ALABAMA

IDT based on individual choice, resources and appropriateness of care. Resources are considered in decision.

Alabama Medicaid:

http://www.medicaid.state.al.us/                     

HCBS MR/DD Waiver

http://www.medicaid.state.al.us/MANUALS/AdminCode/ad_ch_52.htm 

ALASKA

Regions serve from waiting lists based on available funds. Eligible individuals are selected from waiting list until no funds are available.

Alaska Medicaid:              

http://www.hss.state.ak.us/dma/

MAKING HCBS WAIVERS WORK FOR ALASKANS:

http://add.infoinsights.com/hcbswaivers/                       

Dept. of Health & Social Services � DMHDD Division:

http://www.hss.state.ak.us/dmhdd/

ARIZONA

1115 Demonstration Waiver, all eligible enrolled.

Arizona Medicaid:

http://www.ahcccs.state.az.us/

Arizona Office for Children with Special Health Care Needs:

http://www.hs.state.az.us/phs/ocshcn/index.htm               

ALTCS Program (Long Term Care System):

http://www.ahcccs.state.az.us/Services/Overview/ForArizonans.asp#ALTCS

ARKANSAS

First come, first served. Plan of care caps for different program levels.

Arkansas Medicaid:

http://209.12.159.21/

ArkKids First:

http://www.arkidsfirst.com/home.htm

Arkansas DDS Services:                  

http://www.state.ar.us/dhs/ddds/ddsback.html                                                      

CALIFORNIA

Individual's planning team. All eligible, but must be "cost-effective".

California Medicaid:

http://www.dhs.ca.gov/mcs/                          

Department of Developmental Services (DDS):

http://www.dds.ca.gov/                    

To find the location of your Regional Center:

http://www.arcanet.org/map.htm#map

California Children's Services pays for medical equipment and supplies. Read about CCS at:

http://www.dhs.ca.gov/prp/cms/html/ccs.htm

Genetically Handicapped Persons Program (GHPP):

http://www.dhs.ca.gov/prp/cms/HTML/GHPP.htm                       

DHS contacts:  

http://www.dhs.cahwnet.gov/home/comments.htm

COLORADO

First come, first served - case management agency. Opening matched with identified needs, new resources usually go to high needs.

Colorado Medicaid:

http://www.chcpf.state.co.us/index.html

Children�s Extensive Support Waiver Program:

http://www.chcpf.state.co.us/StateRules/503ces.html 

CONNECTICUT

Individual's IDT and QMRP. State matching funds must have been appropriated.

Connecticut Medicaid:

http://www.dss.state.ct.us/svcs/medical/index.htm

Family Support Grant Program:

http://www.dss.state.ct.us/svcs/adults.htm

DELAWARE

Division of MR based on person's support needs. Limited in aggregate by division's budget.

Delaware Medicaid:

http://www.state.de.us/dhss/irm/dss/dsshome.htm

Disabled Children DSS Program:

http://www.state.de.us/dhss/dss/disabledchildren.html

DISTRICT OF COLUMBIA

District of Columbia Medicaid:

http://dchealth.dc.gov/information/maa_outline.shtm                     

FLORIDA

Florida Medicaid:

http://www.fdhc.state.fl.us/Medicaid/about/index.shtml 

Medi-Kids � Florida KidCare Program:

http://www.fdhc.state.fl.us/Medicaid/MediKids/index.shtml 

Children�s Medical Services (CMS):

http://www.floridakidcare.org/partners/programs.html#cms

GEORGIA

MHMRSA regional boards. Regional board must identify the state match for placement.

Georgia Medicaid (Dept. of Community Health):

http://www.communityhealth.state.ga.us/

Babies Can�t Wait Program:

http://www.ph.dhr.state.ga.us/programs/bcw/index.shtml

HAWAII

DD division determines eligibility for DD services/Medicaid agency determines admission to HCBS. No applicant denied based on availability of funds/priority to persons placed in or risk of placement in institutions.

Hawaii Medicaid:

http://www.state.hi.us/dhs/ 

IDAHO

Regional DD authority and central office.

Idaho Medicaid:

http://www2.state.id.us/dhw/medicaid/index.htm

Developmentally Disabled HCBS waiver:

http://www2.state.id.us/dhw/medicaid/waivers/dd_waiver_main.htm

ILLINOIS

DMHDD approves resident placement and supports/person must be eligible to receive the waiver. Priority given to consent decree class members, people living in state operated facilities, and community crisis.

Illinois Medicaid:

http://www.state.il.us/dpa/medical_programs.htm

Auditor�s report on Illinois medicaid programs:

http://www.state.il.us/auditor/meddig.htm 

INDIANA

Area agencies for diversions, state case managers for conversions/first come, first served. DNF.

Indiana Medicaid:

http://www.state.in.us/fssa/servicedisabl/medicaid/index.html

Bureau of Developmental Disabilities (BDDS):

http://www.state.in.us/fssa/servicedisabl/ddars/bdds.html 

FSSA First Step Program:

http://www.state.in.us/fssa/first_step/index.html

IOWA

County makes decision based on case manager recommendations. Ill and handicapped waiver � after age 18, MR Waiver.

Iowa Medicaid:

http://www.dhs.state.ia.us/MedicalServices/hcbs_waivers.asp

Community Living Program - Info on Special Needs Grants

http://www.dhs.state.ia.us/mhdd/MHDDSpecialNeeds.htm

KANSAS

Community developmental disability organization. Effectively no constraints. 

Kansas Medicaid:

http://www.srskansas.org/hcp/medicalpolicy/MPmain.html

HCBS Waiver Info:

http://www.srskansas.org/services/hcbs.htm 

KENTUCKY

Waiting list/first come, first served. State cap for waiver services.

Kentucky Medicaid:

http://chs.state.ky.us/dms

Home & Community Based (HCB) Waiver Program:

http://chs.state.ky.us/dms/services/hcb/default.htm 

LOUISIANA

State regional officers. First come, first served with a few emergency exceptions.

Louisiana Medicaid:

http://www.dhh.state.la.us/medicaid/index.htm

Louisiana CHIP Program:

http://www.dhh.state.la.us/medicaid/LaCHIP/Index.htm

MAINE

Case Manager, registered nurse, Medicaid rules, available funding.

Maine Medicaid:

http://www.state.me.us/bms/bmshome.htm

Katie Beckett waiver info:

http://www.mainecite.org/ping/page17.htm 

MARYLAND

Services coordinator, case manager. State match must already be appropriated.

Maryland Medicaid:

http://www.dhmh.state.md.us/mma/mmahome.html

Waiver Programs:

http://www.dhmh.state.md.us/mma/waiverprograms/

HealthChoice:

http://www.dhmh.state.md.us/mma/healthchoice/

MASSACHUSETTS

Recommendation of service coordinator and ISP team/HCBS eligibility. Prioritized waiting lists.

Massachusetts Medicaid:

http://www.magnet.state.ma.us/dma/ 

MICHIGAN

Local responsible mental health agency. Persons with most severe conditions served first.

Michigan Medicaid:

http://www.mdch.state.mi.us/msa/mdch_msa/msahome.HTM

Children�s Special Health Care Services (CSHCS) info:

http://www.mdch.state.mi.us/msa/cshcs/CSHCS.htm

Trust Fund for Children With Special Health Care Needs info:

http://www.mdch.state.mi.us/msa/cshcs/

MINNESOTA

County social service agency. Aggregate average allowed each county.

Minnesota Medicaid:

http://www.dhs.state.mn.us/HealthCare/asstprog/mmap.htm

Info on Home & Community Based Waivers:

http:http://www.dhs.state.mn.us/Contcare/disability/hcbwaiver.htm

MR/RC Waivers:

http://www.dhs.state.mn.us/Contcare/disability/mrrcwaiver.htm 

MISSISSIPPI

Regional retardation facilities. Person and financial caps as approved in waiver.

Mississippi Medicaid:

http://www.dom.state.ms.us/

First Step - Early Intervention Program:

http://www.msdh.state.ms.us/OPHS/EARLYINT/home.htm

MR/DD Waiver info:

http://www.dmh.state.ms.us/mental_retardation_developmental_disabilities_services.htm

MISSOURI

State agency determines eligibility/individual chooses to accept HCBS. 

Missouri Medicaid:

http://www.dss.state.mo.us/dms/

Sarah Lopez waiver:

http://www.dss.state.mo.us/dms/pages/description.htm#waivers

MONTANA

Team composed of state and provider staff. Assessment information used to determine if provider can meet person's needs.

Montana Medicaid:

http://www.dphhs.state.mt.us/hpsd/medicaid/index.htm

Developmental Disabilities Program:

http://www.dphhs.state.mt.us/dsd/govt_programs/ddp/index.htm

NEBRASKA

State Medicaid agency/Dept. of Social Services. Individual Medicaid eligibility.

Nebraska Medicaid:

http://www.hhs.state.ne.us/med/medindex.htm

Children With Disabilities � programs offered (Adobe Acrobat .PDF files):

http://www.hhs.state.ne.us/chd/chdindex.htm 

NEVADA

Caseworker in conjunction with IDT, director of community services. Review of persons needing supports, state priority and waiting list, comparison of alternative settings.

Nevada Medicaid:

http://dhcfp.state.nv.us/index.htm 

NEW HAMPSHIRE

State decides on proposals from local agencies. Sufficient funds, HCFA cap, overall average.

New Hampshire Medicaid:

http://www.dhhs.state.nh.us/DHHS/MEDICAIDPROGRAM/default.htm

Division of Developmental Services:

http://www.dhhs.state.nh.us/DHHS/DDS/default.htm

NEW JERSEY

Eligibility for DD services and received waiver eligible services. Availability of funds.

New Jersey Medicaid:

http://www.state.nj.us/humanservices/dmahs/index.html

NJ Developmental Disabilities Council:

http://www.njddc.org/index.htm

NEW MEXICO

DD division determines eligibility for DD services and budget availability, HSD/ISD determines financial eligibility, BC/BS determines medical eligibility. Federal and state appropriations determines number of individuals served based on aggregate costs.

New Mexico Medicaid:

http://www.state.nm.us/hsd/mad/Index.htm

New Mexico Waiver Programs:

http://www.health.state.nm.us/ltsd/medwaiv_3.html

NEW YORK

Regional office directors. OMRDD's annual priorities for HCBS enrollment and funding.

New York Medicaid:

http://www.health.state.ny.us/nysdoh/medicaid/medicaid.htm

Early Intervention Program:

http://www.health.state.ny.us/nysdoh/eip/index.htm

New York MR/DD Office:

www.omr.state.ny.us

NORTH CAROLINA

Local DD programs (eligibility determined by state DD and MA). Priority listing in terms of client needs.

North Carolina Medicaid:

http://www.dhhs.state.nc.us/dma/

CAP-MR/DD and CAP/C Programs:

http://www.dhhs.state.nc.us/dma/commaltprog.htm

NORTH DAKOTA

DD case manager. HCBS level of care does not include resource considerations.

North Dakota Medicaid:

http://lnotes.state.nd.us/dhs/dhsweb.nsf/ServicePages/MedicalServices

Developmental Disabilities services:

http://lnotes.state.nd.us/dhs/dhsweb.nsf/fc0f0c1fcf4943e6862566730066a4cd/e1373afbce9c32d8862566730065ec8f?OpenDocument

OHIO

First come, first served. State regulations include cost as a component of eligibility.

Ohio Medicaid:

http://www.state.oh.us/odjfs/ohp

Ohio Home Care Program:

http://www.state.oh.us/odjfs/ohp/bcltcs/ohiocare.stm

OKLAHOMA

Waiting list/ first come, first served. No disqualification from HCBS due to severity of need.

Oklahoma Medicaid:

http://www.ohca.state.ok.us/

Oklahoma Developmental Disabilities Services Division:

http://www.okdhs.org/ddsd/

OREGON

State based on eligibility and funding. Waiting list, based on whether or not appropriate service can be provided in the community.  

Oregon Medicaid:

http://www.dhs.state.or.us/healthplan/index.html

PENNSYLVANIA

Placement controlled by county MH/MR program. Caps on number of people served and maximum per capita expense.

Pennyslvania Medicaid:

http://www.dpw.state.pa.us/omap/dpwomap.asp

Home & Community Based Services info:

http://www.dpw.state.pa.us/general/hacbbroc.asp 

RHODE ISLAND

State case manager. Overall state budget must be met, no individual cost limit.

Rhode Island Medicaid:

http://www.dhs.state.ri.us/dhs/dheacre.htm

Children with special needs:

http://www.dhs.state.ri.us/dhs/famchild/dchspec.htm

SOUTH CAROLINA

Dept. of Disabilities and Special Needs. HCBS can not exceed the cost of serving an individual in an ICF-MR.

South Carolina Medicaid:

http://www.dhhs.state.sc.us/Medicaid_info/mediciaidindex.htm

South Carolina Dept. of Disabilities & Special Needs:

http://www.state.sc.us/ddsn/

SOUTH DAKOTA

Division of DD. Prioritized waiting list.

South Dakota Medicaid:

http://www.state.sd.us/state/executive/social/medicaid/index.htm

Children�s Special Health Services:

http://www.state.sd.us/doh/Famhlth/child.htm

TENNESSEE

DMH/MR. Statewide average may not be exceeded; individual averaging allowed. 

TennCare:

http://www.state.tn.us/tenncare/

Council for Developmental Disabilities:

http://www.state.tn.us/cdd/

TEXAS

DMH/MR. Persons enrolled first come, first served off waiting list.

Texas Medicaid:

http://www.hhsc.state.tx.us/Medicaid/index.html

Children With Special Health Care Needs (CSHCN) Programs:

http://www.tdh.state.tx.us/cshcn/ 

http://www.tdh.state.tx.us/cshcn/familysupport.htm

Medically Dependent Children Waiver Program (MDCP):

http://www.dhs.state.tx.us/programs/communitycare/mdcp/

UTAH

Waiver case manager. Considered in scope of services, must stay within aggregate average.

Utah Medicaid:

http://hlunix.hl.state.ut.us/medicaid/

Children with Special Health Care Needs - Community Based Services:

http://health.utah.gov/cshcn/cbs/index.htm

VERMONT

State DD division. Provided to eligible people in accordance with funding that prioritizes funding based on need.

Vermont Medicaid:

http://www.dsw.state.vt.us/districts/HAEU/Medicaid.htm

Disabled Children Health Care (DCHC) & Katie Beckett Waiver & other Vermont programs:

http://www.partoparvt.org/SixWays.html

Vermont Dept. of Social Welfare � policy bulletin:

http://www.dsw.state.vt.us/policy/partm2/m200s.htm 

VIRGINIA

Local community services board and case manager. Financial constraints may limit access, localities prioritize need.  

Virginia Medicaid:

http://www.dmas.state.va.us/

DD Waiver Program:

http://www.dmas.state.va.us/ltc-dev_disability_waiver.htm 

WASHINGTON

Individual case manager. Amount of funding determines capacity.

Washington Medicaid:

http://maa.dshs.wa.gov/

Division of Developmental Disabilities (DDD):

http://www1.dshs.wa.gov/ddd/services.shtml 

WEST VIRGINIA

Selection committee form MR/DD waiver service coordinator agencies, with final eligibility determined by state certification agency. Prioritization guidelines examine natural supports, entitlement programs, current resources, and unmet needs due to unavailability or inaccessibility of needed supports through alternative resources.  

West Virginia Medicaid:

http://www.wvdhhr.org/bms/

MR/DD Home and Community-Based Services Waiver and TEFRA Programs:

http://www.wvdhhr.org/bms/BehAltCare/bms_beh_alt_main.htm

http://www.wvdhhr.org/bhhf/mrddwaiver/default.asp

WISCONSIN

County program. Financial resources.

Wisconsin Medicaid:

http://www.dhfs.state.wi.us/medicaid/

Developmental Disabilities Services & Programs:

http://www.dhfs.state.wi.us/bdds/index.htm

Katie Beckett Waiver Program (Wisconsin):

http://www.dhfs.state.wi.us/bdds/kbp.htm

WYOMING

Adult and child DD manages within limits of waiver.

Wyoming Medicaid:

http://wyequalitycare.acs-inc.com/

Wyoming Developmental Disabilities Division:

http://ddd.state.wy.us/

Children�s Waiver & Respite Services:

http://ddd.state.wy.us/Documents/kathy1.htm 

http://ddd.state.wy.us/Documents/kidsvcs.htm

ALBERTA

 Handicapped Children�s Services (HCS):

http://www.gov.ab.ca/cs/services/hcs/hcs.htm

BRITISH COLUMBIA

MANITOBA

NEW BRUNSWICK

 Community Based Services For Children With Special Needs:

http://www.gov.nb.ca/hcs-ssc/english/services/fcss/support.htm

NEWFOUNDLAND

NOVA SCOTIA

ONTARIO

Ontario OHIP:

http://www.gov.on.ca/MOH/english/program/ohip/ohip_mn.html 

Ministry of Community, Family & Children�s Services:

 - Developmental Services / Special Services At Home (SSAH):

http://www.cfcs.gov.on.ca/CFCS/en/programs/SCS/DevelopmentalServices/default.htm

- Ontario Disabilities Support Program:

http://www.cfcs.gov.on.ca/CFCS/en/programs/IES/OntarioDisabilitySupportProgram/default.htm

Ministry of Health & Long Term Care:

- Long Term Care / In Home Services:

http://www.gov.on.ca/health/english/program/ltc/homecare.html

- Assisted Devices Program:

http://www.gov.on.ca/health/english/program/adp/adp_mn.html

- Ontario Drug Benefit

http://www.gov.on.ca/health/english/program/drugs/drugs_mn.html

Ministry of Transportation:

- Handicapped Parking Permit:

http://www.mto.gov.on.ca/english/dandv/vehicle/disabled.htm

PRINCE EDWARD ISLAND

QUEBEC

Info on grants for adapting your home:

SOCIETE HABITATION DU QUEBEC - PAD PROGRAM (in french)

http://www.shq.gouv.qc.ca/fr/pg/ad/pgadah00.html

Info on grants for adapting your vehicle:

SOCIETE AUTOMOBILE DU QUEBEC

Info on how to receive a handicapped parking permit:

SOCIETE AUTOMOBILE DU QUEBEC (in french)

http://www.saaq.gouv.qc.ca/route/vignette_stationnement.html

SASKATCHEWAN

YUKON & NW TERRITORIES

AUSTRALIA

NEW ZEALAND