Self-Direction Programs

In the summer of 2016, the National Resource Center for Participant-Directed Services (NRCPDS) completed a National Inventory of self-direction programs in the United States. The inventory builds on the NRCPDS’ 2011 and 2013 National Inventories to reflect the impact of changes in Federal law, regulation, and policy designed to promote 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 self-direction programs by state identified through the 2016 National Inventory.

Alabama

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

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

Alaska

Personal Care Assistance Program

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

Veteran-Directed Home and Community-Based Services (VD-HCBS)

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

Arkansas

Alternatives

  • Populations served: Adults with physical disabilities aged 21-64 years
  • Self-directing participant count: 851

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 Home and Community-Based Services (VD-HCBS) 

  • 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

California

In-Home Supportive Services Program

  • Populations served:  Seniors (over 65 years of age), adults with physical disabilities, and children with physical disabilities 
  • Self-directing participant count: 540,172
  • Program Website

Veteran-Directed Home and Community-Based Services Program (VD-HCBS)

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

Colorado

Brain Injury Waiver

  • Populations served: 16 or over with brain injury
  • Self-directing participant count: 36
  • Program Website

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

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

Community Mental Health Supports Waiver

  • Populations served: Over 18 with severe or persistent mental health condition
  • Self-directing participant count: 133
  • Program Website

Elderly, Blind and Disabled (HCBS-EBD) Waiver

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

Spinal Cord Injury (SCI) Waiver 

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

Veteran-Directed Home and Community-Based Services Program (VD-HCBS)

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

Connecticut

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
  • Program Website

Comprehensive Supports Waiver

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

Employment and Day Supports Waiver

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

Home and Community Supports Waiver for Persons with Autism

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

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
  • Program Website

Mental Health Waiver

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

Veteran-Directed Home and Community-Based Services Program (VD-HCBS)

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

Delaware

Attendant Services

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

Diamond State Health Plan Plus

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

Pathways to Employment

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

District of Columbia (DC)

Elderly and Persons with Disabilities Waiver

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

Veteran-Directed Home and Community-Based Services Program (VD-HCBS)

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

Florida

Florida Self-Directed Care, Circuit 20

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

Florida Self-Directed Care, District 4 (Jacksonville)

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

Home and Community-Based Services for People with Developmental Disabilities

  • Populations served: Individuals with intellectual/developmental disabilities (aged 3 to no maximum age)
  • Self-directing participant count: 2,630
  • Program Website

Veteran-Directed Home and Community-Based Services Program (VD-HCBS)

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

Georgia

Comprehensive Supports Waiver (COMP) 

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

Georgia Community Care Services Program (CCSP) Medicaid Waiver

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

Independent Care Waiver

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

New Options Waiver

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

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
  • Program Website

Home and Community-Based Services for People with Developmental Disabilities

  • Populations served: Individuals with intellectual/develomental disabilities 
  • Self-directing participant count: 642
  • Program Website

Quest Integration (QI)

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

Veteran-Directed Home and Community-Based Services Program (VD-HCBS)

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

Idaho

Aged and Disabled Waiver

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

Children's Developmental Disabilities Waiver

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

Idaho Developmental Disabilities Waiver

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

Veteran-Directed Home and Community-Based Services Program (VD-HCBS)

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

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) 
  • Program Website

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
  • Program Website

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
  • Program Website

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
  • Program Website

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
  • Program Website

My Choices

  • Populations served: Seniors
  • Self-directing participant count: 164
  • Program Website

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) 
  • Program Website

Veteran-Directed Home and Community-Based Services Program (VD-HCBS)

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

Indiana

Aged and Disabled Waiver

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

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
  • More information 

Iowa

Consumer Directed Attendant Care

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

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
  • Program Website 

In Home Health Related Care

Kansas

KanCare

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

WORK

  • Self-directing participant count: 300

Kentucky

Consumer Directed Option

  • Populations served: Individuals currently receiving or individuals who might become eligible to receive waiver services from Medicaid's Acquired Brain Injury (ABI) Waiver, Acquired Brain Injury Long Term Care (ABILTC) Waiver, Home and Community Based (HCB) Wavier, Michelle P. Waiver Services, Supports for Community Living (SCL) Waiver are eligible to participate in CDO for their non medical services
  • Self-directing participant count: 10,676
  • Program Website

Louisiana

Children's Choice Waiver

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

Community Choices Waiver

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

Individual and Family Support Program (IFS)

  • Populations served: Individuals with intellectual/developmental disabilities 
  • Self-directing participant count: 4,061

New Opportunities Waiver

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

Residential Options Waiver

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

Veteran-Directed Home and Community-Based Services Program (VD-HCBS)

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

Maine

Consumer Directed Attendant Services (or Consumer Directed Assistance Services)

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

Elderly and Adults with Disabilities Waiver

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

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

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

Private Duty Nursing/Personal Care State Plan

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

Veteran-Directed Home and Community-Based Services Program (VD-HCBS)

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

Maryland

Community Pathways*

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

Community Supports Waiver*

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

Family Supports Waiver* 

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

Living At Home

New Directions Independence Plus

  • Populations served: Individuals with intellectual/developmental disabilities 
  • Self-directing participant count:  800+ (across all programs)

Veteran-Directed Home and Community-Based Services Program (VD-HCBS)

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

Massachusetts

Children's Autism Waiver

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

Community Living Waiver

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

Intensive Support Waiver

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

MassHealth

  • Populations served: All populations
  • Self-directing participant count: 2,165
  • Program Website

Participant Directed Program (PDP)

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

Senior Care Options Personal Care Attendant (PCA) Program

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

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

Veteran-Directed Home and Community-Based Services Program (VD-HCBS)

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

Michigan

Children's Waiver Program

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

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
  • Program Website

MI Choice

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

MI Health Link HCBS

  • Populations served: Adults with physical disabilities and seniors
  • Program Website

Self-Determination Initiative

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

Veteran-Directed Home and Community-Based Services Program (VD-HCBS)

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

Minnesota

1915-k

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

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

Community Alternative Care (CDCS)/1915-i

  • Populations served: Adults with physical disabilities
  • Self-directing participant count: 188
  • Program Website

Consumer Support Grant, Minnesota

Deaf Blind Consumer Directed

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

Development Disabilities (DD) Waiver

  • Populations served: Adults with intellectual/developmental disabilities and children with intellectual/developmental disabilities
  • Self-directing participant count: 2,256
  • Program Website

Elderly Waiver (EW)

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

Minnesota Brain Injury Waiver

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

Minnesota Reform 2020: Pathways to Independence: Alternative Care Program

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

Veteran-Directed Home and Community-Based Services Program (VD-HCBS)

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

Mississippi

Independent Living Waiver

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

TBI/SCI Waiver

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

Missouri

Autism Waiver

*Please note the Autism Waiver does not exist as of 2018

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

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)
  • Program Website

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)
  • Program Website

Independent Living Waiver

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

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)
  • Program Website

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)
  • Program Website

State Plan

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

Veteran-Directed Home and Community-Based Services Program (VD-HCBS)

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

Montana

Autism Waiver

  • Populations served: Children with intellectual/developmental disabilities
  • Self-directing participant count: 207 (Comprehensive DD Waiver and Autism Waiver)
  • Program Website

Big Sky Bonanza

  • Populations served: All ages
  • Self-directing participant count: 32
  • Program Website

Comprehensive DD Waiver

  • Populations served: Children and adults with intellectual/developmental disabilities
  • Self-directing participant count: 207 (Comprehensive DD Waiver and Autism Waiver)

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)
  • Program Website

Veteran-Directed Home and Community-Based Services Program (VD-HCBS)

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

Nebraska

Comprehensive DD waiver for adults

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

Day Services waiver for adults with DD

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

HCBS Waiver for Children with Developmental Disabilities and Their Families

  • Populations served: Children 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
  • Program Website

Nevada

Autism Treatment Assistance Program

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

State Plan Personal Care

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

New Hampshire

Building Capacity for Transformation Section 1115 Demonstration Waiver

NH BDS Acquired Brain Disorder Services

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

NH BDS Developmental Services  

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

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 Home and Community-Based Services Program (VD-HCBS)

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

New Jersey

MLTSS (part of Comprehensive Waiver)

  • Populations served: Adults and children with physical disabilities, children with physical disabilities including medically fragile, and seniors 
  • Self-directing participant count: 1,214
  • Program Website

 Division of Developmental Disabilities (DDD)

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

Jersey Assistance for Community Caregiving (JACC)- Division of Aging Program

  • Populations served: Seniors
  • Self-directing participant count: 30
  • Program Website

Personal Assistance Services Program (PASP)- Division of Disability Services

  • Populations served: Adults with physical disabilities (ages 18-70)
  • Self-directing participant count: 600

Self-Directed PCA Services (Personal Preferences)

  • Populations served: Adults with physical disabilities and seniors
  • Self-directing participant count: 6,738
  • Program Website

Supports Program/Supports Waiver (Part of Comprehensive Medicaid Waiver)

  • Populations served: Adults with physical disabilities and adults with intellectual/developmental disabilities
  • Self-directing participant count: 6,800
  • Program Website

Veteran-Directed Home and Community-Based Services Program (VD-HCBS)

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

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
  • Program Website

Mi Via - ICF/IDD Renewal Waiver

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

New York

Enhanced 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
  • Program Website

Mainstream Medicaid Managed Care (MMMC)

  • Populations served: Persons with mental Illness

Consumer Directed Personal Assistance (CDPA) Program- Available under MMMC and MLTC

  • Populations served: Adults with physical disabilities
  • Self-directing participant count: 20,000
  • Program Website

NYS OPWDD Comprehensive Renewal Waiver

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

Partnership Program-  1115 Waiver which gives NY the authority for the CDPA Program

  • Populations served: Seniors and adults with physical disabilities

Self-Directed Care for individuals with Serious Mental Illness  (Pilot)

  • Populations served: Persons with mental Illness

Veteran-Directed Home and Community-Based Services Program (VD-HCBS)

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

North Carolina

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
  • Program Website

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
  • Program Website

Comprehensive Waiver

  • Populations served: All ages (must have Autism or an adult with intellectual/developmental disabilities)
  • Self-directing participant count: 10

Innovation Waiver

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

North Dakota

Autism Spectrum Disorder (ASD) Birth through Four

  • Populations served: Children with intellectual/developmental disabilities
  • Self-directing participant count: 6
  • Program Website

North Dakota Medicaid Waiver for Medically Fragile Children

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

Traditional IID/DD Home and Community Based Services Waiver

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

Ohio

Choices

  • Populations served: Seniors 60+

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.
  • Program Website

Level One Waiver*

  • Populations served: People must be Medicaid-eligible and have an intermediate care facility level of care. There are no age requirements.
  • Program Website

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

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

Self-Empowered Life Funding (SELF)

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

Veteran-Directed Home and Community-Based Services Program (VD-HCBS)

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

Oklahoma

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
  • Program Website

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

Medically Fragile

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

Money Follows the Person

OK Advantage

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

Oregon

Aged and Physically Disabled Waiver

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

Behavioral (ICF/IDD) Model Waiver

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

Cash & Counseling Program

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

Community First Choice (J)

  • Populations served: All populations
  • 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

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 Home and Community-Based Services Program (VD-HCBS)

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

Pennsylvania

Act 150 (State funded program)

Attendant Care Waiver

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

CommCare

  • Populations served: Individuals 21 and over with traumatic brain injury
  • Self-directing participant count: 230

Consolidated Waiver

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

Consumer Recovery Investment Fund Program

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

HCBS Waiver for 60 and Over

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

Independence Waiver

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

Obra Waiver

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

Options

Person/Family Directed Support Waiver

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

Veteran-Directed Home and Community-Based Services Program (VD-HCBS)

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

Rhode Island

Comprehensive Waiver - Consumer Choice Program

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

Personal Assistance Services and Supports (PASS)

ID/DD program

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

South Carolina

Community Choices Waiver

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

Community Support Waiver

  • Populations served: Birth to no max age
  • Self-directing participant count: 110
  • Program Website

Head and Spinal Cord Injury

  • Populations served: Birth to 64 with physical disabilities
  • Self-directing participant count: 241
  • Program Website

HIV/AIDS Waiver

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

ID and Related Disabilities Waiver

  • Populations served: Birth to no max age
  • Self-directing participant count: 32
  • Program Website

Mechanical Ventilator Dependent Waiver

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

Pervasive Developmental Disorder (PDD)

Veteran-Directed Home and Community-Based Services Program (VD-HCBS)

  • Populations served: Adults with physical disabilities and seniors (Veterans)
  • Self-directing participant count: 61
  • Program Website

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
  • Program Website

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
  • Program Website

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
  • Program Website

Veteran-Directed Home and Community-Based Services Program (VD-HCBS)

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

Texas

Community Attendant Services (CAS)

Community Based Alternatives (CBA)

  • Populations served: Seniors and adults with physical disabilities
  • Program Website

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
  • Program Website

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
  • Program Website

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
  • Program Website

Family Care (FC)

Home and Community-Based Services (HCS) Program

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

Medically Dependent Children Program (MDCP)

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

Primary Home Care (PHC)

Texas Home Living Program (TxHmL)

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

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
  • Program Website

Veteran-Directed Home and Community-Based Services Program (VD-HCBS)

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

Utah

Acquired Brain Injury

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

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
  • Program Website

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
  • Program Website

Medicaid Autism Waiver

  • Populations served: Children with intellectual/developmental disabilities (2 - 6 years old with Autism)
  • Self-directing participant count: 178
  • Program Website

Medically Complex Children's Waiver

  • Populations served: Children with physical disabilities including medically fragile
  • Program Website

New Choices Waiver

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

Physical Disabilities Waiver

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

The Alternatives Program (TAP)

  • Populations served: Adults with physical disabilities and seniors
  • Self-directing participant count: 12
  • Program Website

Waiver for Individuals Age 65 or Older

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

Waiver for Technology Dependent, Medically Fragile Individuals

  • Populations served: Children with physical disabilities including medically fragile
  • Self-directing participant count: 11
  • Program Website

Veteran-Directed Home and Community-Based Services Program (VD-HCBS)

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

Vermont

Attendant Services - General Fund

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

Attendant Services - Medicaid

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

Choices for Care - Consumer/Surrogate

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

Choices for Care - Flexible Choices

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

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
  • Program Website

Developmental Services

  • Populations served: All
  • Self-directing participant count: 4,988 across all programs
  • Program Website

Moderate Needs Flexible Services

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

Veteran-Directed Home and Community-Based Services Program (VD-HCBS)

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

Virginia

ID Waiver

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

Elderly and Disabled Waiver

  • Populations served: Birth to no max age
  • Self-directing participant count: 16,701
  • Program Website

Individual and Family Developmental Disability Support Waiver

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

Veteran-Directed Home and Community-Based Services Program (VD-HCBS)

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

Washington

Basic Plus

  • Populations served: Adults and children with intellectual/developmental disabilities
  • Self-directing participant count: 9,017

Children's Intensive In-Home Behavioral Support

  • Populations served: Children with intellectual/developmental disabilities
  • Self-directing participant count: 2,496

COPES

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

New Freedom

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

Veteran-Directed Home and Community-Based Services Program (VD-HCBS)

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

West Virginia

ID/DD Waiver

Disabled and Elderly Waiver

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

TBI Waiver

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

Wisconsin

Children's Long Term Support DD Waiver

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

Community Integration Program (CIP-1) - DD renewal waiver

  • Populations served: Adults with intellectual/developmental disabilities
  • Self-directing participant count: 1,517
  • Program Website

Family Care Waiver (Managed Care)

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

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
  • Program Website

Veteran-Directed Home and Community-Based Services Program (VD-HCBS)

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

Wyoming

Acquired Brain Injury Waiver

  • Populations served: Traumatic brain injury and other
  • Self-directing participant count: 326 (across ABI, Supports, and COMP)

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