The Department of Developmental Services (DDS) Home and Community-based (HCBS) Waivers assist individuals with intellectual disabilities and are designed to maximize a person's potential, increase their independence and promote meaningful community connections. These waivers provide in-home, employment/vocational, and family support services for people who live in their own home or family home or licensed settings.
The DDS Comprehensive Supports (COMP) Waiver provides services to individuals who live in licensed Community Living Arrangements (CLA), Community Companion Homes (CCH) or in Assisted Living Facilities (ALF). It can also be used to provide services to individuals who live in their own home or in their family home and who are in need of a comprehensive level of support, usually because of significant physical, behavioral or medical support needs.
Note: There may be a waiting list for this program.
See Also: There are two other DDS Medicaid Home and Community-Based Waivers to assist individuals with intellectual disabilities. The services provided for each are similar, but there are some differences.
To be eligible for the DDS Comprehensive Supports Waiver, applicants must meet the following criteria:
A person's assets must be less than $1,600 and their income and entitlements less than three times their Supplemental Security Income payment. Working individuals may be eligible for the Working Disabled (SO5) Medicaid program which has higher income and asset limits. Only the assets of the applicant are considered, not the assets of family members.
Individuals who cannot afford the cost of care, but are over Medicaid's limits may still qualify. The state has a spend down program that evaluates an individual's care costs and their income. If it is calculated that an individual cannot meet their care costs, they can qualify for Medicaid by spending-down their income over the limit on their medically-necessary care costs.
Alternatively, the individual can also privately pay for services out-of-pocket until they become eligible.
Individuals who are denied enrollment into one of the DDS waivers or who are denied requested waiver services have the right to request a hearing from the Department of Social Services. Notice of Fair Hearing Rights and the Hearing Request Form are provided to the individual with the written denial of enrollment or service.
Services offered through the Comprehensive Supports Waiver include:
People who have enrolled in the DDS Comprehensive Supports Waiver may not receive care immediately and may be placed on the DDS Waiting List until an open slot becomes available. DDS will notify people on the waiting list when there is an available opening through the regional Planning and Resource Allocation Team (PRAT) process.
Applicants deemed eligible to receive services and their team will start the Individual Plan process and complete the waiver application and the Medicaid application if necessary. Case managers for people already receiving services can help them determine if they are waiver eligible and help complete the application process. Care recipients will be able to independently choose services and supports or work with a support broker for assistance.
For questions or additional information, contact:
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