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Minnesota’s home and community-based waivers
Minnesotans with disabilities or chronic illnesses who need certain levels of care may qualify for the state’s home and community–based waiver programs.
Medicaid home and community-based service (HCBS) waivers afford states the flexibility to develop and implement creative alternatives to placing Medicaid-eligible persons in hospitals, nursing facilities or Intermediate Care Facilities for Persons with Developmental Disabilities (ICFs/DD). HCBS waivers allow states to put together various service options that are not available under regular Medical Assistance. These service options are available to persons in addition to services covered by MA. Generally, these services are targeted to people with specific needs or diagnosis.
The Minnesota Department of Human Services (DHS) recognizes the importance of helping people live where they choose with appropriate services that assure their health and safety.
In 1999, the United States Supreme Court in the Olmstead v. L.C. decision interpreted the Title II of the American with Disabilities Act (ADA) to include supporting people with disabilities in the most integrated setting possible. The decision applies to people of any age who have a disability. The Olmstead v. L.C. decision played an important role in the expansion of consumer-directed services in Minnesota as well as in other states.
Corresponding with the Olmstead v. L.C. decision, President Bush, in February 2001, announced the New Freedom Initiative. The New Freedom Initiative is a comprehensive plan that represents an important step in working to ensure that Americans have the opportunity to learn and develop skills, engage in productive work, make choices about their daily lives and participate fully in community life.
What are the home and community-based waiver programs available in Minnesota?
Minnesota has chosen to enter into a number of waiver agreements in order to provide Minnesotans with more choice in their services. There are some differences in the services available in each waiver and the amount of money that a person can use to purchase supports. Home and community-based waiver programs available to persons who meet the eligibility criteria include:
Because each of the waiver programs was written to meet federal guidelines, each program includes:
What are the criteria for participation in Minnesota’s home and community-based waivers?
Each home and community-based waiver program requires certain questions be asked about services:
How can persons apply for a waiver program in Minnesota?
You can apply for waiver programs at your local county social services agency. Eligibility for all waiver programs is determined through a screening process. The DHS Disability Services Division administers the BI, CAC, CADI and DD waiver programs. The DHS Aging and Adult Services Division administers the Elderly Waiver (EW) waiver program.
For more information, contact your local county agency (PDF).
Let us know if you are unable to find information about Disability Services Division programs and services. E-mail DHS.Dsdtahelp@state.mn.us.
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