Acquired Brain Injury (ABI) - Long Term Care Waiver
The Acquired Brain Injury Long Term Care Waiver program provides an alternative to institutional care for individuals that have reached a plateau in their rehabilitation level and require maintenance services to avoid institutionalization and to live safely in the community. Click below to view
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What services are available? |
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The following services are available under the Acquired Brain Injury Long Term Care Waiver Program:
- Case Management
- Community Living Supports
- Respite Care
- Adult Day Health Care
- Adult Day Training
- Environmental Modifications
- Behavior Programming
- Counseling
- Group Counseling
- Specialized Medical Equipment and Supplies
- Supported Employment
- Occupational Therapy
- Speech Therapy
- Nursing Supports
- Family Training
- Physical Therapy
- Assessment and Reassessment
- Supervised Residential Care
Note: For members interested in Consumer Directed Option Services for ABI Long Term Care, visit the DMS CDO Web page.
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How do I apply for services? |
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To apply, first complete the MAP-26 - ABI Program Application and MAP-10 - Waiver Services Physician's Recommendations. Fax or mail the completed applications to the Acquired Brain Injury Branch. When funding becomes available, an allocation letter will be sent directing you to choose a case manager who will help you with the admission process and the development of a plan of care.
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Who is eligible for services? |
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Persons who:
- Are at least 18 years of age;
- Meet nursing facility level of care;
- Have a primary diagnosis of an acquired brain injury which necessitates supervision, rehabilitative services and long term supports; and
- Are Medicaid eligible
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ABI Waiver program exclusions
The following conditions are not considered acquired brain injuries requiring specialized rehabilitation:
- A stroke treatable in a nursing facility providing routine rehabilitation services
- A spinal cord injury with no known or obvious injury to the intercranial central nervous system
- Progressive dementia or other mentally impairing condition of a chronic degenerative nature such as senile dementia, organic brain disorder, Alzheimer's Disease, alcoholism or other addiction
- Depression or psychiatric disorders with no known or obvious central nervous system damage
- Birth defects
- Mental retardation not associated with an acquired brain injury
- A condition which causes an individual to pose a level of danger or aggression which cannot be managed and treated in a community setting
Note: Special criteria for financial eligibility for Medicaid are applied for this program.
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