Acquired Brain Injury (ABI)
The Acquired Brain Injury (ABI) Waiver program provides intensive services and supports to adults with acquired brain injuries working to re-enter community life. Services are provided exclusively in community settings.
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What services are available? |
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The following 14 services are funded:
- case management
- personal care
- companion services
- respite care
- environmental modifications
- behavior programming
- counseling and training
- structured day program
- specialized medical equipment and supplies
- prevocational services
- supported employment
- occupational therapy
- speech and language services
- community residential services (excluding room and board)
Note: For members interested in Consumer Directed Option Services for ABI, 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 Recommendation. 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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To qualify for services, an individual must:
- have an acquired brain injury
- be between the ages of 21 and 65
- meet nursing facility level of care
- be expected to benefit from waiver services, and
- be financially eligible for Medicaid services
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 financial eligibility criteria for Medicaid are applied for this program.
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