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Summary of Waiver Eligibility Requirements

How Do I Know If I’m Eligible?

The Department of Human Services (DHS) and the Department of Health (DOH) each play a role in determining eligibility.  You may start the application and eligibility process by:

1.

Applying for Medicaid with DHS; and

2.

Applying for services with DOH, Developmental Disabilities Division (DDD), Case Management and Information Services Branch (CMISB).

You do not need to wait for the determination from one department to begin the process with the other.

DHS Eligibility Requirements

Admission to the program requires a referral from a DOH DDD CMISB Case Manager (CM).  This program serves people of all ages.

The person must:

Be eligible for Medicaid;

Be assessed as needing Intermediate Care Facility-Mentally Retarded (ICF/MR) Level of Care; and

Choose to receive home and community-based services as an alternative to institutional placement.

DOH Eligibility Requirements

The following must be completed/provided:

Application for DOH DDD services;

Application for waiver services; and

Evaluations to determine ICF/MR Level of Care:

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