How Do I Enroll in Medicaid HCBS Waiver Disability Services?

Step 1: Become eligible through your local Case Management Agency:

• Case Management Agencies (or CMAs) provide case management services for those receiving disability services. 
• All individuals receiving disability services should go through a CMA.
• CMAs are determined by region and county of residence:
  • Case Management Agencies by County
  • If your region is not listed, start with one that is closest to you.
• Be prepared to complete paperwork and intake assessments.
  • This will involve the individual receiving services directly.
• The intake process will include:
  • Support Intensity Scale (SIS) assessment
  • Selection of waiver and services
  • Request for Proposal (RFP) process
  • Individual Plan (IP) meeting
  • Service enrollment
• You will receive confirmation of enrollment typically within 1 to 3 months of beginning the intake process.​

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Step 2: Enroll in a HCBS Waiver:

• Learn about HCBS Waivers 
• Choose a waiver
  • Youth Services Waiver Options and Descriptions
  • Adult Services Waiver Options and Descriptions
  • Many waivers may have a waitlist. Options for immediate enrollment are:
    • Child immediate enrollment: CES Waiver
    • Adult immediate enrollment: SLS Waiver
  • In crisis or emergency situations there are processes to bypass the waitlist including:
    • Child emergency enrollment: CHRP Waiver
    • Adult emergency enrollment: DD or Comprehensive Waiver​​

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Step 3: Choose a Program Approved Service Agency (PASA):

• Learn about available PASAs
• Start the request for proposal (RFP) process
  • Individuals in services have the right to make an informed choice on their service providers through the RFP process.
  • Individuals are able to send out a detailed request for the services they are looking for to meet their needs.
  • PASAs will reply with their ability to meet the needs of the proposal.
  • Individuals can then interview providers who responded to make an informed choice about who they would like to work with.
  • Individuals can work with different agencies for different services. There is no requirement to choose only one agency.

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Step 4: Start Services:

• We invite you to choose Sample Supports!
  • Residential Services
  • Supported Living Services
  • Day Programming Services
  • Supported Employment Services
  • Behavioral Services
  • Therapeutic Services
  • Respite and Home Health Services