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Legal Authority Home and community-based services (HCBS) waivers are authorized under section 1915(c) of the Social Security Act and governed by Title 42, Code of Federal Regulations (CFR), Parts 440 and 441. HCBS programs are sometimes called “waiver” programs because the state has gotten CMS to waive certain requirements of the Medicaid program. These resources were published along with Medicaid-specific guidance on 1135 waivers and follow previous guidance for state Medicaid … 0000008846 00000 n These waivers allow states, if they choose, to extend home- and community-based Medicaid services to individuals who would otherwise qualify for care in a nursing home or institution. 7, § 1396n §§ 1915(c), are a type of Medicaid waiver.HCBS waivers expand the types of settings in which people can receive comprehensive long-term care under Medicaid. In 2011, Florida had a total of 44,596 people on their combined waiver waiting lists, consisting primarily of 20,622 on the Aged and Disabled waiting list, and 19,460 in the ID/DD waiting list. Waivers are state specific Medicaid programs that allow for services to be provided outside of nursing homes. The Medicaid Home and Community-Based Services (HCBS) waiver program is authorized in §1915(c) of the Social Security Act. Resources. Services are provided based on individual need. Several States include HCBS services in their Medicaid State plans. 0000010668 00000 n It's a new and better way for the Agency for Persons with Disabilities to manage the Medicaid waiver system for people with developmental disabilities. Those who live at home or in the community but seek Florida Medicaid Managed Long-Term-Care coverage for Home and Community Based Services (HCBS). 0000006661 00000 n Home and community based services (HCBS) provide opportunities for Medicaid beneficiaries to receive services in their own home or community rather than institutions or other isolated settings. 104 0 obj <> endobj Services provided under waivers may be restricted to specific groups based on geographic region, income, or type of disability. 0000001650 00000 n Florida’s current Long-Term Care Waiver operates through two separate waivers authorized under Social Security Act Sections 1915(b) (for managed care) and (c) (HCBS). The Florida Department of Elder Affairs is the primary state agency administering human services programs to benefit Florida’s elders. States HCBS programs must be approved by the Centers for Medicare and Medicaid Services (CMS) in a process known as a 1915(c) waiver. Waiver Description. These disabilities include: Cognitive impairments, spina bifida, cerebral palsy, Prader-Willi syndrome, Down syndrome, Phelan-McDermid syndrome, and Autism. Waivers vary from state to state, and many states offer more than one type of 1915(c) waiver. Consumer Directed Care Plus (CDC +) - is an alternative Medicaid Home and Community-Based Services (HCBS) Medicaid Waiver for persons enrolled to self-direct their waiver services The program provides the opportunity for individuals to improve the quality of their lives by being empowered to make choices about the supports and services that will meet their needs and to help them reach their goals … 0000009778 00000 n How many people are on the waiting list in Florida? This website provides information on our programs and services, and current initiatives. 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