Self-Direction Programs

The National Resource Center for Participant-Directed Services (NRCPDS) and Applied Self-Direction have completed a national inventory of self-direction programs in the United States every three years since 2011. Each inventory builds on previous years to reflect the impact of changes in Federal law, regulation, and policy designed to promote the growth of self-directed long-term support services, as well as the expanding number of state Medicaid programs contracting with managed care entities to administer their long-term services and supports.

Below is a list of the self-direction programs by state and populations served. Please note the below information is updated as new information becomes available.

Alabama

Alabama Community Transition (ACT) Waiver

  • Populations served: Individuals with disabilities or long-term illnesses currently living in an institutional setting
  • Program Website

Alabama Home and Community-Based Waiver for Persons with Intellectual Disabilities

  • Populations served: Adults with intellectual/developmental disabilities 
  • Self-directing participant count: 58
  • Program Website

Elderly and Disabled Waiver

  • Populations served: Seniors (over 65 years of age) and adults with physical disabilities
  • Program Website

Personal Choices

  • Populations served: Adults with physical disabilities, children with physical disabilities, and seniors
  • Self-directing participant count: 154
  • Program Website

State of Alabama Independent Living (SAIL) Waiver

  • Populations served: Adults with physical disabilities
  • Self-directing participant count: 48
  • Program Website

Technology Assisted Waiver

  • Populations served: Individuals (over 21) who have had a tracheostomy or who are ventilator dependent and require skilled nursing services
  • Program Website

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: Data forthcoming
  • Program Website

Alaska

Community First Choice Personal Care Service

  • Populations served: All recipients who currently meet an institutional level of care and receive both Home and Community Based Waiver Services and Personal Care Services have predetermined eligibility.
  • Self-directing participant count: Data forthcoming
  • Program Website

Consumer-Directed Personal Care Services Program (CDPCA)

  • Populations served: Adults with physical disabilities, children with physical disabilities, and seniors 
  • Self-directing participant count: 3,792
  • Program Website

Veteran-Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: 510
  • Program Website

Arkansas

Independent Choices

  • Populations served: Adults with physical disabilities and seniors
  • Self-directing participant count: 2,799
  • For more information call: 1-844-581-6018

Veteran-Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)  
  • Self-directing participant count: 11
  • Program Website

Arizona

Arizona Healthcare Cost Containment System

  • Populations served: Adults with physical disabilities, children with physical disabilities, seniors, and individuals with serious mental health conditions
  • Self-directing participant count: 4,000
  • Program Website

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: Data forthcoming
  • Program Website

California

Community First Choice Option (CFCO)

  • Populations served: Individuals who are eligible for medical assistance under the State Plan who meet specific income criteria and meet the Nursing Facility Level of Care 
  • Self-directing participant count: Data forthcoming
  • Program Website

HCBS DD Waiver

  • Populations served: Adults with developmental disabilities and children with developmental disabilities
  • Self-directing participant count: Data forthcoming
  • Program Website

Personal Care Services Program (PCSP)

  • Populations served:  Seniors (over 65 years of age) and adults with physical disabilities
  • Self-directing participant count: Data forthcoming
  • Program Website

Self-Determination Waiver

  • Populations served:  Adults with developmental disabilities and children with developmental disabilities
  • Self-directing participant count: Data forthcoming
  • Program Website

Veteran-Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: 18
  • Program Website

Colorado

Brain Injury Waiver

  • Populations served: Individuals 16 years or older with a brain injury
  • Self-directing participant count: 36

Children's Home and Community Based Services (CHCBS) waiver

  • Populations served: Children with disabilities 
  • Self-directing participant count: 281

Consumer-Directed Attendant Support Services (CDASS)

  • Populations served: Seniors (over 65 years of age), adults with physical disabilities, adults with developmental disabilities, adults with serious mental illness, adults with traumatic brain injury, children with physical disabilities, and children with developmental disabilities
  • Self-directing participant count: Data forthcoming

Elderly, Blind and Disabled (HCBS-EBD) Waiver

  • Populations served: Adults with disabilities and seniors 
  • Self-directing participant count: 3,900

In-Home Support Services (IHSS)

  • Populations served: Seniors (over 65 years of age), adults with physical disabilities, adults with developmental disabilities, adults with serious mental illness, adults with traumatic brain injury, children with physical disabilities, and children with developmental disabilities
  • Self-directing participant count: Data forthcoming

Spinal Cord Injury (SCI) Waiver 

  • Populations served: Adults with a diagnosis of a spinal cord injury

Supportive Living Services Waiver (SLS)

  • Populations served: Adults with developmental disabilities

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: 5

Connecticut

Acquired Brain Injury Waiver 

Community First Choice

  • Populations served: Adults with physical disabilities, seniors, and individuals with traumatic brain injury (TBI)
  • Self-directing participant count: 3,600 across all waivers

Comprehensive Supports Waiver

  • Populations served: Adults with intellectual disabilities 
  • Self-directing participant count: 3,600 across all waivers

Connecticut Home Care Program for Elders (CHCPE)

Employment and Day Supports Waiver

  • Populations served: Adults with intellectual disabilities 
  • Self-directing participant count: 3,600 across all waivers

Home and Community Supports Waiver for Persons with Autism

  • Populations served: Individuals with autism 
  • Self-directing participant count: 3,600 across all waivers

Individual and Family Support Waiver

  • Populations served: Children with intellectual/developmental disabilities and adults with intellectual disabilities 
  • Self-directing participant count: 3,600 across all waivers

Mental Health Waiver

  • Populations served: Individuals with serious mental health conditions
  • Self-directing participant count: 3,600 across all waivers

Personal Care Assistance Program 

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: 50

Delaware

Attendant Services

  • Populations served: Adults with physical disabilities and seniors
  • Self-directing participant count: 107

DDDS Lifespan Waiver

  • Populations served: Adults with developmental disabilities and children with developmental disabilities
  • Self-directing participant count: Data forthcoming

Diamond State Health Plan Plus

  • Populations served: Adults with physical disabilities, children with physical disabilities, and seniors 
  • Self-directing participant count: 1,300

Pathways to Employment

  • Populations served: Individuals with physical disabilities (aged 14-25) and individuals with intellectual/developmental disabilities (aged 14-25)

District of Columbia (DC)

Elderly and Persons with Physical Disabilities Waiver

  • Populations served: Adults with physical disabilities and seniors
  • Self-directing participant count: 32

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: 1

Florida

Florida Long-Term Care Waiver (Participant-Directed Option)

  • Populations served: Seniors (ages 65 and older), individuals with physical disabilities, and individuals with traumatic brain injury
  • Self-directing participant count: Data forthcoming

Florida Self-Directed Care, Circuit 20

  • Populations served: Individuals with serious mental health conditions
  • Self-directing participant count: 57

Florida Self-Directed Care, District 4 (Jacksonville)

  • Populations served: Individuals with serious mental health conditions
  • Self-directing participant count: 273

Veteran-Directed Care

  • Populations served: Adults with disabilities and seniors (Veterans) 
  • Self-directing participant count: 236

Georgia

Comprehensive Supports Waiver (COMP) 

  • Populations served: Individuals with intellectual/developmental disabilities (birth to no maximum age)
  • Self-directing participant count: 1,329

Georgia Community Care Services Program (CCSP) Medicaid Waiver

  • Populations served: Individuals with disabilities (aged 0 - 64) and seniors 
  • Self-directing participant count: 382

Independent Care Waiver

  • Populations served: Adults with severe physical disabilities including traumatic brain injuries (aged 21 - 64)  
  • Self-directing participant count: 1,500

New Options Waiver (NOW)

  • Populations served: Children and adults with intellectual/developmental disabilities 
  • Self-directing participant count: 558

Veteran-Directed Care

  • Populations served: Adults with disabilities and seniors (Veterans) 
  • Self-directing participant count: Data forthcoming

Hawaii

Community Living Program (Participant Directed through the State of Hawaii Executive Office on Aging)

  • Populations served: Older adults at risk of placement in a nursing home that do not qualify for Medicaid 
  • Self-directing participant count: 41

Home and Community-Based Services for People with Developmental Disabilities

  • Populations served: Individuals with intellectual/developmental disabilities 
  • Self-directing participant count: 642

Quest Integration (QI)

  • Populations served: All populations except individuals with intellectual/developmental disabilities 
  • Self-directing participant count: 2,261

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: 15

Idaho

Aged and Disabled Waiver

  • Populations served: Seniors and adults with physical disabilities 
  • Self-directing participant count: 500

Children's Developmental Disabilities Waiver

  • Populations served: Children with intellectual/developmental disabilities 
  • Self-directing participant count: 1,660 across the Children and Adult Developmental Disabilities waivers

Idaho Developmental Disabilities Waiver

  • Populations served: Adults with intellectual/developmental disabilities 
  • Self-directing participant count: 1,660 across the Children and Adult Developmental Disabilities waivers

Veteran-Directed Care 

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: 10

Illinois

Home and Community-Based Services (HCBS) Waiver for Adults with Developmental Disabilities

  • Populations served: Persons age 18 or older with developmental disabilities who are at risk of placement in an Intermediate Care Facility for persons with Developmental Disabilities (ICF/DD)
  • Self-directing participant count: 7,134 (total between the Adult and Children Developmental Disabilities waivers) 

Home and Community-Based Services (HCBS) Waiver for Persons with Brain Injury

  • Populations served: Persons with brain injury, of any age, who are at risk of nursing facility placement due to functional limitations resulting from the brain injury

Home and Community-Based Services (HCBS) Waiver for Persons with HIV or AIDS

  • Populations served: Persons of any age who are diagnosed with Human Immune Deficiency Virus (HIV) or Acquired Immune Deficiency Syndrome (AIDS) and are at risk of placement in a nursing facility

Home Services Program

  • Populations served:  People with severe disabilities under age 60 who need help with daily living activities in their homes. 
  • Self-directing participant count: 28,000

Persons with Disabilities/Physically Disabled

  • Populations served: Individuals with disabilities who are under age 60 at the time of application and are at risk of placement in a nursing facility, individuals 60 years or older, who began services before age 60, may choose to remain in this waiver

Support Waiver for Children and Young Adults with Developmental Disabilities

  • Populations served: Children and young adults with developmental disabilities ages 3 through 21 who live at home with their families and are at risk of placement in an Intermediate Care Facility for persons with Developmental Disabilities (ICF/DD)
  • Self-directing participant count: 7,134 (total between the Adult and Children Developmental Disabilities waivers) 

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: 136

Indiana

Aged and Disabled Waiver

  • Populations served: Aged, blind, or otherwise disabled
  • Self-directing participant count: 340

Community and Home Options to Institutional Care for the Elderly and Disabled (CHOICE) 

  • Populations served: At least 60 years of age or have a physical or mental impairment
  • Self-directing participant count: 35

Iowa

Consumer Choices Option

  • Populations served: Individuals with a disability or seniors eligible for Home and Community-Based Waiver (HCBS) Services (AIDS Waiver, Brain Injury Waiver, Elderly Waiver, Health and Disability Waiver, Intellectual Disabilities Waiver, and Physical Disability Waiver) 
  • Self-directing participant count: 3,211

Consumer Directed Attendant Care

  • Populations served: Adults with disabilities and seniors 
  • Self-directing participant count: 4,500

Home and Community Based Services - AIDS

Home and Community Based Services - Brain Injury

  • Populations served: Individuals with traumatic brain injury

Home and Community Based Services - Elderly Waiver

Home and Community Based Services - Health and Disability Waiver

Home and Community Based Services - Intellectual Disabilities Waiver

  • Populations served: Adults with developmental disabilities and children with developmental disabilities

Home and Community Based Services - Physical Disability Waiver

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: Data forthcoming

Kansas

Brain Injury (BI) Waiver Program

  • Populations served: Adults with traumatic brain injury
  • Self-directing participant count: Data forthcoming

Frail Elderly Waiver Program

  • Populations served: Seniors (ages 65 and over)
  • Self-directing participant count: Data forthcoming

Intellectual/Developmental Disability (I/DD) Waiver Program

  • Populations served: Adults with developmental disabilities and children with developmental disabilities
  • Self-directing participant count: Data forthcoming

KanCare

  • Populations served: All populations
  • Self-directing participant count: 10,033

Physical Disability Waiver Program

  • Populations served: Adults with physical disabilities and children with physical disabilities
  • Self-directing participant count: Data forthcoming

Technology Assisted (TA) Waiver 

  • Populations served: Individuals ages 0 through 21 years who are chronically ill or medically fragile and dependent upon a ventilator or medical device to compensate for the loss of vital bodily function
  • Self-directing participant count: Data forthcoming

WORK

  • Populations served: Adults with physical disabilities and adults with developmental disabilities
  • Self-directing participant count: 300

Kentucky

Acquired Brain Injury (ABI) Waiver

  • Populations served: Adults with traumatic brain injury
  • Self-direction participant count: Data forthcoming

Acquired Brain Injury Long Term Care (ABI LTC) Waiver

  • Populations served: Adults with traumatic brain injury
  • Self-direction participant count: Data forthcoming

Home and Community Based (HCB) Waiver

  • Populations served: Seniors and adults with physical disabilities
  • Self-direction participant count: Data forthcoming

HCBS Transitions

  • Populations served: Seniors and adults with physical disabilities
  • Self-direction participant count: Data forthcoming

Michelle P. Waiver (MPW)

  • Populations served: Adults with developmental disabilities and children with developmental disabilities
  • Self-direction participant count: Data forthcoming

Supports for Community Living (SCL) Waiver

  • Populations served: Adults with developmental disabilities and children with developmental disabilities
  • Self-direction participant count: Data forthcoming

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: Data forthcoming

Louisiana

Children's Choice Waiver

  • Populations served: Children with developmental disabilities (birth to 18)
  • Self-directing participant count: 86

Community Choices Waiver

  • Populations served: Adults with physical disabilities and seniors 
  • Self-directing participant count: 104

New Opportunities Waiver

  • Populations served: Individuals with intellectual/developmental disabilities (age 3 and older) 
  • Self-directing participant count: 591

Residential Options Waiver

  • Populations served: Individuals with intellectual/developmental disabilities 
  • Self-directing participant count: 4

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: 29

Maine

Consumer Directed Attendant Services (or Consumer Directed Assistance Services)

  • Populations served: Adults with physical disabilities and seniors 
  • Self-directing participant count: 139

Elderly and Adults with Disabilities Waiver

  • Populations served: Adults with physical disabilities and seniors 
  • Self-directing participant count: 139

In-Home and Community Support Services for Elderly and Other Adults

  • Populations served: Adults with physical disabilities and seniors 
  • Self-directing participant count: 109

Private Duty Nursing/Personal Care State Plan

  • Populations served: Adults with physical disabilities and seniors 
  • Self-directing participant count: 39

Veteran Directed Care

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: 6

Maryland

Community Pathways*

  • Populations served: Children and adults with developmental disabilities
  • Self-directing participant count: 800+ (across all programs)

Community Supports Waiver*

  • Populations served: Children and adults with developmental disabilities
  • Self-directing participant count: 800+ (across all programs)

Family Supports Waiver* 

  • Populations served: Children birth to 21 with developmental disabilities
  • Self-directing participant count:  800+ (across all programs)

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: 47

Massachusetts

Adult Supports Waiver

  • Populations served: Adults with developmental disabilities

Children's Autism Waiver

  • Populations served: Children with autism (birth to 8)
  • Self-directing participant count: 325

Community Living Waiver

  • Populations served: Individuals 22 years and older with intellectual/developmental disabilities
  • Self-directing participant count: 350

Intensive Supports Waiver

  • Populations served: Individuals 22 years and older with intellectual/developmental disabilities who require 24/7 support
  • Self-directing participant count: 100

MFP Community Living (MFP-CL)

  • Populations served: Seniors, adults with physical disabilities, adults with serious mental illness
  • Self-directing participant count: Data forthcoming

MFP Residential Supports (MFP-RS)

  • Populations served: Seniors, adults with physical disabilities, adults with serious mental illness
  • Self-directing participant count: Data forthcoming

Participant Directed Program (PDP)

  • Populations served: Individuals with intellectual/developmental disabilities
  • Self-directing participant count: 645

Senior Care Options Personal Care Attendant (PCA) Program

  • Populations served: Seniors 
  • Self-directing participant count: 4,000

State Plan Fee for Service Personal Care Attendant (PCA) Program

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: 68

Michigan

Children's Waiver Program

  • Populations served: Children with intellectual disabilities/developmental disabilities
  • Self-directing participant count: 248

Habilitation Supports Waiver

  • Populations served: Children with intellectual/developmental disabilities and adults with intellectual/developmental disabilities
  • Self-directing participant count: 1,313

Home Help Program

  • Populations served: Seniors and children
  • Self-directing participant count: 68,631

MI Choice

  • Populations served: Seniors and adults with physical disabilities
  • Self-directing participant count: 1,886

MI Health Link 

  • Populations served: Adults with physical disabilities and seniors

Self-Determination Initiative

  • Populations served: Behavioral health
  • Self-directing participant count: 20

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: 94

Minnesota

Alternative Care (AC) Program

  • Populations served: Seniors
  • Self-directing participant count: 139

Brain Injury Waiver

  • Populations served: Children and adults who have an acquired or traumatic brain injury.
  • Self-directing participant count: 74

Community Access for Disability Inclusion (CADI) Waiver (Called "Community Access for Disabled Individuals" on CMS website)

  • Populations served: Adults and children with physical disabilities
  • Self-directing participant count: 1,601

Community Alternative Care (CDCS)/1915-i

  • Populations served: Adults and children with disabilities who would otherwise require the level of care provided in a hospital
  • Self-directing participant count: 188

Consumer Support Grant Program

  • Populations served: Individuals who require assistance with Activities of Daily Living (ADLs)
  • Self-directing participant count: 2,303

Deaf-Blind Consumer Directed Services (DBCDS)

  • Populations served: Adults and children with physical disabilities
  • Self-directing participant count: 45

Development Disabilities (DD) Waiver

  • Populations served: Adults with intellectual/developmental disabilities and children with intellectual/developmental disabilities
  • Self-directing participant count: 2,256
Elderly Waiver (EW)
  • Populations served: Seniors
  • Self-directing participant count: 259

Personal Care Assistance (PCA) Choice

  • Populations served: Seniors
  • Self-directing participant count: 259

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: 13

Mississippi

Independent Living Waiver

  • Populations served: Adults with physical disabilities and seniors 
  • Self-directing participant count: 2,585

Traumatic Brain Injury/Spinal Cord Injury (TBI/SCI) Waiver

  • Populations served: Adults who have an acquired or traumatic brain injury
  • Self-directing participant count: 872

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: Data forthcoming

Missouri

DD Comprehensive Waiver

  • Populations served: Adults and children with intellectual/developmental disabilities
  • Self-directing participant count:  1,516 (across Autism, Children's DD, Partnership for Hope, Comprehensive and Support Waiver)

Division of DD Community Support Waiver

  • Populations served: Adults and children with intellectual/developmental disabilities
  • Self-directing participant count: 1,516 (across Autism, Children's DD, Partnership for Hope, Comprehensive and Support Waiver)

Independent Living Waiver

  • Populations served: Adults with physical disabilities
  • Self-directing participant count: 135

Missouri Children with Developmental Disabilities (MOCDD) Waiver

  • Populations served: Children with intellectual/developmental disabilities
  • Self-directing participant count: 1,516 (across Autism, Children's DD, Partnership for Hope, Comprehensive and Support Waiver)

Partnership for Hope

  • Populations served: Adults and children with intellectual/developmental disabilities
  • Self-directing participant count: 1,516 (across Autism, Children's DD, Partnership for Hope, Comprehensive and Support Waiver)

State Plan Consumer-Directed Services

  • Populations served: Adults with intellectual/developmental disabilities and seniors
  • Self-directing participant count: 27,500

Veteran Directed Care (VDC)

  • Populations served: Adults with intellectual/developmental disabilities and seniors (Veterans)
  • Self-directing participant count: 54

Montana

Big Sky Waiver

  • Populations served: Seniors, adults with physical disabilities, and children with physical disabilities
  • Self-directing participant count: 32

Home and Community-Based Waiver for Individuals with Developmental Disabilities

  • Populations served: Adults with developmental disabilities and children with developmental disabilities
  • Self-directing participant count: Data forthcoming

Severe Disabling Mental Illness (SDMI) HCBS Waiver

  • Populations served: Adults with serious mental illness
  • Self-directing participant count: Data forthcoming

State Plan Personal Care Program (including the Community First Option)

  • Populations served: Adults with intellectual/developmental disabilities and seniors
  • Self-directing participant count: 3,118 (including the Community First Option)

Veteran Directed Care (VDC)

  • Populations served: Adults with intellectual/developmental disabilities and seniors (Veterans)
  • Self-directing participant count: 42

Nebraska

Comprehensive Developmental Disabilities (CDD) Waiver

  • Populations served: Adults with developmental disabilities and children with developmental disabilities
  • Self-directing participant count: Data forthcoming

Developmental Disabilities Adult Day (DDAD) Waiver

  • Populations served: Adults with intellectual/developmental disabilities
  • Self-directing participant count: 1,007 across all ID/DD waivers

Personal Assistance Services

  • Populations served: Adults with physical disabilities and seniors
  • Self-directing participant count: 2,543

Nevada

Autism Treatment Assistance Program (ATAP)

  • Populations served: Children (18 months to 19 years) with Autism
  • Self-directing participant count: 75

Home and Community Based Waiver (HCBW)

  • Populations served: Seniors
  • Self-directing participant count: Data forthcoming

State Plan Personal Care Services (PCS)

  • Populations served: All ages
  • Self-directing participant count: 497

New Hampshire

Choices for Independence

  • Populations served: Seniors and adults with chronic illnesses who are financially eligible for Medicaid and medically qualify for the level of care provided in nursing facilities
  • Self-directing participant count: Data forthcoming

NH Acquired Brain Disorder Waiver

  • Populations served: Adults who have an acquired or traumatic brain injury
  • Self-directing participant count: 25

NH BDS Developmental Services  

  • Populations served: Adults and children with intellectual/developmental disabilities
  • Self-directing participant count: 800

NH In Home Supports Waiver for Children with Developmental Disabilities

  • Populations served: Children with intellectual/developmental disabilities
  • Self-directing participant count: 320

PCA Services- State Plan

  • Populations served: Adults with physical disabilities
  • Self-directing participant count: 185

Veteran Directed Care (VDC)

  • Populations served: Adults with physical disabilities and seniors 
  • Self-directing participant count: 114

New Jersey

 Division of Developmental Disabilities (DDD)

  • Populations served: Adults with intellectual/developmental disabilities
  • Self-directing participant count: 6,800

Personal Assistance Service Program (PASP)

  • Populations served: Adults with physical disabilities
  • Self-directing participant count: Data forthcoming

Personal Preference Program (PPP)

  • Populations served: Seniors, adults with physical disabilities, adults with developmental disabilities, adults with serious mental illness, adults with traumatic brain injury, children with physical disabilities, children with developmental disabilities, and children with serious mental illness
  • Self-directing participant count: 6,738

Veteran Directed Care (VDC)

  • Populations served: Adults with physical disabilities and seniors (Veterans)
  • Self-directing participant count: 33

New Mexico

Centennial Care

  • Populations served: Adults with physical disabilities, seniors, children with physical disabilities including medically fragile, and persons with mental Illness
  • Self-directing participant count: 1,256

Mi Via - ICF/IDD Renewal Waiver

  • Populations served: Adults and children with intellectual/developmental disabilities, medically fragile
  • Self-directing participant count: 1,279

Veteran Directed Care (VDC)

  • Populations served: Adults with physical disabilities and seniors (Veterans)
  • Self-directing participant count: 33

New York

Community First Choice

  • Populations served: Seniors and adults with physical disabilities
  • Self-directing participant count: Data forthcoming

Community Living

  • Populations served: Adults with serious mental illness
  • Self-directing participant count: Data forthcoming

Expanded In-Home Services for the Elderly (EISEP)

  • Populations served: Adults (60+) who need help with everyday activities to take care of themselves, want to remain at home, and are not eligible for Medicaid
  • Self-directing participant count: 735

Manhattan Community Access

  • Populations served: Adults with serious mental illness
  • Self-directing participant count: Data forthcoming

NYS OPWDD Comprehensive Renewal Waiver

  • Populations served: Adults with intellectual/developmental disabilities
  • Self-directing participant count: 10,000

Veteran Directed Care (VDC)

  • Populations served: Adults with physical disabilities and seniors (Veterans) 
  • Self-directing participant count: 24

North Carolina

Cardinal Innovations

  • Populations served: Adults with serious mental illness, children with serious mental illness, and adults with traumatic brain injury
  • Self-directing participant count: Data forthcoming

Community Alternative Program for Adults with Disabilities (CAP/DA)

  • Populations served: Adults with disabilities who prefer to remain in their primary private residences rather than nursing home placement
  • Self-directing participant count: 1,408

Community Alternative Program for Children (CAP/C)

  • Populations served: Child from birth through 20 years of age who meets both the Medicaid eligibility criteria and the CAP/C eligibility criteria
  • Self-directing participant count: 107

NC Innovations Waiver

  • Populations served: Adults and chidren with intellectual/developmental disabilities (Autism)
  • Self-directing participant count: 331

Veteran Directed Care (VDC)

  • Populations served: Adults with physical disabilities and seniors (Veterans) 
  • Self-directing participant count: 24

North Dakota

North Dakota Medicaid Waiver for Medically Fragile Children

  • Populations served: Children with physical disabilities including medically fragile
  • Self-directing participant count: 13

Traditional ID/DD Home and Community Based Services Waiver

  • Populations served: Adults and children with intellectual/developmental disabilities 
  • Self-directing participant count: 1,220

Ohio

Individual Options (IO) Waiver*

  • Populations served: People must be Medicaid-eligible and have an intermediate care facility level of care. There are no age requirements.
  • Self-directing participant count: Data forthcoming

Integrated Care Delivery - MyCare Ohio

  • Populations served: Seniors and adults with physical disabilities
  • Self-directing participant count: Data forthcoming

Level One Waiver*

  • Populations served: People must be Medicaid-eligible and have an intermediate care facility level of care. There are no age requirements.
  • Self-directing participant count: Data forthcoming

PASSPORT (Pre-Admission Screen System Providing Options and Resources Today)

  • Populations served: Seniors 60+
  • Self-directing participant count: 577

Self-Empowered Life Funding (SELF)

  • Populations served: Adults with intellectual/developmental disabilities
  • Self-directing participant count: 772

Veteran Directed Care

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: 84

Oklahoma

ADvantage

  • Populations served: Adults with physical disabilities and seniors
  • Self-directing participant count: 1,032

In-Home Supports Waiver for Children

  • Populations served: Children with intellectual/developmental disabilities
  • Self-directing participant count: 139 for In-Home Supports Waiver for Children and Adults

In-Home Supports Waiver for Adults

  • Populations served: Adults with intellectual/developmental disabilities
  • Self-directing participant count: 139 for In-Home Supports Waiver for Children and Adults

Living Choice/Money Follows the Person

  • Populations served: Individuals at least 19 years of age who have lived in an institutional setting (nursing home, intermediate care facility) for at least 90 consecutive days prior to transition
  • Self-directing participant count: Data forthcoming

Medically Fragile

  • Populations served: Adults with physical disabilities (medically fragile and tech dependent)
  • Self-directing participant count: 16

Oregon

1905ab State Plan

  • Populations served: Adults with physical disabilities and seniors
  • Self-directing participant count: Data forthcoming

Aged and Physically Disabled Waiver

  • Populations served: Adults with physical disabilities and seniors
  • Self-directing participant count: Approximately 30,000 across all waiver programs

Behavioral (ICF/IDD) Model Waiver

  • Populations served: Children with intellectual/developmental disabilities
  • Self-directing participant count: Approximately 30,000 across all waiver programs

ICF/IDD Support Services Waiver

  • Populations served: Adults with intellectual/developmental disabilities
  • Self-directing participant count: Approximately 30,000 across all waiver programs

K Plan

  • Populations served: Seniors, adults with physical disabilities, adults with developmental disabilities, children with physical disabilities, children with developmental disabilities, children with serious mental illness
  • Self-directing participant count: Data forthcoming

Luke-Dorf

  • Populations served: Adults with serious mental illness
  • Self-directing participant count: Data forthcoming
Medically Fragile (Hospital) Model
  • Populations served: Children with physical disabilities including medically fragile
  • Self-directing participant count: Approximately 30,000 across all waiver programs

Veteran Directed Care (VDC)

  • Populations served: Adults with physical disabilities and seniors (Veterans)
  • Self-directing participant count: 12

Pennsylvania

Act 150 (State funded program)

  • Populations served: Adults with physical disabilities
  • Self-directing participant count: 850

Aging Waiver

  • Populations served: Seniors 60+
  • Self-directing participant count: 5,500

Attendant Care Waiver

  • Populations served: Individuals 18 - 59 with physical disabilities
  • Self-directing participant count: 4,700

Community HealthChoices (formerly COMMCARE)

  • Populations served: Seniors and adults with physical disabilities
  • Self-directing participant count: Data forthcoming

Community Living

  • Populations served: Adults and children with developmental disabilities
  • Self-directing participant count: Data forthcoming

Consolidated Waiver

  • Populations served: Adults with intellectual/developmental disabilities
  • Self-directing participant count: 1,363

Consumer Recovery Investment Fund Program

  • Populations served: Adults with serious mental illnesses
  • Self-directing participant count: 78

Independence Waiver

  • Populations served: Adults 18 - 59 with physical disabilities
  • Self-directing participant count: 4,100

OBRA Waiver

  • Populations served: Adults 18 - 59 with intellectual/developmental disabilities
  • Self-directing participant count: 650

Options

  • Populations served: Seniors
  • Self-directing participant count: 65

Person/Family Directed Support Waiver

  • Populations served: No age limit for individuals with an intellectual disability or Autism
  • Self-directing participant count: 2,460

Veteran Directed Care (VDC)

  • Populations served: Adults with physical disabilities and senior (Veterans)
  • Self-directing participant count: 22

Rhode Island

ID/DD program

  • Populations served: Adults with intellectual/developmental disabilities
  • Self-directing participant count: 402

Personal Assistance Services and Supports (PASS)

Personal Choice

  • Populations served: Seniors and adults with physical disabilities
  • Self-directing participant count: 500

South Carolina

Community Choices Waiver

  • Populations served: Adults with physical disabilities and seniors
  • Self-directing participant count: 2,950

Community Supports Waiver

  • Populations served: Adults and children with developmental disabilities
  • Self-directing participant count: 110

Head and Spinal Cord Injury

  • Populations served: People with a traumatic brain injury and/or spinal cord injury
  • Self-directing participant count: 241

HIV/AIDS Waiver

  • Populations served: HIV birth to no max age
  • Self-directing participant count: 37

ID and Related Disabilities Waiver

  • Populations served: Adults and children with developmental disabilities
  • Self-directing participant count: 32

Mechanical Ventilator Dependent Waiver

  • Populations served: Technology dependent 21+
  • Self-directing participant count: 11

South Dakota

Assistive Daily Living Waiver (ADL)

  • Populations served: Adults with intellectual/developmental disabilities and children with physical disabilities including medically fragile
  • Self-directing participant count: 98

Family Support 360

  • Populations served: Adults and children with developmental disabilities
  • Self-directing participant count: Data forthcoming

Tennessee

Self-Determination Waiver Program

  • Populations served: Adults with intellectual/developmental disabilities and children with physical disabilities including medically fragile
  • Self-directing participant count: 324

TennCare

  • Populations served: Adults with physical disabilities and seniors (includes level 2 [meets level of care] and 3 [does not meet level of care])
  • Self-directing participant count: 2,521

Veteran Directed Care (VDC)

  • Populations served: Adults with physical disabilities and seniors (Veterans) 
  • Self-directing participant count: 7

Texas

Community First Choice

  • Populations served: Children with intellectual/developmental disabilities, adults with physical disabilities, and adults with intellectual/developmental disabilities
  • Self-directing participant count: 3,370

Community Living Assistance and Support Services (CLASS)

  • Populations served: Adults with intellectual/developmental disabilities and children with intellectual/developmental disabilities
  • Self-directing participant count: 2,067

Consumer Managed Personal Attendant Services (CMPAS)

Deaf Blind with Multiple Disabilities (DBMD)

  • Populations served: Adults with physical disabilities and children with intellectual/developmental disabilities
  • Self-directing participant count: 37

Home and Community-Based Services (HCS) Program

  • Populations served: Adults with physical disabilities and children with intellectual/developmental disabilities
  • Self-directing participant count: 766

Medically Dependent Children Program (MDCP)

  • Populations served: Children with physical disabilities including medically fragile
  • Self-directing participant count: 2,603

My Choice My Voice

  • Populations served: Adults with serious mental illness
  • Self-directing participant count: Data forthcoming

STAR Kids

  • Populations served: Children with physical disabilities
  • Self-directing participant count: Data forthcoming

Texas Home Living Program (TxHmL)

  • Populations served: Adults with physical disabilities and children with intellectual/developmental disabilities
  • Self-directing participant count: 1,247

Texas Healthcare Transformation (STAR PLUS)

  • Populations served: Seniors, adults with physical disabilities, persons with mental illness, and children with intellectual/developmental disabilities
  • Self-directing participant count: 13,990

Texas Self-Directed Care

  • Populations served: Adults with serious mental illness
  • Self-directing participant count: Data forthcoming

Veteran Directed Care (VDC)

  • Populations served: Adults with physical disabilities and seniors (Veterans) 
  • Self-directing participant count: 43

Utah

Aging Waver (Individuals Age 65 or Older)

  • Populations served: Seniors
  • Self-directing participant count: 68

Acquired Brain Injury

  • Populations served: Traumatic brain injury and other
  • Self-directing participant count: 25

Community Supports Waiver for Individuals with Intellectual Disabilities & Other Related Conditions

  • Populations served: Adults with intellectual/developmental disabilities and children with intellectual/developmental disabilities
  • Self-directing participant count: 1,418

EPAS - Employment-related Personal Assistant Services

  • Populations served: Person determined to have a disability, receiving UT Medicaid, currently employed in integrated setting, working minimum of 40 hours per month or self-employed, needs PAS to maintain employment
  • Self-directing participant count: 130

New Choices Waiver

  • Populations served: Adults with physical disabilities and seniors
  • Self-directing participant count: 24

Physical Disabilities Waiver

  • Populations served: Adults with physical disabilities and seniors
  • Self-directing participant count: 128

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: 78

Vermont

Attendant Services - General Fund

  • Populations served: Adults with physical disabilities
  • Self-directing participant count: 4,988 across all programs

Choices for Care

  • Populations served: Adults with physical disabilities and seniors
  • Self-directing participant count: 4,988 across all programs

Children's Personal Care Services

  • Populations served: Children with physical disabilities including medically fragile and children with intellectual/developmental disabilities
  • Self-directing participant count: 4,988 across all programs

Developmental Services

  • Populations served: Individuals with developmental disabilities
  • Self-directing participant count: 4,988 across all programs

Flexible Choices

  • Populations served: Adults with physical disabilities and seniors
  • Self-directing participant count: 4,988 across all programs

TBI Program

  • Populations served: Adults with traumatic brain injuries
  • Self-directing participant count: 4,988 across all programs

Veteran-Directed Care

  • Populations served: Adults with physical disabilities and seniors (Veterans)
  • Self-directing participant count: 86

Virginia

Community Living Waiver

  • Populations served: Birth to no max age
  • Self-directing participant count: 2,000

Commonwealth Coordinated Care Plus

  • Populations served: Seniors and adults with physical disabilities
  • Self-directing participant count: Data forthcoming

Family and Individual Supports Waiver

  • Populations served: Individuals 6 to no max age with Autism or developmental disabilities 
  • Self-directing participant count: 728

Veteran Directed Care (VDC)

  • Populations served: Adults with physical disabilities and seniors (Veterans) 
  • Self-directing participant count: 66

Washington

Community First Choice

  • Populations served: Seniors, adults with physical disabilities, adults with developmental disabilities, children with physical disabilities, children with developmental disabilities, children with serious mental illness
  • Self-directing participant count: Data forthcoming

Medicaid Personal Care

  • Populations served: Adults with physical disabilities, seniors, and adults with developmental disabilities
  • Self-directing participant count: Data forthcoming

New Freedom

  • Populations served: Adults with physical disabilities and seniors
  • Self-directing participant count: 36,967 (New Freedom and COPES)

Roads to Community Living

  • Populations served: Seniors, adults with physical disabilities, adults with developmental disabilities 
  • Self-directing participant count: Data forthcoming

Veteran Directed Care 

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: 60

West Virginia

Aged and Disabled Waiver

  • Populations served: Adults with physical disabilities and seniors
  • Self-directing participant count:  905

ID/DD Waiver

TBI Waiver

  • Populations served: Children and adults with traumatic brain injury
  • Self-directing participant count: 29

Wisconsin

Children's Long Term Support DD Waiver

  • Populations served: Children with intellectual/developmental disabilities
  • Self-directing participant count: 600

Family Care Waiver

  • Populations served: Adults with intellectual/developmental disabilities, seniors, and adults with physical disabilities
  • Self-directing participant count: 8,996

Include, Respect, I Self-Direct (IRIS) Waiver

  • Populations served: Adults with intellectual/developmental disabilities, seniors, and adults with physical disabilities
  • Self-directing participant count: 13,046

Veteran Directed Care (VDC)

  • Populations served: Adults with physical disabilities and seniors (Veterans)
  • Self-directing participant count: 99

Wyoming

Community Choices

  • Populations served: Adults with physical disabilities and seniors
  • Self-directing participant count: 603

Comprehensive Waiver

  • Populations served: Adults with intellectual/developmental disabilities and children with intellectual/developmental disabilities
  • Self-directing participant count: 326 (across ABI, Supports, and COMP)

Supports Waiver

  • Populations served: Adults with intellectual/developmental disabilities and children with intellectual/developmental disabilities
  • Self-directing participant count: 326 (across ABI, Supports, and COMP)
 

*Program information has been updated since the 2016 National Inventory