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Community Alternatives for Disabled Individuals Waiver

The Community Alternatives for Disabled Individuals (CADI) Waiver provides funding for home and community-based services for children and adults, who would otherwise require the level of care provided in a nursing facility. CADI Waiver services may be provided in a person’s own home, in his/her biological or adoptive family’s home, in a relative’s home (e.g. sibling, aunt, grandparent etc.), a family foster care home or corporate foster care home, a board and lodging facility or in an assisted living facility. If married, a person may receive CADI Waiver services while living at home with his or her spouse.

Who is eligible for CADI Waiver services?

Eligibility for CADI Waiver services is determined through a screening process. To be eligible for CADI Waiver services, a person must meet all these criteria:

• Be eligible for Medical Assistance

• Be certified disabled by the State Medical Review Team or by the Social Security Administration

• Be under the age of 65 years when the waiver is opened

• Be determined to require the level of care provided to individuals in a nursing facility

• Have an assessed need for supports and services over and above those available under other funding sources

• Choose care and services in the community instead of a nursing facility

What else is important for participation in the CADI Waiver?

Once eligibility is determined for participation in the CADI Waiver, certain questions must be asked about services including:

• Are the services necessary to ensure the recipient’s health, welfare and safety?

• Is the service covered by any other funding source, for example, Medical Assistance state plan services, private health care coverage, Medicare, education or Vocational Rehabilitation Service funding?

• Have all options been assessed, and does this option meet the individual desires, needs and preferences of the person?

• Is the cost of the service considered reasonable and customary?

In addition to services covered by Medical Assistance, what services are available through the CADI Waiver?

• 24-hour customized living

• 24-hour emergency assistance

• Adult companion service

• Adult day care / adult day bath

• Caregiver living expenses

• Case management and case management aide services

• Chore service

• Consumer directed community supports (CDCS)

• Customized living services

• Environmental Accessibility Adaptations

• Extended home care services

• Family counseling and training

• Foster care

• Home delivered meals

• Homemaker

• Housing access coordination

• Independent living skills (ILS) training

• Prevocational services

• Residential care services

• Respite care

• Specialized supplies and equipment

• Supported employment services

• Transitional services

• Transportation services

How can persons apply for the CADI Waiver?

You can apply for the CADI Waiver at your local county public health or social service agency. The DHS Disability Services Division administers the CADI Waiver. 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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