may be subject to provisions

HCB waiver services received under HWD are subject to transfer of asset, annuity declaration, and excess home equity provisions that are specific to institutional programs. MPC and CFC program services are not subject to those provisions.

For additional information about HWD and DDA/HCS services, go to Working clients and LTC .