• Medicaid Waivers and "Interest Lists"

     

    What is a Medicaid Waiver?

     

    A Medicaid waiver will allow the state to be more flexible inhow it spends moneu to *some long-term servies to people with disabilities or elderly citizens who are eligible for Medicaid.  In the past, people had to be in nursing homes/facilities or other large institutions for Medicaid to pay for long-term care services.

     

    Waivers override certain rules for how Medicaid funding can be used.  If they meet the eligibility requirements, peope can get the services they need in their own homes or other sommunity settings, instead of having to go into a nursing facility or instituation.

     

    In Texas, there are several different waiver programs that offer a broad range of home and community-based services to people with disabilities ad elderly citizens  There are different rules and funding amounts for each of the different waivers.  In general, though, they all help people get the supports they need in the community.

     

    Who can get services in Texas?

    You can be of any age.

     

    *You must qualify for care in an interemediate care facility for individuals with an intellectaul disability or related conditions.

     

    *You must have a determination of an intellectaul disability in accordance with state law or have a diagnosis of a related condition with an IQ of 75 or below.

    *You cannot be enrolled in another waiver program.

    * Your income and resources may not exceed specified limits.

     

    How old do you have to be to start receiving services in Texas?

        You can be of any age and get waiver services.  Yuor age will help determine which waiver you go on.

     

    What assistance is available while you wait for waiver services in Texas?

       If you are looking for disability services, start by calling 2-1-1.  This is a free servcice and you can speak to knowledgeable staff 7 days a week 24 hours a day.

     

     

    What are Interest Lists?

     

    The Department of Aging and Disability Services (DADS) maintains an "Interest List" (also known as the "Waiting List") for individuals with disabilities and their families who are requesting Medicaid waiver services.  Due to a variety of reasons, the interst lists move at a different pace for eah of the waivers.  Some waivers are available immediately, while others have  wait time of up to 13 years at the current time.

     

    Tips?

     

    Sign up for all interst lists that you ar your family meber may be eligible for or are interested in, even if you are not susrse you will qualify.

     

    Always get the name and contact information of the person who records your information and keep it with your records.  You should receive a letter of confirmation with the following information:  Waiver, Agency, Name and Contact Information

     

    If you receive a letter or phone call from the agency regarding the interest list ALWAYS respond.  Your name may be "scrubbed" from the list if there is no response.

    Ask:  How many people are on the list?

             Is it organized by state or county?

             When and how will they contact you?

     

    If you change your address or phone number, make sure that you call the DADS office to give them the correct information.  Also, call at least one time a year to verify that your name is still on the list and that your contact information is still correct.

     

    Agency Contacts to Get on the Internet Lit

     

    WAIVERS IN TEXAS:  CBA (Community Based Altrnatives), CLASS (Community Living Assistance and Support Services), DBMB (Deaf Blind and Mltiple Disabilities), and MDCP (Medically Dependent Children Program, HCS (Home and Community Services), TxHmL (Texas Home Living Waiver).

     

    For help with: CBA, CLASS, DBMD, MDCP 

    Call:  Texas Department of Aging and Disability Services (DADS) - DADS local offices wesite:  http://www.dads.state.tx.us - call 2-1-1

     

    For help with HCS and TxHmL

    Call:  Mental Retardation Authority (MRA) - MRA offices

    website:  http://www.dads.state.tx.us/contact/mra.cfm

    - Local MRA number   call 2-1-1

     

    What do the specific waivers help with?

    CBA Community Based Alternatives - adaptive aids, Adult Foster Care, Assisted Living, Case Management, Dental, Emergency Response System, Home Delivered Meals

     

    CLASS Community Living Assistance and Support Services - adaptive aids, Case Management, Dietary/Nutrition, Habilitation Attendant/Habitation Training

     

    DBMB Deaf lind With Multiple Disabilities - adaptive aids, assisted living, behavior communication specialist, chore services, day habitation, dietary/nutrition, intervenor

     

    HCS Home and Community Sesrvices - adaptive aids, audiology, case management, day habitation, dental, dietary/nutrition, Foster/Companion Care

     

    MDCP Medially Dependent Children Program - adaptive aids, Adjunct Support Services, Case Management

     

    TxHmL Texas Home Living Waiver - adaptive aids, Audiology, Behavioral Spport, Community Support, Day Habitation, Dental, Dietary/Nutrition, Employment Assistance