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Waiver in-home services by state
In-home supports paid through a home and community-based services waiver, for people who meet a nursing-home or similar level of care. Which states have it, the programs that provide it and whether a family member can be the paid caregiver.
- States with it
- 49 of 51
- Family can be paid
- 39 states
- Programs
- 131
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Explained
What waiver in-home services is
Home and community-based services waivers pay for in-home supports for people who would otherwise qualify for a nursing home, hospital or ICF/IID level of care. Many include personal care, respite, homemaker and adult day services.
Waivers can cap enrollment, so some states keep waiting lists. Several let participants self-direct part of their services and hire family.
By state
Waiver in-home services: every compiled state
| State | Has it | Program | Family can be paid |
|---|---|---|---|
| Alabama | Yes | ACT Waiver and Technology Assisted Waiver; Elderly and Disabled Waiver; Intellectual disability waivers (LAH); State of Alabama Independent Living Waiver (SAIL) | Yes |
| Alaska | Yes | Alaskans Living Independently (ALI); In-Home Supports and Supported Living under Alaska's IDD/children's waivers (PIDD) | Yes |
| Arizona | Yes | Division of Developmental Disabilities in-home services (ALTCS-DD) (DDD) | Yes |
| Arkansas | Yes | ARChoices in Homecare; Community and Employment Supports Waiver | Not stated |
| California | Yes | HCBS Waiver for Californians with Developmental Disabilities; Home and Community-Based Alternatives Waiver (HCBA); Multipurpose Senior Services Program (MSSP) | Yes |
| Colorado | Yes | Children with Complex Health Needs Waiver (CwCHN); Children's Extensive Support Waiver (CES); Complementary and Integrative Health Waiver (HCBS-CIH); Elderly, Blind, and Disabled Waiver (HCBS-EBD); HCBS Waiver for Community Mental Health Supports (CMHS); Persons with Brain Injury Waiver (HCBS-BI); Supported Living Services Waiver (SLS) | Yes |
| Connecticut | Yes | Acquired Brain Injury Waivers (ABI); Connecticut Home Care Program for Elders (CHCPE) | Yes |
| Delaware | Yes | DDDS Lifespan Waiver; Diamond State Health Plan Plus (DSHP Plus) Long-Term Services and Supports | Yes |
| District of Columbia | Yes | Elderly and Persons with Physical Disabilities (EPD) Waiver; People with Intellectual and Developmental Disabilities (IDD) Waiver and Individual and Family Support (IFS) Waiver | Yes |
| Florida | Yes | Developmental Disabilities Individual Budgeting Waiver (iBudget Florida); Statewide Medicaid Managed Care Long-term Care (LTC) Program | Not stated |
| Georgia | Yes | Elderly and Disabled Waiver Program (EDWP) — Community Care Services Program (CCSP) and SOURCE; Independent Care Waiver Program (ICWP); New Options Waiver (NOW) and Comprehensive Supports Waiver (COMP) (NOW/COMP) | Yes |
| Hawaii | Yes | Home and Community-Based Services Waiver for People with Intellectual and Developmental Disabilities (PAB) | Yes |
| Idaho | Yes | 1915(i) State Plan HCBS Benefit for Children with Developmental Disabilities; Aged and Disabled Waiver | Yes |
| Illinois | Yes | HCBS Waiver for Medically Fragile, Technology Dependent Children (MFTD) | Not stated |
| Indiana | Yes | Participant Assistance and Care (PAC) — Family Supports Waiver (FSW) | Yes |
| Iowa | Yes | Home and Community-Based Services Elderly Waiver; Hope and Opportunity in Many Environments (HOME) — Children and Youth (CY) and Adults with Disabilities (AD) waivers | Yes |
| Kansas | Yes | Community Support Waiver (CSW); HCBS Intellectual Disabilities and Developmental Disabilities Waiver; Home and Community Based Services for the Frail Elderly Waiver; Kansas HCBS Brain Injury Waiver; Physical Disability Waiver; Technology Assisted Waiver | Yes |
| Kentucky | Yes | ABI, ABI Long Term Care, and Model II waivers (ABI-LTC); Home and Community Based Waiver; Michelle P. Waiver (MPW); Supports for Community Living Waiver (SCL) | Yes |
| Louisiana | Yes | Adult Day Health Care Waiver (ADHC); Community Choices Waiver (CCW); OCDD tiered developmental disability waivers (NOW) | Yes |
| Maine | Yes | Home and Community Benefits for the Elderly and Adults with Disabilities (Section 19) — agency model | Yes |
| Maryland | Yes | Community Pathways Waiver; Home and Community-Based Options Waiver; Increased Community Services Program (ICS) | Yes |
| Massachusetts | Yes | Frail Elder Waiver (FEW) | Not stated |
| Michigan | Yes | Community Living Supports through Community Mental Health / PIHPs (incl. self-determination) (CLS); MI Choice Waiver Program; MI Coordinated Health (MICH) HCBS Waiver | Yes |
| Minnesota | Yes | CADI, BI, CAC and DD waivers — in-home services (IHS); Elderly Waiver (EW) | Yes |
| Mississippi | Yes | Elderly and Disabled Waiver; ID/DD Waiver; IDD Community Support Program (CSP); Traumatic Brain Injury/Spinal Cord Injury Waiver | Yes |
| Missouri | Yes | Aged and Disabled Waiver (ADW) | No |
| Montana | Yes | Big Sky Waiver (BSW); Home and Community Based Waiver for Individuals with Developmental Disabilities; Severe and Disabling Mental Illness Home and Community Based Services Waiver | Yes |
| Nebraska | Yes | Comprehensive Developmental Disabilities Services Waiver; Developmental Disabilities Day Services Waiver for Adults (DDAD); Family Support Waiver (FSW); HCBS Waiver for Aged and Adults and Children with Disabilities; Traumatic Brain Injury Waiver | Yes |
| Nevada | Yes | Home and Community-Based Waiver for the Frail Elderly (HCBW-FE); Waiver for Persons with Physical Disabilities | Not stated |
| New Hampshire | No | — | — |
| New Jersey | Yes | Managed Long Term Services and Supports (MLTSS) | Not stated |
| New Mexico | Yes | Developmental Disabilities Waiver; Medically Fragile Waiver | Not stated |
| New York | Yes | Children's Waiver; Nursing Home Transition and Diversion Medicaid Waiver (NHTD); Traumatic Brain Injury Medicaid Waiver | Not stated |
| North Carolina | Yes | 1915(i) Community Living and Supports (CLS); Community Alternatives Program for Children (CAP/C); Community Alternatives Program for Disabled Adults (CAP/DA); NC Innovations Waiver; NC Traumatic Brain Injury Waiver | Yes |
| North Dakota | Yes | Medicaid Waiver for Home and Community Based Services; Medicaid Waiver for Medically Fragile Children; Traditional IID/DD Home and Community Based Services Waiver | Yes |
| Ohio | Yes | Homemaker/Personal Care (HPC) and Participant-Directed HPC (PD-HPC); MyCare Ohio Waiver (Next Generation MyCare); Ohio Home Care Waiver (OHCW) | Yes |
| Oklahoma | Yes | ADvantage Program; Developmental Disabilities Services waivers (DDS); Medically Fragile Waiver | Yes |
| Oregon | Yes | Children's Extraordinary Needs Program (CEN); Oregon Project Independence-Medicaid (OPI-M) | Yes |
| Pennsylvania | Yes | OBRA Waiver | Yes |
| Rhode Island | No | — | — |
| South Carolina | Yes | Community Choices Waiver; Head and Spinal Cord Injury (HASCI) Waiver; HIV/AIDS Waiver and Mechanical Ventilator Dependent Waiver; Intellectual Disability and Related Disabilities (ID/RD) Waiver and Community Supports (CS) Waiver; Medically Complex Children Waiver | Yes |
| South Dakota | Yes | Home and Community-Based Options and Person-Centered Excellence Waiver | Yes |
| Tennessee | Yes | CHOICES in Long-Term Services and Supports; Department of Disability and Aging 1915(c) waivers; Employment and Community First CHOICES | Yes |
| Texas | Yes | Community Living Assistance and Support Services (CLASS); HCS and Texas Home Living waivers (TxHmL); Medically Dependent Children Program (MDCP); STAR+PLUS Home and Community Based Services | Yes |
| Utah | Yes | Acquired Brain Injury Waiver; Community Supports Waiver for Individuals with Intellectual Disabilities and Other Related Conditions (CSW); Limited Supports Waiver (LSW); Medically Complex Children's Waiver (MCCW); New Choices Waiver (NCW); Waiver for Individuals Age 65 or Older; Waiver for Technology Dependent, Medically Fragile Individuals | Yes |
| Vermont | Yes | Choices for Care Moderate Needs | Not stated |
| Virginia | Yes | Commonwealth Coordinated Care Plus (CCC Plus) Waiver; Developmental Disability Waivers: Family and Individual Supports (FIS), Community Living (CL), Building Independence (BI) | Yes |
| Washington | Yes | Community Options Program Entry System (COPES); Developmental Disabilities Administration HCBS waivers (DDA) | Yes |
| West Virginia | Yes | Aged and Disabled Waiver (ADW); Intellectual/Developmental Disabilities Waiver (IDDW); Traumatic Brain Injury Waiver (TBIW) | Yes |
| Wisconsin | Yes | Children's Long-Term Support Waiver Program (CLTS); Family Care (SDS) | Yes |
| Wyoming | Yes | Community Choices Waiver (CCW); Comprehensive Waiver; Supports Waiver | Yes |
In the workspace
Employer, fiscal intermediary, family rules and pay, by state
FAQ
Frequently asked questions
Which states have waiver in-home service programs?
49 of the 51 states compiled so far: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
In which states can family be paid through waiver in-home service programs?
39 states: Alabama, Alaska, Arizona, California, Colorado, Connecticut, Delaware, District of Columbia, Georgia, Hawaii, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Michigan, Minnesota, Mississippi, Montana, Nebraska, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming. Which relatives qualify is set by each program.
What is waiver in-home services?
In-home supports paid through a home and community-based services waiver, for people who meet a nursing-home or similar level of care.