For more information regarding these waivers, please contact:
Catheryne Trenkle e-mail Catheryne

The Home and Community Based Children's Waiver (HCBS Waiver) is a waiver program for children with chronic health care needs who are at risk of institutionalization in a hospital or nursing facility and who would not otherwise be eligible for Medicaid due to parental income and/or resources. The services provided under this program serve as alternatives to Medicaid hospital or nursing facility services for children, birth through seventeen (17) years of age, and who meet the established minimum criteria for hospital or nursing facility level of care as determined by the Utilization Review Contractor. The services provided through this Children's HCBS Waiver Program shall include all state plan Medicaid benefits, case management services, and In-Home Support Services when deemed to be appropriate and adequate by the child's physician, shall be provided in the home or community.

Children's Extensive Support Waiver (CES) This is a waiver for children up to age 18 who qualify for services through the developmental disabilities system who also have significant functioning and/or behavioral differences. These children require nearly 24-hour supervision. Even at night, a parent or caregiver must attend to them in either a behavioral intervention or a health or safety intervention at least every three hours. To be eligible for the CES Waiver the child’s family income does not have to be above the SSI Income Eligibility level. A child may already have Medicaid and still be eligible for this waiver. In addition to services covered by Medicaid the child can get things like special training, equipment, home modifications, non-medical care while parents are not available, special formulas or other things that Medicaid does not cover. The family will also get a case manager to assist them to identify and obtain needed services/supports.

The Autism Waiver is a program children with a medical diagnosis of Autism who are most in need due to the severity of their disability in the home or community. Parent's who have children under the age of six years with a medical diagnosis of autism may apply and the children enrolled in this waiver may be eligible to receive therapies from Medicaid providers even though their parents have assets or income that make them ineligible for Medicaid.