Home and Community Based (HCB) Waiver Program

The Home and Community Based (HCB) Waiver program provides Medicaid coverage to individuals who are aged, or disabled, and who may, without these services, be admitted to a nursing facility. These individuals must meet nursing facility level of care to be eligible to participate in the HCB Waiver program.

The services offered under the HCB Waiver program are provided by Home Health agencies enrolled in the Medicaid program as HCB Waiver providers. These services are available statewide for individuals who are eligible to receive HCB Waiver services. There is a provision for Medicaid eligibility to be determined under a special income level for individuals who otherwise meet all requirements for receiving HCB Waiver services.

Services Available Include:

• Assessment services entail a comprehensive assessment of the HCB Waiver member, care planning and reassessments.
• Case management services provide location, coordination and monitoring of the HCB Waiver member's services.
• Homemaker service is a service that consists of general household activities such as meal preparation and routine household care.
• Personal care services are medically-oriented and are related to the HCB Waiver member's physical requirements.
• Respite care service is short-term care provided to an HCB Waiver member due to the absence or to provide relief to the primary caregiver.
• Minor home adaptations are changes or additions made to the HCB Waiver member's living environment to make it possible for them to remain in the current living arrangement.
• Attendant care services is a hands-on care of an HCB Waiver member.
• Adult Day Health Care services are provided on a regularly-scheduled basis. These services are of a medical nature and ensure optimal functioning of an HCB Waiver member.