Medicaid home- and community-based service waivers allow people with developmental disabilities to receive care in their homes and communities instead of in long-term care facilities, hospitals or intermediate care facilities. These programs are called waiver programs because, under current law, eligible people with disabilities and chronic conditions are entitled to facility-based care, but, home- and community-based care is considered optional. Therefore, states must apply for “waivers” from the federal government for Medicaid to provide home and community-based services.
Waivers allow people with disabilities to have more control over their lives and to remain active participants in their communities. Eligible individuals must meet specific financial criteria, must have a level of care specification and can be of any age.
Types of Waivers
Level One Waivers – services provided by a Level One Waiver can include: respite, specialized medical equipment, supported employment, transportation, and vocational habilitation.
Individual Options (IO) Waiver – services provided by an IO Waiver can include: adult day services, adult family living, community respite, homemaker/personal care services, remote monitoring equipment, supported employment, and transportation.
Self-Empowered Life Funding (SELF) Waiver – services provided by a SELF Waiver can include community inclusion and respite, integrated employment, support brokerage, and residential respite.
How is a Waiver Funded?
Waiver funding is provided by local and federal dollars. The Butler County Board of Developmental Disabilities provides approximately 40 percent of local dollars in order to receive 60 percent of federal Medicaid dollars. Waiver funding is a long-term local commitment. The Board continually projects the local funding needed now and in the future in order to assure the continued financial obligation can be sustained.
How can I learn more?
If you already receive services and support provided by Butler County Board of Developmental Disabilities, contact your Support Coordinator, or call (513) 785-2800 or email the Eligibility Department.
Waiting List FAQ
- If you are on the waiting list under the old rule, you are currently on a short-term transitional list.
- Your county board will contact you to discuss if you have any unmet needs. If so, the new statewide assessment will be completed with you to determine if you have an immediate or current need.
- Immediate Need – A situation that creates a risk of substantial harm to an individual, caregiver, or another person if action is not taken within 30 calendar days to reduce the risk.
- Current Need – An unmet need for services within 12 months, as determined by a county board based upon the assessment.
- You will be contacted by your county board with the results of your assessment.
- If you do not agree with the results of your assessment, you have the right to appeal. Due Process forms will be mailed to you.
- If your needs change, contact your SSA or county board to have a new assessment completed.