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Medicaid Waivers and "Interest Lists"


What is a Medicaid Waiver?

A Medicaid waiver will allow the state to be more flexible in how it spends money to provide some long-term services 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 services.

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

In Texas, there are several different waiver programs that offer a broad range of home and community-based services to people with disabilities and 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 intermediate care facility for individuals with an intellectual disability or related conditions.
  • You must have a determination of an intellectual disability in accordance with sate 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.  Your age will help determine which waiver you go on.

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

If you're looking for disability services, start by calling 2-1-1.  This is a free service 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 interest lists move at a different pace for each of the waivers.  Some waivers are available immediately, while others have a wait time of up to 9 years.  

Tips:

Sign up for all interest lists that you or your family member may be eligible for or are interested in, even if your are not sure you 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.

          Waiver:
          Agency:
          Name:
          Contact Info:

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 one 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 Interest List

WAIVERS IN TEXAS:  CBA (Community Based Alternatives), CLASS (Community Living Assistance and Support Services), DBMD (Deaf Blind with Multiple 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 website:  http:/www.dads.state.tx.us
- call DADS 1-877-438-5658 (toll free)
- 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 office 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


DBMD Deaf Blind With Multiple Disabilities

Adaptive Aids, Assisted Living, Behavior Communication Specialist, Chore Services, Day Habitation, Dietary/Nutrition, Intervenor


HCS Home and Community Services

Adaptive Aids, Audiology, Case Management, Day Habitation, Dental, Dietary/Nutrition, Foster/Companion Care


MDCP  Medically Dependent Children Program

Adaptive Aids, Adjunct Support Services, Case Management,


TxHmL Texas Home Living Waiver

Adaptive Aids, Audiology, Behavioral Support, Community Support, Day Habitation, Dental, Dietary/Nutrition, Employment Assistance

 
Last Updated: 7/3/14
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