Medicaid Waiver ProgramsThe Department of Elder Affairs administers the Medicaid Waiver programs listed below.
Aged and Disabled Adult Waiver (ADA)
This program helps maintain independence while living at home for Medicaid-eligible frail elders and persons with disabilities who are at risk of nursing home placement. Administered through an interagency agreement with the Agency for Health Care Administration, the program provides services and items including chore, homemaker, personal care, respite, case management, adult day health care, counseling, case aide, physical therapy, caregiver training and support, emergency alert response, consumable medical supplies, home-delivered meals, environmental modification, health risk management, speech therapy and occupational therapy. Read more about this program.
Assisted Living Waiver (ALW)
This waiver program makes support and services available in assisted living facilities that have Extended Congregate Care or Limited Nursing Services licenses. The program serves clients age 60 or older who are at risk of nursing home placement and meet additional specific functional criteria. Services and items include assisted living (i.e., companion, homemaker, personal care, etc.), case management and incontinence supplies. Read more about this program.
This program serves adults age 65 and older who are at risk of nursing home placement. The program is operated through a contract with an organized health care delivery system and provides 19 home- and community-based services at a cost less than Medicaid nursing home care. Read more about this program.
Consumer-Directed Care Plus Program (CDC+)
This statewide program provides consumers the flexibility to be in charge of directing their own care by allowing them to manage a budget and purchase home- and community-based services that meet their needs. Individuals currently enrolled in the Aged and Disabled Adult Waiver (ADA), Traumatic Brain and Spinal Cord Injury Waiver or Adult Services Waiver are eligible to participate in CDC+. Read more about this program.
Long-Term Care Community Diversion Pilot Project
Designed to target the frailest individuals who would otherwise qualify for Medicaid nursing home placement, this project strives to provide frail elders with community- based alternatives in lieu of nursing home placement. By using managed care principles, the project provides these alternatives at a cost less than Medicaid nursing home care. This program, implemented in consultation with the Agency for Health Care Administration, has been expanded from four service providers in four counties serving 950 enrollees in October 2003 to 18 providers in 66 counties serving 18,784 enrollees as of July 2013. Along with the other Medicaid waivers, the Diversion program will be phased out by region from August 1. 2013-March 1, 2014 and enrollees will be transitioned into the new Statewide Medicaid Managed Care Long-term Care (LTC) program. Read more about this program.
Program of All-Inclusive Care (PACE)
The PACE program provides voluntary managed long-term care programs to address the increase in state expenditures for long-term care services and to meet consumer needs. The program is implemented in consultation with the Agency for Health Care Administration. PACE targets individuals eligible for Medicaid nursing home placement, and provides a comprehensive array of home- and community based, long-term care services as well as all Medicare (acute care) services. Services are typically delivered in an adult day health care setting. Read more about this program.
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