Medicaid Waivers That Pay Family Caregivers, by State | Givers

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Programs that pay family caregivers, by state

Find the Medicaid waivers and self-direction programs that pay family caregivers in your state.

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Find programs to get paid as a family caregiver

Learn about the different Medicaid waivers that allow states to pay family caregivers.

What is a Medicaid waiver?

A Medicaid waiver programs allows states to "waive" specific Medicaid rules and regulations. This flexibility empowers states to create and implement customized programs to address the unique needs of particular populations. Waivers can cover various services, including personal care assistance, respite care, assistive technology, home modifications, and more. Each state may have multiple waivers with distinct names and focuses.

Medicaid waivers are subject to federal guidelines, and states must receive approval from the Centers for Medicare & Medicaid Services (CMS) to implement these programs. These waiver programs are crucial in supporting vulnerable populations and enabling individuals with disabilities or chronic health conditions to remain in their communities while receiving the necessary level of care.

What is Medicaid self-directed care?

Medicaid waivers with a self-direction option (also known as consumer-directed or participant-directed services) empower eligible individuals to have more control over their waiver services, allowing them to choose caregivers and the support they need. Unlike traditional Medicaid programs, where the state manages services to eligible individuals, self-direction participants receive a budget and decide how to use it to meet their care needs. These waivers are designed to enhance the quality of life for people with disabilities, fostering independence and dignity.

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Browse all waivers with a self-direction option:

Aged and Disabled Waiver

Learn about the Aged & Disabled Waiver, its services, eligibility, and impact on the elderly and disabled population in accessing home and community-based care.

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AK Adults with Physical and Developmental Disabilities Waiver

The Adults with Physical and Developmental Disabilities Waiver in Alaska is a Medicaid program that offers home and community-based services to people with physical and developmental disabilities and their family caregivers.

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AK Alaskans Living Independently

Learn how the ALI Waiver recognizes and compensates family caregivers, empowering them with financial support for their role in the healthcare system.

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AK Individualized Supports Waiver

Learn about Alaska's Individualized Supports Waiver program, offering compensation for family caregivers. Explore eligibility, benefits, and the significance of recognizing caregivers' vital role in healthcare.

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AL Community Transition Waiver

Discover how the ACT Waiver empowers individuals needing long-term care to transition from institutional settings to community-based care.

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AL Community Waiver Program

Learn about the Community Waiver Program in Alabama, a Medicaid program that offers home and community-based services to people with intellectual disabilities and their family caregivers.

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AL HCBS Living at Home Waiver for Persons with Intellectual Disabilities

Learn about the AL HCBS Living at Home Waiver for Persons with Intellectual Disabilities, a Medicaid program that can help you pay for home and community-based services and potentially compensate your family caregiver.

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AL Home and Community-Based Waiver for Persons with Intellectual Disabilities

This Medicaid waiver provides services to individuals with intellectual disabilities ages 3 or older who meet an ICF/IID level of care.

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AL Home and Community-Based Waiver for the Elderly and Disabled

This Medicaid Waiver provides services to individuals ages 65 or older, and individuals with physical or other disabilities ages 0 or older who meet a nursing facility level of care.

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AL Intellectual Disabilities Waiver

The Intellectual Disabilities Waiver is a Medicaid program operated by the Alabama Department of Mental Health, providing essential services and compensation to intellectually disabled individuals and their family caregivers through a self-directed option.

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AL SAIL Waiver

Learn about the Alabama SAIL Waiver, a tool for older adults and persons with disabilities, and its potential to compensate family caregivers.

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AL Technology Assisted (TA) Waiver

This Medicaid Waiver program provides services to individuals who are technology dependent, ages 21 or older, who meet a nursing facility level of care.

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AR Choices in Homecare Waiver

Learn about the ARChoices in Homecare Waiver in Arkansas, providing home and community-based services for eligible individuals to receive care and support in their own homes.

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Assistive Daily Living Services Program

The Assistive Daily Living Services Program enables eligible individuals with quadriplegia to live independently in their preferred communities, providing a range of supportive services and fair compensation for family caregivers.

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AZ Non-Medical Home and Community-Based Services (NMHCBS)

This program provides supports and services to individuals 60 years of age or older, or 18-60 years of age with a disability, and functionally impaired and unable to perform activities of daily living.

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CA AIDS Medi-Cal Waiver Program

The MCWP exists to improve the quality of life and health outcomes of individuals living with HIV or AIDS who are at risk of institutionalization or need assistance with activities of daily living or instrumental activities of daily living.

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CA HCBS Waiver for Californians with Developmental Disabilities

The HCBS Waiver for Californians with Developmental Disabilities is a Medicaid program that allows individuals to receive services in their own homes or other community settings instead of an institution. The program also allows individuals to choose their own service providers, including family, friends, or other qualified professionals.

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CA Home and Community Based Alternatives Waiver

Learn about the HCBA Waiver, assisting individuals with developmental disabilities and compensating family caregivers for their invaluable contributions.

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CA Home and Community-Based Services Waiver for the Developmentally Disabled

The HCBS-DD is a program that was created to provide an alternative to an intermediate care facility for individuals with intellectual disabilities (ICF-IID) or state developmental center placement for individuals who meet specific criteria and who are regional center consumers.

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CA In-Home Supportive Services Waiver

The IHSS Waiver is a Medicaid program that allows eligible recipients to receive personal care and domestic services in their homes instead of being institutionalized in a nursing home or other facility. The program allows recipients to hire and supervise their caregivers, family members, friends, or other individuals.

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CA Multipurpose Senior Services Program

The MSSP is a Home and Community-Based Services (HCBS) waiver that provides an alternative to nursing facility care or hospitalization for individuals who meet specific criteria.

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CA Paid Family Leave

This program offers partial wage replacement for California residents who have State Disability Insurance (SDI) through their employer and are caring for a seriously ill family member who requires care in a hospital, hospice center, or at home on a continuous basis.

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CO Children's Home and Community-Based Services (CHCBS) Waiver

This Medicaid waiver provides services to individuals who are medically fragile, ages 0-17 years, who meet a hospital or nursing facility level of care.

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CO Children's Home and Community-Based Services Waiver

The Children's Home and Community-Based Services Waiver (CHCBS) in Colorado is a Medicaid program that provides essential support and services to children with significant medical needs, empowering their families to manage and customize their care through self-direction.

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CO Consumer-Directed Attendant Support Services Program

Colorado's Consumer-Directed Attendant Support Services (CDASS) program empowers individuals with disabilities to manage their care and hire personal attendants, including family members.

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CO Elderly, Blind, and Disabled Waiver

The Elderly, Blind, and Disabled Waiver (EBD) program in Colorado provides comprehensive long-term supports and services to eligible individuals, fostering independence and community engagement while recognizing the vital role of family caregivers.

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CO HCBS Waiver for Persons with Brain Injury

This Medicaid program provides services to individuals with brain injury ages 16 or older who meet a hospital or nursing facility level of care.

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CO In-Home Support Services Waiver

The In-Home Support Services Waiver in Colorado offers essential assistance and compensation for family caregivers while providing a comprehensive range of supports, enabling individuals with disabilities to receive care and maintain their independence at home.

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CO Supported Living Services Waiver

Discover how the Supported Living Services Waiver empowers adults with intellectual or developmental disabilities while acknowledging and compensating family caregivers.

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CT ABI Waiver II

ABI Waiver II in CT provides unique Medicaid support for 18+ with brain injuries, focusing on independent living and comprehensive care.

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CT Acquired Brain Injury (ABI) Waiver

CT's ABI Waiver offers adults with brain injuries Medicaid services for care outside hospitals/nursing facilities.

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CT Comprehensive Supports Waiver

This Medicaid waiver provides services to individuals with developmental disabilities ages 18 or older and individuals with intellectual disabilities ages 3 or older who meet an ICF/IID level of care.

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CT Employment and Day Supports Waiver

The Employment and Day Supports Waiver is a Medicaid program in Connecticut that provides an array of services to people with developmental and intellectual disabilities, including compensation for family caregivers through a self-directed option.

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CT Home and Community Supports Waiver for Persons with Autism

This Medicaid Waiver provides services to individuals with autism ages 3 or older who meet an ICF/IID level of care.

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CT Home Care Program for Elders Case Management Freedom of Choice Waiver

The Connecticut Home Care Program for Elders (CHCPE) is a Medicaid waiver program that supports elderly individuals at risk of nursing home placement, enabling them to receive necessary care and services while continuing to live independently at home.

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CT Individual Family Support Waiver

The goal of the Individual and Family Supports Waiver (IFS) is to connect people with specialized services and supports, while also providing them the choice to self-direct their care, fostering independence, and promoting community engagement.

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CT Mental Health Waiver

Connecticut's Mental Health Waiver is a Medicaid program that provides home and community-based services for individuals with serious mental illness, emphasizing recovery-oriented care and compensating eligible family caregivers through a self-directed option.

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CT Statewide Respite Care Program

This program provides services for adults with a cognitive condition, such as Alzheimer’s, Lewy Body Dementia, Pick’s Disease or other related dementia, and up to $7,500 in caregiving relief services per year.

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DC Caregivers' Institute

Through the DCCI’s Caregiver Flex Account, caregivers can be reimbursed for expenses associated with caregiving that have been pre-approved.

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DC Elderly and Persons with Physical Disabilities Waiver

This Medicaid Waiver provides services to individuals ages 65 or older and individuals with physical disabilities ages 18-64 years who meet a nursing facility level of care.

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DE Attendant Services Waiver

The Delaware Attendant Services waiver is a self-directed Medicaid program providing crucial support and compensation to eligible individuals with disabilities and their family caregivers, enabling personalized care and independent living.

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DE DDDS Lifespan Waiver

The Lifespan Waiver is a Medicaid program in Delaware that offers self-directed support and financial compensation to eligible individuals and their family caregivers, empowering them to live more independently in their homes and communities.

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Elderly and Disabled Waiver

Learn about the significance of the Elderly and Disabled Waiver and how it empowers older and disabled adults to receive essential care.

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FL Developmental Disabilities Individual Budgeting Waiver

This program provides services to individuals with autism, developmental disabilities, or intellectual disabilities ages 3 or older who meet an ICF/IID level of care.

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FL Economic Care for the Elderly Program

This program provides assistance to seniors who are at risk for nursing home placement but who are not qualified to receive services from Medicaid.

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FL Home Care for the Elderly

This program provides financial assistance to caregivers to help them care for loved ones 60 years or older. All eligible applicants receive a basic monthly subsidy for rent, housing, and medical services.

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FL Long-Term Care Waiver

The Florida Long-Term Care Waiver provides services to individuals ages 65 or older, and individuals with physical disabilities or with brain injury, with HIV/AIDS, or who are medically fragile ages 18-64 years.

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GA Community Care Services Program

Discover how Georgia's Community Care Services Program (CCSP) offers essential community-based social, health, and support services to eligible individuals, empowering them to remain at home instead of nursing home placement.

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GA Elderly and Disabled Waiver

The Elderly and Disabled Waiver helps seniors and disabled individuals receive in-home care, offering services like personal support and structured family caregiving.

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GA Independent Care Waiver Program

Learn about the Independent Care Waiver Program (ICWP) that enables Medicaid members with physical disabilities and traumatic brain injuries to receive essential services for independent living in their homes or communities instead of nursing homes or hospitals.

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GA NOW/COMP Medicaid Waivers

Discover how the Georgia NOW/COMP Medicaid Waivers are transforming the lives of individuals with intellectual and developmental disabilities (ID/DD) by providing home- and community-based services.

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HI Chore Services Program

The Hawaii Chore Services Program provides housekeeping assistance to eligible adults, helping them maintain independence and support family caregivers with essential tasks.

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HI HCB Services for People with Intellectual and Developmental Disabilities (I/DD) Waiver

The HCB Services for People with Intellectual and Developmental Disabilities (I/DD) Waiver provides home and community-based services that assist Medicaid beneficiaries with intellectual and/or developmental disabilities to live in the community and avoid institutionalization.

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Home and Community-Based Services (HCBS) Waiver

Discover how the HCBS Section 1915(c) Waiver can financially empower family caregivers and why this support is crucial in the healthcare system.

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IA Consumer Directed Attendant Care Program

Learn about Iowa's Consumer Directed Attendant Care Program in this article, offering insights into its eligibility requirements, services and supports, and potential caregiver compensation.

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IA HCBS AIDS/HIV Waiver

This program provides services to individuals with HIV/AIDS ages 0 or older who meet a hospital or nursing facility level of care.

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IA HCBS Brain Injury Waiver

This program provides services to individuals with brain injury ages 0 or older who meet a nursing facility or ICF/IID level of care.

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IA HCBS Elderly Waiver

This program provides services to individuals ages 65 or older who meet a nursing facility level of care.

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IA HCBS Physical Disability Waiver

This program provides services to individuals with physical disabilities ages 18-64 years who meet a nursing facility level of care.

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IA Health and Disability Waiver

The Health and Disability Waiver is a Medicaid program that provides services and supports to eligible people with chronic health conditions or physical disabilities in Iowa, with a self-direction option to potentially compensate family caregivers.

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IA Intellectual Disability Waiver

The Intellectual Disability Waiver is a Medicaid program that provides services and supports to eligible individuals with intellectual disabilities in Iowa.

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IA Senior Living Program

Iowa's Senior Living Program (CMPFE) helps Iowans aged 60+ live safely at home, offering services like personal care, homemaking, and caregiver support with consumer direction options.

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ID Adult Developmental Disabilities Waiver

The Idaho Developmental Disabilities Waiver is a Medicaid program that provides support and services to individuals aged 18 or older with autism, developmental disabilities, or intellectual disabilities, promoting community integration and independence while offering a self-direction option for tailored care.

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ID Aged and Disabled Waiver

The Aged and Disabled Waiver provides services to individuals ages 65 or older and individuals with physical or other disabilities ages 18-64 years who meet a nursing facility level of care.

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IL Adults with Developmental Disabilities Waiver

The Adults with Developmental Disabilities Waiver is a Medicaid program that provides services and supports to eligible individuals with developmental disabilities in Illinois.

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IL HCBS Waiver for Persons Who are Elderly

The Home and Community-Based Services (HCBS) Waiver for Persons Who are Elderly is a program that provides services and individualized support to persons who are elderly and at risk of nursing facility placement to promote independence, dignity, and quality of life.

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IL HCBS Waiver for Persons with Brain Injury

The HCBS Waiver for Persons with Brain Injury Waiver is a Medicaid program that provides services and supports to eligible individuals with brain injuries in Illinois.

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IL HCBS Waiver for Persons with HIV or AIDS

This program provides services and supports to individuals with HIV/AIDS ages 0 or older who meet a nursing facility level of care.

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IL Intellectual Disabilities Waiver

The Intellectual Disabilities Waiver (IDW) is a Medicaid program that provides home and community-based services to people with intellectual disabilities or related conditions at risk of institutionalization.

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IL Persons with Disabilities Waiver

The Persons with Disabilities Waiver is a Medicaid program that provides home and community-based services to eligible individuals with disabilities in Illinois.

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IL Waiver for Children & Young Adults with Developmental Disabilities

This program provides services to individuals with autism, intellectual disabilities, or developmental disabilities ages 3-21 years who meet an ICF/IID level of care.

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IN Community Integration and Habilitation Waiver

The CIH Waiver in Indiana provides Medicaid-funded services and caregiver compensation, helping individuals with disabilities live independently in community-based settings.

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IN Family Supports Waiver

The Family Supports Waiver (FSW) is a Medicaid program in Indiana that provides limited, non-residential support to eligible individuals who live with their families or in other settings with informal support.

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IN Health and Wellness Waiver

Learn about Indiana's Health and Wellness Waiver, including eligibility, services like structured family caregiving, and how to navigate the application and waitlist process.

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IN PathWays for Aging Waiver

The Pathways for Aging waiver offers adults 60+ years old long-term care at home with services like personal care, healthcare, respite, and support for family caregivers.

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IN Traumatic Brain Injury Waiver

Learn about the Traumatic Brain Injury Waiver in Indiana, a program that provides home and community-based services to individuals with TBI—with the option to self-direct services and potentially compensate family caregivers.

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KS Autism Waiver

Learn about the Autism Waiver in Kansas, a program that supports and trains parents of children with autism spectrum disorder in Kansas.

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KS HCBS Brain Injury Waiver

The HCBS Brain Injury Waiver is a Medicaid program in Kansas that provides home and community-based services to eligible individuals who have an acquired or traumatic brain injury and would otherwise require institutionalization in a Traumatic Brain Injury Rehabilitation Facility.

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KS HCBS Intellectual Disabilities and Developmental Disabilities Waiver

The HCBS Intellectual Disabilities and Developmental Disabilities (I/DD) Waiver is a Medicaid program in Kansas that gives home and community-based services to eligible people who would otherwise require institutionalization in an Intermediate Care Facility for Individuals with an Intellectual Disability (ICF-IID).

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KS Home and Community-Based Services for the Frail Elderly Waiver

The Home and Community-Based Services for the Frail Elderly Waiver is a Medicaid program in Kansas that provides home and community-based services to eligible seniors who would otherwise require nursing home care.

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KS Physical Disability Waiver

The P.D. Waiver program allows eligible individuals with physical disabilities to receive services in their homes or communities instead of in nursing facilities. It has a self-directed option that may allow for caregiver compensation.

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KS Senior Care Act

This non-Medicaid program offers those 60 years or older the opportunity to receive care services and support in their homes or primary places of residence. Certain family members can be paid to provide caregiving services.

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KS Technology Assisted Waiver

The Technology Assisted Waiver is a Medicaid program in Kansas that provides financial assistance and support services for people who require technology-dependent care.

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KY Hart-Supported Living Program

This program helps physically and mentally disabled Kentucky residents live independently and remain a part of the community through grant funding. Family members can be compensated for providing assistance.

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KY Michelle P. Waiver

Learn about the Michelle P. Waiver, part of Kentucky's 1915(c) HCBS Medicaid waiver initiative, designed to support individuals with intellectual or developmental disabilities living independently within their communities—and compensate family caregivers.

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KY Personal Care Attendant Program

The state-funded program supports physically disabled Kentucky residents 18 years and older that have a functional loss of two or more limbs.

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KY Supports for Community Living Waiver

The Supports for Community Living (SCL) waiver is a Medicaid program in Kentucky that provides crucial support and services to individuals with intellectual or developmental disabilities, empowering them to live independently within their communities.

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LA Children's Choice Waiver

Louisiana's Children's Choice Waiver (CCW) provides comprehensive support and services to children with developmental disabilities, empowering them to live with their families while recognizing and compensating family caregivers for their crucial role.

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LA Community Choices Waiver

The Community Choices Waiver (CC) is a Medicaid program in Louisiana that provides home and community-based services to eligible individuals and allows them to hire their family members as caregivers.

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LA New Opportunities Waiver

Learn about the New Opportunities Waiver (NOW) in Louisiana that aims to enhance self-determination, support families, uphold dignity, and improve quality of life for recipients within the community.

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LA Residential Options Waiver

Louisiana's Residential Options Waiver (ROW) is a Medicaid program designed to support individuals with intellectual and developmental disabilities in transitioning from care facilities to independent living in the community, offering comprehensive services and recognizing the importance of compensating family caregivers.

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MA Acquired Brain Injury Non-Residential Habilitation Waiver

The Acquired Brain Injury Non-Residential Habilitation (ABI – N) Waiver supports adults with an acquired brain injury who do not need 24-hour help and support and live with family or in their own homes.

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MA Children's Autism Waiver

The Children's Autism Waiver in Massachusetts provides essential support and services to children with autism, focusing on in-home care, specialized interventions, and family support.

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MA Community Living Waiver

The Community Living Waiver helps people who have disabilities or who are age 65 or older transition from institutional settings to home and community-based settings—also allowing participants to hire and manage support workers, such as family members.

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MA HCP and ECOP Programs

The Massachusetts HCP and ECOP provide non-medical services to help seniors live independently at home, offering personal care, meal prep, housekeeping, and caregiver support.

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MA Intensive Supports Waiver

The Intensive Supports Waiver provides 24/7 community-based services to adults with intellectual disabilities, offering comprehensive support for individuals with significant behavioral, medical, and/or physical needs.

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MA MFP Community Living Waiver

The MFP Community Living (MFP – CL) Waiver is part of the Money Follows the Person (MFP) Rebalancing Demonstration, a federal initiative to rebalance the long-term care system by shifting resources from institutional to home and community-based settings.

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MA Moving Forward Plan Waivers

The Moving Forward Plan (MFP) Waivers are home and community-based services (HCBS) programs designed to assist MassHealth-eligible individuals in transitioning from nursing facilities or institutional settings back to their communities, while empowering caregivers and providing comprehensive support.

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MA Traumatic Brain Injury Waiver

The Traumatic Brain Injury (TBI) Waiver supports adults with a traumatic brain injury who need facility-based care or are living in the community—also allowing participants to design and direct their services, including hiring and managing support workers, such as family members.

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MD Attendant Care Program

This program provides financial reimbursement assistance for attendant care services for individuals who are severely physically disabled. Participants are able to hire the person of their choosing to provide care, including family members who are 18 and older, excluding spouses.

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MD Community Pathways

The Community Pathways Waiver provides developmentally and intellectually disabled Maryland residents with home and community-based services to enable them to continue living in their homes.

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MD Family Supports Waiver

The Family Supports Waiver is a Medicaid program that provides services and supports to individuals with developmental disabilities who live with their families or in their homes.

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MD Home and Community-Based Options Waiver

The Home and Community-Based Options Waiver, also known as the Community Options Waiver, is a Medicaid program that allows eligible individuals to receive care services in their home or a community setting instead of a nursing facility.

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ME Elderly and Adults with Disabilities Waiver

The Elderly and Adults with Disabilities Waiver is a Medicaid program that provides services to people ages 65 and older and those with physical disabilities ages 18 or older who require a nursing facility or hospital level of care to help them remain in their homes or other community settings instead of being institutionalized.

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ME Home and Community-Based Services for Members with Brain Injury Waiver

The Section 18 Waiver is a Medicaid program that provides HCBS for adults with acquired brain injury (ABI) or other related conditions (ORC) who meet the nursing facility level of care to prevent or delay institutionalization and promote community integration.

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ME Home and Community Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder Waiver

The Section 29 Waiver is a Medicaid program that provides HCS for adults with intellectual disabilities or autism who meet the intermediate care facility for individuals with intellectual disabilities (ICF/IID) level of care to prevent or delay institutionalization.

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ME Support Services for Adults with Intellectual Disabilities or ASD

The Section 29 Waiver is a Medicaid program that provides SS for adults with intellectual disabilities or autism. Learn how it differs from the Section 21 Waiver and how it aims to prevent or delay institutionalization for people with intellectual disabilities or autism.

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MI Children's Waiver Program

The Children's Waiver Program (CWP) in Michigan is a Medicaid initiative providing home and community-based services to children under 18 with developmental disabilities, empowering families and advocating for potential caregiver compensation.

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MI Choice Waiver

The MI Choice Waiver Program in Michigan offers Medicaid-covered services to eligible adults, empowering them to receive nursing facility-level care in their own homes or community-based settings while potentially compensating unpaid family caregivers through a self-directed option.

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MI Habilitation Supports Waiver Program

Learn about the Habilitation Supports Waiver Program (HSW) in Michigan, an intensive home and community-based, active treatment and support program designed to empower individuals with intellectual/developmental disabilities to lead more independent lives.

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MI Health Link

MI Health Link is Michigan's integrated care program for dual eligibles, providing comprehensive healthcare coordination and support, including potential compensation for family caregivers.

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MI Home Help Program

Michigan's Home Help Program is a waiver initiative offering a comprehensive range of services and support to help eligible individuals maintain their independence and live safely in their own homes, with an option for family caregivers to receive compensation for their caregiving services.

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MN Alternative Care

The Alternative Care (AC) Medicaid Waiver is a program that provides home and community-based services to elderly individuals aged 65 and older in Minnesota, supporting their choice to live in the community while potentially compensating family caregivers through the CDCS option.

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MN Brain Injury Waiver

The BI Waiver is a Medicaid program that provides services to individuals with traumatic or acquired brain injuries who meet the level of care criteria for a nursing facility or a neurobehavioral hospital to promote independence, choice, and community integration.

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MN Community Access for Disability Inclusion (CADI) Waiver

Learn how the Minnesota Community Access for Disability Inclusion (CADI) Waiver, a crucial Medicaid program, helps individuals avoid nursing home admittance while advocating for fair compensation for caregivers.

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MN Community Alternative Care Waiver

The Community Alternative Care (CAC) Waiver offers personalized care options to those needing chronic care and medical support in Minnesota and unlocks support and potential compensation for caregivers.

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MN Deafblind Consumer Directed Services and Technology Access Program

The DeafBlind Consumer Directed Services and Technology Training Access Program is a comprehensive grant initiative funded by the Minnesota Department of Human Services, offering services, supports, and compensation for caregivers to empower individuals and families with combined hearing and vision loss.

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MN Developmental Disabilities Waiver

The Developmental Disabilities (DD) Waiver is a Medicaid program in Minnesota that provides essential home and community-based services to individuals with developmental disabilities, aiming to foster independence, safety, and community integration as an alternative to institutionalization.

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MN Elderly Waiver

The Elderly Waiver is a Medicaid program that provides home and community-based services to seniors who necessitate the level of care given in a nursing home but choose to live in the community. The program aims to support seniors’ dignity, choice, and quality of life while reducing the costs of institutional care.

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MO Aged and Disabled Waiver

The Missouri Aged and Disabled Waiver (ADW) is a Medicaid program that provides HCBS to eligible individuals who would otherwise require nursing home care to prevent or delay institutionalization, promote independence, and improve quality of life.

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MO Brain Injury Waiver

The Brain Injury Waiver is a Medicaid program that provides HCBS to eligible individuals with a TBI diagnosis to help prevent or delay institutionalization, promote independence, and improve quality of life.

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MO Children with Developmental Disabilities Waiver

The Missouri Children with Developmental Disabilities Waiver (MOCDD) is a Medicaid program that provides services and supports for children with developmental disabilities who choose home-based care instead of institutional placements, including compensation for eligible family caregivers through a self-directed option.

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MO Community Support Waiver

The Community Support Waiver is a Medicaid program that offers home and community-based services and supports to people with developmental disabilities who live in the community, usually with their families to prevent or delay institutionalization and promote independence and inclusion.

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MO Developmental Disabilities Comprehensive Waiver

The DD Comprehensive Waiver is a Medicaid program that provides services to eligible individuals with an IDD diagnosis to prevent or delay institutionalization, promote independence, and improve quality life. It includes a self-direction option with the possibility to compensate family caregivers.

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MO Independent Living Waiver

The Independent Living Waiver is a Medicaid program that offers home and community-based services and supports adults with physical disabilities living in the community, usually with their families, that aims to prevent or delay institutionalization and promote independence and inclusion.

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MO Medically Fragile Adult Waiver

The Medically Fragile Adult Waiver is a Medicaid program offering service coordination and authorization for medically necessary services to adults with serious and complex medical needs who are no longer eligible for Healthy Children and Youth programs in order to prevent or delay institutionalization.

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MO Partnership for Hope Waiver (PFH)

Discover the significance of the Partnership for Hope Waiver (PFH), a county-based Medicaid program in Missouri prioritizing individuals in crisis, advocating for caregiver compensation, and providing a comprehensive range of services to enhance the lives of adults and children.

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MO Structured Family Caregiving Waiver

The Structured Family Caregiving Waiver is a Medicaid program that pays family caregivers for providing care to their loved ones who have Alzheimer's disease or a related disorder to prevent or delay nursing home placement and promote home and community-based care.

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MS Independent Living Waiver

The Independent Living Waiver provides services and support to eligible individuals with severe orthopedic or neurological impairments to help them achieve their goals of independent living and self-determination

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MT Montana Big Sky Waiver

Discover how Montana's Big Sky Waiver (BSW) program supports elderly and disabled residents at risk of nursing home admission. Learn about Medicaid coverage and how to get paid for caregiving.

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MT Severe and Disabling Mental Illness Waiver

The Severe and Disabling Mental Illness Waiver Program in Montana offers support and services to Medicaid members with severe mental illnesses, promoting community living and independence.

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NC Community Alternative Program for Children

The Community Alternative Program for Children (CAP/C) in North Carolina is a Medicaid waiver program that offers home and community-based services to medically fragile children, providing an alternative to institutional care while empowering family caregivers.

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NC In-Home Aide Services

This program provides services to help keep older adults living in their homes and avoid institutional placement. Program participants are permitted to have relatives work as their in-home aides.

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NC Innovations Waiver

Discover the NC Innovations Waiver, a Medicaid HCBS program for individuals with Intellectual or Developmental Disabilities (I/DD), explore caregiver compensation, and find support options.

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NC Traumatic Brain Injury Waiver

The Traumatic Brain Injury Waiver is a Medicaid program that provides home and community-based services to eligible individuals with TBI who are at risk of institutionalization or currently living in an institution and want to transition to the community.

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ND SPED & Ex-SPED Programs

These programs provide a range of services to help old adults and disabled individuals remain living at home or in their community. Eligible individuals receiving care services have the right to choose their own service providers.

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ND Waiver for Home and Community-Based Services

The Waiver for Home and Community-Based Services (HCBS) is a Medicaid program that provides various services to eligible individuals who need a nursing facility level of care but prefer to stay in their homes or communities to reduce the cost of long-term care by preventing or delaying institutionalization.

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NE Comprehensive Developmental Disabilities Services Waiver

The Nebraska Comprehensive Developmental Disabilities Services Waiver offers vital support to individuals with developmental disabilities and empowers caregivers through a self-directed option.

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NE Developmental Disabilities Adult Day Waiver

The Developmental Disabilities Adult Day Waiver for Adults offers comprehensive support to individuals with developmental disabilities, fostering independence and empowerment while addressing caregiver compensation through a self-directed option.

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NE Disabled Persons and Family Support Program

This program provides funds for a range of services that make it easier for families to care for a loved one at home. Participants can choose to pay family members or other persons who provide them with caregiving services.

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NH Acquired Brain Disorder Waiver

Learn about the Acquired Brain Disorder Waiver, how it aids people with brain injuries, and how family caregivers can receive financial compensation for their support.

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NH Choices For Independence Program

Discover the transformative Choices for Independence (CFI) Program, providing a wide range of services to enable eligible adults to stay in their homes and communities with Medicaid-funded support.

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NH Developmental Disabilities Waiver

The DDW is a Medicaid program that provides home and community-based services (HCBS) to individuals with autism, intellectual disabilities, or developmental disabilities of any age. It is designed to help these individuals live independently in their homes or other community settings rather than in institutions.

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NJ Assistance for Community Caregiving

This non-Medicaid program provides services and supports for elderly residents who are at-risk of nursing home placement. Family members can be paid to provide caregiving services.

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NJ Family Leave Insurance

This program helps families in New Jersey care for loved ones by providing up to 12 weeks of paid time off for caring for a family member who is seriously ill.

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NJ Personal Preference Program

New Jersey's Personal Preference Program offers Medicaid members control over their care with a flexible budget to choose services and caregivers, enhancing independence.

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NJ Statewide Respite Care

This program relieves an unpaid caregiver of his or her caregiving responsibilities by providing trained professionals who supervise or act as a companion to the individual in need of care.

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NM Mi Via Waiver

Learn about the Mi Via Waiver program in New Mexico that offers self-directed services for individuals with disabilities and potential financial assistance for family caregivers.

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NV COPE

This non-Medicaid program provides services and supports to Nevada seniors that are functionally eligible for nursing home placement. Certain family members can be hired to provide care for their loved ones.

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NV Self-Directed Personal Care Services Program

The Self-Directed Personal Care Services Program is a statewide Medicaid program that assists with activities of daily living to individuals who need long-term support services. It allows eligible individuals to hire and manage their personal care assistants, including family members.

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NV Self-Directed Skilled Services Program

The Self-Directed Skilled Services Program is a statewide Medicaid program that provides skilled services to individuals who need medical, nursing, or home health care services to live independently in their homes. It allows eligible individuals to hire and manage their own skilled care providers, including family members.

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NY Expanded EISEP Program

This program provides non-medical services to seniors who live in their homes to prevent placement in more expensive Medicaid-funded nursing homes. Under EISEP, in some areas of NY, adult children and other relatives can work as paid caregivers to their elderly parents.

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NY OPWDD Comprehensive Waiver

The OPWDD Comprehensive Waiver is a Medicaid program that provides home and community-based services (HCBS) to individuals with IDD who meet an institutional level of care. It allows participants to self-direct their services through employer and budget authorities.

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NY Paid Family Leave

This program allows employed New Yorkers to take up to 12 weeks paid leave from work annually in order to care for an elderly relative who has a serious illness.

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OH Elderly Services Program

This program provides in-home services for seniors to help them live independently in their own homes. Care recipients are able to hire their own caregiver, including family or friends, who can be paid to provide certain types of care and services through ESP.

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OH Home Care Waiver

The Ohio Home Care Waiver aims to help individuals with physical disabilities to live independently and participate in their communities while reducing the cost of care and improving the overall quality of life.

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OH Individual Options Waiver

The Individual Options Waiver is a comprehensive Medicaid program that offers vital support and services to individuals with developmental disabilities, allowing them to remain in their homes and communities while compensating family caregivers.

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OH Level One Waiver

Discover how the Ohio Level One waiver program empowers individuals with developmental disabilities to receive limited support in their homes instead of in institutional facilities.

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OH PASSPORT Program

The PASSPORT program provides Medicaid-funded home health care and community-based services as an alternative to institutionalization, offering potential compensation options for family caregivers in the US.

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OH Self-Empowered Life Funding Waiver

The Self-Empowered Life Funding (SELF) Waiver is a Medicaid program that empowers individuals with intellectual or developmental disabilities to direct their own services while providing a limited budget for needed supports and services.

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OK ADvantage Waiver

The ADvantage Waiver program in Oklahoma provides essential support and services to eligible adults, empowering them to remain independent and close to family and friends, while also potentially compensating family caregivers for their invaluable contributions.

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OK Community Waiver

Learn about the Community Waiver in Oklahoma, a Medicaid program that provides home and community-based services for people with intellectual disabilities.

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OK In-Home Supports Waiver for Adults

Learn about the IHSW-A, a Medicaid waiver program in Oklahoma that provides services and support to adults with intellectual disabilities and allows them to self-direct their care.

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OK In-Home Supports Waiver for Children

Learn about the IHSW-C, a Medicaid waiver program in Oklahoma that provides services and supports to children with intellectual disabilities and allows them to self-direct their care.

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OR Adults HCBS Waiver

The Adults HCBS Waiver provides services to individuals with intellectual disabilities or developmental disabilities ages 18 or older who meet an ICF/IID level of care.

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OR Behavioral Model Waiver

The Oregon Behavioral (ICF/IDD) Model Waiver provides essential services and support to individuals with intellectual and developmental disabilities aged 0-17 years, recognizing and compensating family caregivers through a self-directed option.

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OR Children’s HCBS Waiver

The Children’s HCBS Waiver provides services to individuals with intellectual disabilities or developmental disabilities ages 0-17 years who meet an ICF/IID level of care.

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OR Medically Fragile (Hospital) Model Waiver

The Medically Fragile Model Waiver program provides services to individuals who are medically fragile ages 0-17 years who meet a hospital level of care.

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OR Medically Involved Children's Waiver

The Medically Involved Children's Waiver provides services to individuals with physical disabilities ages 0-17 years who meet a nursing facility level of care.

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OR Project Independence

This non-Medicaid program offers senior Oregon residents or residents with Alzheimer’s or a related disorder assistance with their Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs).

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PA Community HealthChoices

Learn about the Community HealthChoices program in Pennsylvania, a vital Medicaid waiver that supports older adults and people with physical disabilities to stay in their homes.

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PA Community Living Waiver

The Community Living Waiver provides supports and services to individuals with autism ages 0 or older, individuals with intellectual disabilities ages 0 or older, and individuals with developmental disabilities ages 0 to 21 years who meet an ICF/IID level of care.

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PA Consolidated Waiver

Discover the Pennsylvania Consolidated Waiver program designed to support individuals with disabilities in achieving independence while providing caregivers the opportunity to be compensated.

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PA OBRA Waiver

The OBRA Waiver is a Medicaid Home and Community Based program in Pennsylvania that supports individuals with severe developmental physical disabilities to live independently and compensates unpaid family caregivers through a self-directed option.

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PA Person/Family Directed Support Waiver

Learn how the Person/Family Directed Support Waiver in Pennsylvania can potentially help you get paid for providing care to your loved one with an intellectual, developmental, or autism disability.

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Personal Choices Program

Learn about the Personal Choices Program, a Medicaid option offering self-directed home and community-based care services.

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QUEST Integration Program

Learn about the Hawaii QUEST Integration Program, a Medicaid-managed care initiative that ensures residents of all ages receive essential medical care, behavioral health services, and long-term services and supports.

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RI Temporary Caregiver Insurance

This program provides individuals up to six weeks of paid benefits during a 12-month period to care for a seriously ill loved one.

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SC Community Choices Waiver

The Community Choices Waiver in South Carolina is a Medicaid program that provides home and community-based services for seniors and adults with disabilities who need long-term care.

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SC Head and Spinal Cord Injury Waiver

The HASCI Waiver in South Carolina is a Medicaid program providing financial support and comprehensive services to individuals with severe chronic limitations resulting from head or spinal cord injuries, aiming to enable them to live independently in their homes and communities while receiving necessary care.

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SC Intellectually Disabled and Related Disabilities Waiver

The ID/RD Waiver provides a range of services and supports to people with intellectual disabilities or related disabilities who meet the intermediate care facility for individuals with intellectual disabilities (ICF/IID) level of care criteria to prevent or delay institutionalization and promote the participants' independence and quality of life.

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SC Mechanical Ventilator Dependent Waiver

The Medicaid Mechanical Ventilator Dependent (Vent) waiver offers participant-directed services and compensation options to those who are dependent upon mechanical ventilation, recognizing and empowering family caregivers in their compassionate roles.

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SD Family Support 360 Waiver

The Family Support 360 Waiver provides services to individuals with intellectual disabilities or developmental disabilities ages 0 or older who meet an ICF/IID level of care.

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TN OPTIONS for Community Living

This program provides care and support services to elderly and/or disabled Tennessee residents in their homes. OPTIONS also allows for self-directed care, meaning friends and family members (but not spouses) can be hired to provide personal care.

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TN Self-Determination Waiver Program

The TN Self-Determination Waiver Program provides services to individuals with intellectual disabilities ages 0 or older and individuals with developmental disabilities ages 0-5 years who meet an ICF/IID level of care.

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TX Community Attendant Services Program

This program is a Medicaid-funded component of the Community Care for the Aged/Disabled (CCAD) Program designed to provide non-technical attendant care services to eligible aging adults and those needing help with daily living activities (ADLs) in their homes.

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TX Community Care for the Aged and Disabled (CCAD)

This program provides services and supports to seniors and disabled individuals who are at risk of nursing home placement in order to remain living at home, in the community, or in the home of a caregiver.

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TX Community Living Assistance and Support Services

The CLASS program provides home and community-based services to individuals with intellectual disabilities or related conditions to promote independence and enhance their quality of life, while also offering the option for caregiver compensation through the Consumer Directed Services option.

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TX Deaf Blind with Multiple Disabilities (DBMD) Waiver

Discover how the DBMD waiver provides essential home and community-based services to individuals with deafblindness and other disabilities, and its potential benefits for caregivers.

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TX Deaf Blind with Multiple Disabilities Waiver

The Deaf Blind with Multiple Disabilities Waiver provides services to individuals with developmental disabilities ages 0 or older who meet an ICF/IID level of care.

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TX Home and Community-Based Services Program Waiver

The TX Home and Community-Based Services Program Waiver provides services to individuals with intellectual disabilities or developmental disabilities ages 0 or older who meet an ICF/IID level of care.

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TX Home Living Program

Discover TxHmL, a Medicaid waiver program offering essential services to Texans with intellectual disabilities, and the potential for caregiver compensation through the Consumer Directed Services (CDS) option.

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TX Medically Dependent Children Program Waiver

The Medically Dependent Children Program (MDCP) Waiver in Texas provides services and support to families caring for medically dependent children and young people in their homes as an alternative to a nursing facility.

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UT Acquired Brain Injury Waiver

The UT Acquired Brain Injury Waiver provides services to individuals with brain injury ages 18 or older who meet a nursing facility level of care.

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UT Aging Waiver

Discover the Utah Aging Waiver, a comprehensive Medicaid HCBS program for individuals aged 65 or older, offering diverse services to promote independent living.

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UT Community Transitions Waiver

Learn about the Community Transitions Waiver, a new Medicaid program that helps people with intellectual disabilities move from institutional to community settings and compensates their caregivers.

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UT Employment Personal Assistance Services

EPAS (Employment Personal Assistance Services) is a Medicaid program in Utah providing crucial personal assistance to employed individuals with disabilities, empowering them to thrive in competitive workplaces.

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UT Limited Support Waiver

Learn about the Limited Supports Waiver in Utah, a Medicaid program that provides home and community-based services for people with disabilities and their caregivers.

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UT Medically Complex Children’s Waiver

The UT Medically Complex Children’s Waiver provides services to individuals who are medically fragile ages 0-19 years who meet a nursing facility level of care.

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UT New Choices Waiver

Discover the New Choices Waiver, including eligibility requirements, services and supports, and how caregivers can explore compensation options.

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Learn the different ways to get paid as a caregiver in your state

What state do you live in?

Alabama

Population: 5.1M

Caregivers: 1.04M

Value of care: $12.8B/yr

Hourly Wage: $12.89/hr

Alaska

Population: 0.7M

Caregivers: 96K

Value of care: $2B/yr

Hourly Wage: $17.02/hr

Arizona

Population: 7.3M

Caregivers: 1.19M

Value of care: $27B/yr

Hourly Wage: $14.75/hr

Arkansas

Population: 3.0M

Caregivers: 630K

Value of care: $9.1B/yr

Hourly Wage: $12.71/hr

California

Population: 39.1M

Caregivers: 6.4M

Value of care: $149B/yr

Hourly Wage: $19.05/hr

Colorado

Population: 5.8M

Caregivers: 910K

Value of care: $16B/yr

Hourly Wage: $18.32/hr

Connecticut

Population: 3.6M

Caregivers: 710K

Value of care: $10.7B/yr

Hourly Wage: $17.92/hr

Delaware

Population: 1.0M

Caregivers: 164K

Value of care: $2.6B/yr

Hourly Wage: $14.80/hr

District of Columbia

Population: 0.7M

Caregivers: 89K

Value of care: $1.64B/yr

Hourly Wage: $20.19/hr

Florida

Population: 21.8M

Caregivers: 4.3M

Value of care: $81B/yr

Hourly Wage: $14.14/hr

Georgia

Population: 10.8M

Caregivers: 2.5M

Value of care: $41B/yr

Hourly Wage: $12.84/hr

Hawaii

Population: 1.4M

Caregivers: 210K

Value of care: $4.9B/yr

Hourly Wage: $16.82/hr

Idaho

Population: 1.9M

Caregivers: 400K

Value of care: $6.6B/yr

Hourly Wage: $14.19/hr

Illinois

Population: 12.7M

Caregivers: 2.1M

Value of care: $33B/yr

Hourly Wage: $15.61/hr

Indiana

Population: 6.8M

Caregivers: 1.11M

Value of care: $16.1B/yr

Hourly Wage: $14.59/hr

Iowa

Population: 3.2M

Caregivers: 610K

Value of care: $6.4B/yr

Hourly Wage: $14.95/hr

Kansas

Population: 2.9M

Caregivers: 610K

Value of care: $10.9B/yr

Hourly Wage: $14.29/hr

Kentucky

Population: 4.5M

Caregivers: 910K

Value of care: $15.5B/yr

Hourly Wage: $13.64/hr

Louisiana

Population: 4.6M

Caregivers: 900K

Value of care: $12.9B/yr

Hourly Wage: $11.93/hr

Maine

Population: 1.4M

Caregivers: 310K

Value of care: $5.5B/yr

Hourly Wage: $18.06/hr

Maryland

Population: 6.2M

Caregivers: 1.15M

Value of care: $24B/yr

Hourly Wage: $16.32/hr

Massachusetts

Population: 7.0M

Caregivers: 1.39M

Value of care: $22B/yr

Hourly Wage: $19.07/hr

Michigan

Population: 10.0M

Caregivers: 1.52M

Value of care: $27B/yr

Hourly Wage: $13.93/hr

Minnesota

Population: 5.7M

Caregivers: 840K

Value of care: $11.1B/yr

Hourly Wage: $17.98/hr

Mississippi

Population: 3.0M

Caregivers: 690K

Value of care: $9.4B/yr

Hourly Wage: $12.10/hr

Missouri

Population: 6.2M

Caregivers: 1.13M

Value of care: $17.5B/yr

Hourly Wage: $14.52/hr

Montana

Population: 1.1M

Caregivers: 151K

Value of care: $2.8B/yr

Hourly Wage: $16.64/hr

Nebraska

Population: 2.0M

Caregivers: 300K

Value of care: $4.5B/yr

Hourly Wage: $15.26/hr

Nevada

Population: 3.2M

Caregivers: 560K

Value of care: $10.6B/yr

Hourly Wage: $16.18/hr

New Hampshire

Population: 1.4M

Caregivers: 280K

Value of care: $4.4B/yr

Hourly Wage: $16.68/hr

New Jersey

Population: 9.3M

Caregivers: 1.76M

Value of care: $28B/yr

Hourly Wage: $16.94/hr

New Mexico

Population: 2.1M

Caregivers: 390K

Value of care: $6.2B/yr

Hourly Wage: $14.40/hr

New York

Population: 19.9M

Caregivers: 3.9M

Value of care: $58B/yr

Hourly Wage: $18.26/hr

North Carolina

Population: 10.6M

Caregivers: 2.1M

Value of care: $33B/yr

Hourly Wage: $13.48/hr

North Dakota

Population: 0.8M

Caregivers: 82K

Value of care: $1.27B/yr

Hourly Wage: $17.76/hr

Ohio

Population: 11.8M

Caregivers: 2.1M

Value of care: $32B/yr

Hourly Wage: $14.47/hr

Oklahoma

Population: 4.0M

Caregivers: 770K

Value of care: $12.2B/yr

Hourly Wage: $12.72/hr

Oregon

Population: 4.3M

Caregivers: 740K

Value of care: $15.4B/yr

Hourly Wage: $19.55/hr

Pennsylvania

Population: 13.0M

Caregivers: 2.2M

Value of care: $40B/yr

Hourly Wage: $15.64/hr

Rhode Island

Population: 1.1M

Caregivers: 155K

Value of care: $2.8B/yr

Hourly Wage: $19.05/hr

South Carolina

Population: 5.2M

Caregivers: 1.05M

Value of care: $17.2B/yr

Hourly Wage: $13.50/hr

South Dakota

Population: 0.9M

Caregivers: 150K

Value of care: $2.5B/yr

Hourly Wage: $16.64/hr

Tennessee

Population: 7.0M

Caregivers: 1.4M

Value of care: $26B/yr

Hourly Wage: $13.16/hr

Texas

Population: 29.6M

Caregivers: 4.9M

Value of care: $65B/yr

Hourly Wage: $12.25/hr

Utah

Population: 3.3M

Caregivers: 600K

Value of care: $9.9B/yr

Hourly Wage: $14.28/hr

Vermont

Population: 0.6M

Caregivers: 118K

Value of care: $2.1B/yr

Hourly Wage: $19.00/hr

Virginia

Population: 8.7M

Caregivers: 1.52M

Value of care: $27B/yr

Hourly Wage: $14.69/hr

Washington

Population: 7.7M

Caregivers: 1.25M

Value of care: $25B/yr

Hourly Wage: $21.46/hr

West Virginia

Population: 1.8M

Caregivers: 350K

Value of care: $4.4B/yr

Hourly Wage: $13.30/hr

Wisconsin

Population: 5.9M

Caregivers: 1.03M

Value of care: $11.1B/yr

Hourly Wage: $16.17/hr

Wyoming

Population: 0.6M

Caregivers: 64K

Value of care: $1.06B/yr

Hourly Wage: $16.07/hr

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