Self-Direction Programs

Did you know that every state in the US has at least one self-direction program? The 2019 National Inventory of Self-Direction Programs, identified over 260 self-direction programs in the United States with over 1.2 million individuals self-directing. Click on the Interactive Map below to view a list of self-direction programs by state. We will continue to update this page as new information becomes available.

Did you know that every state in the US has at least one self-direction program? The 2019 National Inventory of Self-Direction Programs, identified over 260 self-direction programs in the United States with over 1.2 million individuals self-directing. Click on the Interactive Map below to view a list of self-direction programs by state. We will continue to update this page 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
  • Self-directing participant count: 1,913 across the Elderly and Disabled Waiver, the Technology Assisted Waiver, Alabama Community Transition Waiver, and Personal Choices
  • Program Website

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

  • Populations served: Adults with intellectual/developmental disabilities 
  • Self-directing participant count: 151 across the Alabama Home and Community-Based Waiver for Persons with Intellectual Disabilities and the SAIL Waiver
  • Program Website

Elderly and Disabled Waiver*

  • Populations served: Seniors (over 65 years of age) and adults with physical disabilities
  • Self-directing participant count: 1,913 across the Elderly and Disabled Waiver, the Technology Assisted Waiver, Alabama Community Transition Waiver, and Personal Choices
  • Program Website

Personal Choices

  • Populations served: Adults with physical disabilities, children with physical disabilities, and seniors
  • Self-directing participant count: 1,913 across the Elderly and Disabled Waiver, the Technology Assisted Waiver, Alabama Community Transition Waiver, and Personal Choices
  • Program Website

State of Alabama Independent Living (SAIL) Waiver

  • Populations served: Adults with physical disabilities
  • Self-directing participant count: 151 across the Alabama Home and Community-Based Waiver for Persons with Intellectual Disabilities and the SAIL Waiver
  • 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
  • Self-directing participant count: 1,913 across the Elderly and Disabled Waiver, the Technology Assisted Waiver, Alabama Community Transition Waiver, and Personal Choices
  • Program Website

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: 5
  • 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: 826
  • 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: 2,304
  • Program Website

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: 22
  • 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: 3,239
  • Program Website

Veteran Directed Care (VDC)

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

Arkansas

Independent Choices

  • Populations served: Adults with physical disabilities and seniors
  • Self-directing participant count: 3,000
  • For more information call: 1-844-581-6018
  • Program Website

Veteran-Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)  
  • Self-directing participant count: 10
  • 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: 259,160
  • Program Website

HCBS DD Waiver

  • Populations served: Adults with developmental disabilities and children with developmental disabilities
  • Self-directing participant count: 9,221
  • Program Website

IHSS Plus Option (IPO)

  • Populations served: Seniors and adults with physical disabilities
  • Self-directing participant count: 15,111
  • Program Website

In-Home Supportive Services - Residual (IHSS-R)

  • Populations served: People with disabilities who are not eligible for full-scope Medi-Cal
  • Self-directing participant count: 10,740
  • Program Website

Personal Care Services Program (PCSP)

  • Populations served:  Seniors (over 65 years of age) and adults with physical disabilities
  • Self-directing participant count: 308,517
  • Program Website

Self-Determination Waiver

  • Populations served:  Adults with developmental disabilities and children with developmental disabilities
  • Self-directing participant count: New program, data not yet available
  • Program Website

Veteran-Directed Care (VDC)

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

Colorado

Brain Injury Waiver*

  • Populations served: Individuals 16 years or older with a brain injury
  • Self-directing participant count: Included in the IHSS or CDASS programs

Children's Home and Community Based Services (CHCBS) Waiver*

  • Populations served: Children with disabilities 
  • Self-directing participant count: Included in the IHSS or CDASS programs

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: 3,600

Elderly, Blind and Disabled (HCBS-EBD) Waiver*

  • Populations served: Adults with disabilities and seniors 
  • Self-directing participant count: Included in the IHSS or CDASS programs

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: 5,200

Spinal Cord Injury (SCI) Waiver*

  • Populations served: Adults with a diagnosis of a spinal cord injury
  • Self-directing participant count: Included in the IHSS or CDASS programs

Supportive Living Services Waiver (SLS)*

  • Populations served: Adults with developmental disabilities
  • Self-directing participant count: Included in the IHSS or CDASS programs

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: 206

Connecticut

Acquired Brain Injury Waiver*

  • Populations served: Adults with traumatic brain injury
  • Self-directing participant count: 3,000 across all waivers

Community First Choice

  • Populations served: Adults with physical disabilities, seniors, and individuals with traumatic brain injury (TBI)
  • Self-directing participant count: 3,000 across all waivers

Comprehensive Supports Waiver*

  • Populations served: Adults with intellectual disabilities 
  • Self-directing participant count: 3,000 across all waivers

Connecticut Home Care Program for Elders (CHCPE)*

  • Populations served: Seniors  
  • Self-directing participant count: 3,000 across all waivers

Employment and Day Supports Waiver*

  • Populations served: Adults with intellectual disabilities 
  • Self-directing participant count: 3,000 across all waivers

Home and Community Supports Waiver for Persons with Autism*

  • Populations served: Individuals with autism 
  • Self-directing participant count: 3,000 across all waivers

Individual and Family Support Waiver*

  • Populations served: Children with intellectual/developmental disabilities and adults with intellectual disabilities 
  • Self-directing participant count: 3,000 across all waivers

Mental Health Waiver*

  • Populations served: Individuals with serious mental health conditions
  • Self-directing participant count: 3,000 across all waivers

Personal Care Assistance Program*

  • Populations served: Adults with physical disabilities 
  • Self-directing participant count: 3,000 across all waivers

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: 45

Delaware

Attendant Services

  • Populations served: Adults with physical disabilities and seniors
  • Self-directing participant count: 132

DDDS Lifespan Waiver

  • Populations served: Adults with developmental disabilities and children with developmental disabilities
  • Self-directing participant count: 25

Diamond State Health Plan Plus

  • Populations served: Adults with physical disabilities, children with physical disabilities, and seniors 
  • Self-directing participant count: 1,463

Pathways to Employment

  • Populations served: Individuals with physical disabilities (aged 14-25) and individuals with intellectual/developmental disabilities (aged 14-25)
  • Self-directing participant count: 0

District of Columbia

Elderly and Persons with Physical Disabilities Waiver

  • Populations served: Adults with physical disabilities and seniors
  • Self-directing participant count: 641

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: 0

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: 4,090

Florida Self-Directed Care, Circuit 20

  • Populations served: Individuals with serious mental health conditions
  • Self-directing participant count: 65

Florida Self-Directed Care, District 4 (Jacksonville)

  • Populations served: Individuals with serious mental health conditions
  • Self-directing participant count: 175

Veteran-Directed Care

  • Populations served: Adults with disabilities and seniors (Veterans) 
  • Self-directing participant count: 373

Georgia

Comprehensive Supports Waiver (COMP) 

  • Populations served: Individuals with intellectual/developmental disabilities (birth to no maximum age)
  • Self-directing participant count: 2,800 across Comprehensive Supports Waiver and New Options Waiver

Georgia Community Care Services Program (CCSP) Medicaid Waiver

  • Populations served: Individuals with disabilities (aged 0 - 64) and seniors 
  • Self-directing participant count: 436

Independent Care Waiver

  • Populations served: Adults with severe physical disabilities including traumatic brain injuries (aged 21 - 64)  
  • Self-directing participant count: 150

New Options Waiver (NOW)

  • Populations served: Children and adults with intellectual/developmental disabilities 
  • Self-directing participant count: 2,800 across Comprehensive Supports Waiver and New Options Waiver

Veteran-Directed Care

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

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: 34

Home and Community-Based Services for People with Developmental Disabilities

  • Populations served: Individuals with intellectual/developmental disabilities 
  • Self-directing participant count: 697

Quest Integration (QI)

  • Populations served: All populations except individuals with intellectual/developmental disabilities 
  • Self-directing participant count: 2,901

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: 23

Idaho

Aged and Disabled Waiver

  • Populations served: Seniors and adults with physical disabilities 
  • Self-directing participant count: 218

Children's Developmental Disabilities Waiver

  • Populations served: Children with intellectual/developmental disabilities 
  • Self-directing participant count: 1,083 across the Children and Adult Developmental Disabilities waivers

Idaho Developmental Disabilities Waiver

  • Populations served: Adults with intellectual/developmental disabilities 
  • Self-directing participant count: 1,403 across the Children and Adult Developmental Disabilities waivers

Veteran-Directed Care 

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: 4

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: 8,390 

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
  • Self-directing participant count: 2,408

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
  • Self-directing participant count: 1,010

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: 18,847

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
  • Self-directing participant count: 24,424

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: 9,500 

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: 134 across the IL and KY VDC programs

Indiana

Aged and Disabled Waiver

  • Populations served: Aged, blind, or otherwise disabled
  • Self-directing participant count: 280

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: 34

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: 2,600

Consumer Directed Attendant Care

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

Home and Community Based Services - AIDS*

  • Populations served: Individuals with HIV/AIDS
  • Self-directing participant count: included in Consumer Choices Option

Home and Community Based Services - Brain Injury*

  • Populations served: Individuals with traumatic brain injury
  • Self-directing participant count: included in Consumer Choices Option

Home and Community Based Services - Elderly Waiver*

  • Populations served: Seniors 
  • Self-directing participant count: included in Consumer Choices Option

Home and Community Based Services - Health and Disability Waiver*

  • Populations served: Adults with physical disabilities
  • Self-directing participant count: included in Consumer Choices Option

Home and Community Based Services - Intellectual Disabilities Waiver*

  • Populations served: Adults with developmental disabilities and children with developmental disabilities
  • Self-directing participant count: included in Consumer Choices Option

Home and Community Based Services - Physical Disability Waiver*

  • Populations served: Adults with physical disabilities
  • Self-directing participant count: included in Consumer Choices Option

Veteran Directed Care (VDC)

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

Kansas

Brain Injury (BI) Waiver Program

  • Populations served: Adults with traumatic brain injury
  • Self-directing participant count: Data included in KanCare

Frail Elderly Waiver Program

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

Intellectual/Developmental Disability (I/DD) Waiver Program

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

KanCare

  • Populations served: All populations
  • Self-directing participant count: 8,500

Physical Disability Waiver Program

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

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 included in KanCare

WORK

  • Populations served: Adults with physical disabilities and adults with developmental disabilities
  • Self-directing participant count: 1,030

Kentucky

Acquired Brain Injury (ABI) Waiver

  • Populations served: Adults with traumatic brain injury
  • Self-direction participant count: 43

Acquired Brain Injury Long Term Care (ABI LTC) Waiver

  • Populations served: Adults with traumatic brain injury
  • Self-direction participant count: 61

Home and Community Based (HCB) Waiver

  • Populations served: Seniors and adults with physical disabilities
  • Self-direction participant count: 2,701 across Home and Community Based Waiver and HCBS Transitions

HCBS Transitions

  • Populations served: Seniors and adults with physical disabilities
  • Self-direction participant count: 2,701 across Home and Community Based Waiver and HCBS Transition

Michelle P. Waiver (MPW)

  • Populations served: Adults with developmental disabilities and children with developmental disabilities
  • Self-direction participant count: 7,634 across Michelle P Waiver and Supports for Community Living

Supports for Community Living (SCL) Waiver

  • Populations served: Adults with developmental disabilities and children with developmental disabilities
  • Self-direction participant count: 7,634 across Michelle P Waiver and Supports for Community Living

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: 134 across the KY and IL VDC programs

Louisiana

Children's Choice Waiver

  • Populations served: Children with developmental disabilities (birth to 18)
  • Self-directing participant count: 111

Community Choices Waiver

  • Populations served: Adults with physical disabilities and seniors 
  • Self-directing participant count: 240

New Opportunities Waiver

  • Populations served: Individuals with intellectual/developmental disabilities (age 3 and older) 
  • Self-directing participant count: 907

Residential Options Waiver

  • Populations served: Individuals with intellectual/developmental disabilities 
  • Self-directing participant count: 45

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: 41

Maine

Consumer Directed Attendant Services (or Consumer Directed Assistance Services)

  • Populations served: Adults with physical disabilities and seniors 
  • Self-directing participant count: 391

Elderly and Adults with Disabilities Waiver

  • Populations served: Adults with physical disabilities and seniors 
  • Self-directing participant count: 616

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: 87

Veteran Directed Care

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: 9

Maryland

Community Pathways*

  • Populations served: Children and adults with developmental disabilities
  • Self-directing participant count: 995 across all programs

Community Supports Waiver*

  • Populations served: Children and adults with developmental disabilities
  • Self-directing participant count: 995 across all programs

Family Supports Waiver* 

  • Populations served: Children birth to 21 with developmental disabilities
  • Self-directing participant count: 995 across all programs

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: 56

Massachusetts

Adult Supports Waiver*

  • Populations served: Adults with developmental disabilities
  • Self-directing participant count: Data not provided

Children's Autism Waiver

  • Populations served: Children with autism (birth to 8)
  • Self-directing participant count: 280

Community Living Waiver*

  • Populations served: Individuals 22 years and older with intellectual/developmental disabilities
  • Self-directing participant count: Data not provided

Intensive Supports Waiver*

  • Populations served: Individuals 22 years and older with intellectual/developmental disabilities who require 24/7 support
  • Self-directing participant count: Data not provided

MFP Community Living (MFP-CL)

  • Populations served: Seniors, adults with physical disabilities, adults with serious mental illness
  • Self-directing participant count: 150 across MFP Community Living and MFP Residential Supports

MFP Residential Supports (MFP-RS)

  • Populations served: Seniors, adults with physical disabilities, adults with serious mental illness
  • Self-directing participant count: 150 across MFP Community Living and MFP Residential Supports

Participant Directed Program (PDP)

  • Populations served: Individuals with intellectual/developmental disabilities
  • Self-directing participant count: 842

Senior Care Options Personal Care Attendant (PCA) Program

  • Populations served: Seniors 
  • Self-directing participant count: 37,578 across Senior Care Options PCA Program and State Plan Fee for Service PCA Program

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

  • Populations served: Seniors and adults with physical disabilities
  • Self-directing participant count: 37,578 across Senior Care Options PCA Program and State Plan Fee for Service PCA Program

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: 48

Michigan

Children's Waiver Program

  • Populations served: Children with intellectual disabilities/developmental disabilities
  • Self-directing participant count: 342

Habilitation Supports Waiver

  • Populations served: Children with intellectual/developmental disabilities and adults with intellectual/developmental disabilities
  • Self-directing participant count: 1,403

Home Help Program

  • Populations served: Seniors and children
  • Self-directing participant count: 38,000

MI Choice

  • Populations served: Seniors and adults with physical disabilities
  • Self-directing participant count: 2,230

MI Health Link 

  • Populations served: Adults with physical disabilities and seniors
  • Self-directing participant count: 2,951

Self-Determination Initiative

  • Populations served: Individuals with mental health conditions
  • Self-directing participant count: 5,763

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: 113

Minnesota

Alternative Care (AC) Program

  • Populations served: Seniors
  • Self-directing participant count: 329

Brain Injury Waiver*

  • Populations served: Children and adults who have an acquired or traumatic brain injury.
  • Self-directing participant count: 82

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: 2,476

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: 329

Consumer Support Grant Program

  • Populations served: Individuals who require assistance with Activities of Daily Living (ADLs)
  • Self-directing participant count: 3,331

Deaf-Blind Consumer Directed Services (DBCDS)

  • Populations served: Adults and children with physical disabilities
  • Self-directing participant count: 33

Development Disabilities (DD) Waiver*

  • Populations served: Adults with intellectual/developmental disabilities and children with intellectual/developmental disabilities
  • Self-directing participant count: 3,975

Elderly Waiver (EW)*

  • Populations served: Seniors
  • Self-directing participant count: 488

Personal Care Assistance (PCA) Choice

  • Populations served: Seniors
  • Self-directing participant count: 26,175

Veteran Directed Care (VDC)

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

Mississippi

Independent Living Waiver

  • Populations served: Adults with physical disabilities and seniors 
  • Self-directing participant count: 2,419

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

  • Populations served: Adults who have an acquired or traumatic brain injury
  • Self-directing participant count: 863

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: 9

Missouri

DD Comprehensive Waiver

  • Populations served: Adults and children with intellectual/developmental disabilities
  • Self-directing participant count: 2,100 across Division of DD Community Support Waiver, Children's DD, Partnership for Hope, and Comprehensive Waiver

Division of DD Community Support Waiver

  • Populations served: Adults and children with intellectual/developmental disabilities
  • Self-directing participant count: 2,100 across Division of DD Community Support Waiver, Children's DD, Partnership for Hope, and Comprehensive Waiver

Independent Living Waiver

  • Populations served: Adults with physical disabilities
  • Self-directing participant count: 600

Missouri Children with Developmental Disabilities (MOCDD) Waiver

  • Populations served: Children with intellectual/developmental disabilities
  • Self-directing participant count: 2,100 across Division of DD Community Support Waiver, Children's DD, Partnership for Hope, and Comprehensive Waiver

Partnership for Hope

  • Populations served: Adults and children with intellectual/developmental disabilities
  • Self-directing participant count: 2,100 across Division of DD Community Support Waiver, Children's DD, Partnership for Hope, and Comprehensive Waiver

State Plan Consumer-Directed Services

  • Populations served: Adults with intellectual/developmental disabilities and seniors
  • Self-directing participant count: 38,258

Veteran Directed Care (VDC)

  • Populations served: Adults with intellectual/developmental disabilities and seniors (Veterans)
  • Self-directing participant count: 279

Montana

Big Sky Waiver

  • Populations served: Seniors, adults with physical disabilities, and children with physical disabilities
  • Self-directing participant count: 27

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: 280

Severe Disabling Mental Illness (SDMI) HCBS Waiver

  • Populations served: Adults with serious mental illness
  • Self-directing participant count: 36

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

  • Populations served: Adults with intellectual/developmental disabilities and seniors
  • Self-directing participant count: 1,740 (including the Community First Option)

Veteran Directed Care (VDC)

  • Populations served: Adults with intellectual/developmental disabilities and seniors (Veterans)
  • Self-directing participant count: 194

Nebraska

Comprehensive Developmental Disabilities (CDD) Waiver

  • Populations served: Adults with developmental disabilities and children with developmental disabilities
  • Self-directing participant count: 806

Developmental Disabilities Adult Day (DDAD) Waiver

  • Populations served: Adults with intellectual/developmental disabilities
  • Self-directing participant count: 335

Personal Assistance Services

  • Populations served: Adults with physical disabilities and seniors
  • Self-directing participant count: 1,738

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: 431

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: 368

NH Acquired Brain Disorder Waiver

  • Populations served: Adults who have an acquired or traumatic brain injury
  • Self-directing participant count: 41

NH BDS Developmental Services  

  • Populations served: Adults and children with intellectual/developmental disabilities
  • Self-directing participant count: 1,053

NH In Home Supports Waiver for Children with Developmental Disabilities

  • Populations served: Children with intellectual/developmental disabilities
  • Self-directing participant count: 447

PCA Services- State Plan

  • Populations served: Adults with physical disabilities
  • Self-directing participant count: 200

Veteran Directed Care (VDC)

  • Populations served: Adults with physical disabilities and seniors 
  • Self-directing participant count: 90

New Jersey

 Division of Developmental Disabilities (DDD)

  • Populations served: Adults with intellectual/developmental disabilities
  • Self-directing participant count: 3,183

Personal Assistance Service Program (PASP)

  • Populations served: Adults with physical disabilities
  • Self-directing participant count: 506

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: 14,860

Veteran Directed Care (VDC)

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

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: 1,865

Mi Via - ICF/IDD Renewal Waiver

  • Populations served: Adults and children with intellectual/developmental disabilities, medically fragile
  • Self-directing participant count: 1,669

Veteran Directed Care (VDC)

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

New York

Community First Choice

  • Populations served: Seniors and adults with physical disabilities
  • Self-directing participant count: 70,000

Community Living

  • Populations served: Adults with serious mental illness
  • Self-directing participant count: 99

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: 79

NYS OPWDD Comprehensive Renewal Waiver

  • Populations served: Adults with intellectual/developmental disabilities
  • Self-directing participant count: 12,781

Veteran Directed Care (VDC)

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

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: 130

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: 2,357

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: 649

NC Innovations Waiver

  • Populations served: Adults and chidren with intellectual/developmental disabilities (Autism)
  • Self-directing participant count: 336

Veteran Directed Care (VDC)

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

North Dakota

North Dakota Medicaid Waiver for Medically Fragile Children

  • Populations served: Children with physical disabilities including medically fragile
  • Self-directing participant count: 21

Traditional ID/DD Home and Community Based Services Waiver

  • Populations served: Adults and children with intellectual/developmental disabilities 
  • Self-directing participant count: 433

Veteran Directed Care (VDC)

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

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: 0

Integrated Care Delivery - MyCare Ohio

  • Populations served: Seniors and adults with physical disabilities
  • Self-directing participant count: 150

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: 0

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

  • Populations served: Seniors 60+
  • Self-directing participant count: 563

Self-Empowered Life Funding (SELF)

  • Populations served: Adults with intellectual/developmental disabilities
  • Self-directing participant count: 1700

Veteran Directed Care

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: 77

Oklahoma

ADvantage

  • Populations served: Adults with physical disabilities and seniors
  • Self-directing participant count: 1,571

In-Home Supports Waiver for Children

  • Populations served: Children with intellectual/developmental disabilities
  • Self-directing participant count: 36

In-Home Supports Waiver for Adults

  • Populations served: Adults with intellectual/developmental disabilities
  • Self-directing participant count: 101

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: 0

Medically Fragile

  • Populations served: Adults with physical disabilities (medically fragile and tech dependent)
  • Self-directing participant count: 13

Oregon

1905ab State Plan

  • Populations served: Adults with physical disabilities and seniors
  • Self-directing participant count: 2,006

Aged and Physically Disabled Waiver*

  • Populations served: Adults with physical disabilities and seniors
  • Self-directing participant count: Data included in K Plan

Behavioral (ICF/IDD) Model Waiver*

  • Populations served: Children with intellectual/developmental disabilities
  • Self-directing participant count: Data included in K Plan

ICF/IDD Support Services Waiver*

  • Populations served: Adults with intellectual/developmental disabilities
  • Self-directing participant count: Data included in K Plan

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: 26,252

Luke-Dorf

  • Populations served: Adults with serious mental illness
  • Self-directing participant count: Data not provided

Medically Fragile (Hospital) Model*

  • Populations served: Children with physical disabilities including medically fragile
  • Self-directing participant count: Data not provided

Veteran Directed Care (VDC)

  • Populations served: Adults with physical disabilities and seniors (Veterans)
  • Self-directing participant count: 62

Pennsylvania

Act 150 (State funded program)

  • Populations served: Adults with physical disabilities
  • Self-directing participant count: 17,490 across Act 150, Attendant Care Waiver, HCBS Waiver for 60 and Over, Independence Waiver, and the OBRA Waiver

Aging Waiver

  • Populations served: Seniors 60+
  • Self-directing participant count: 17,490 across Act 150, Attendant Care Waiver, HCBS Waiver for 60 and Over, Independence Waiver, and the OBRA Waiver

Attendant Care Waiver

  • Populations served: Individuals 18 - 59 with physical disabilities
  • Self-directing participant count: 17,490 across Act 150, Attendant Care Waiver, HCBS Waiver for 60 and Over, Independence Waiver, and the OBRA Waiver

Community HealthChoices (formerly COMMCARE)

  • Populations served: Seniors and adults with physical disabilities
  • Self-directing participant count: 17,490 across Act 150, Attendant Care Waiver, HCBS Waiver for 60 and Over, Independence Waiver, and the OBRA Waiver

Community Living

  • Populations served: Adults and children with developmental disabilities
  • Self-directing participant count: 5,279 across Community Living, Consolidated Waiver, and Person/Family Directed Support Waiver

Consolidated Waiver

  • Populations served: Adults with intellectual/developmental disabilities
  • Self-directing participant count: 5,279 across Community Living, Consolidated Waiver, and Person/Family Directed Support Waiver

Consumer Recovery Investment Fund Program

  • Populations served: Adults with serious mental illnesses
  • Self-directing participant count: 24

Independence Waiver

  • Populations served: Adults 18 - 59 with physical disabilities
  • Self-directing participant count: 17,490 across Act 150, Attendant Care Waiver, HCBS Waiver for 60 and Over, Independence Waiver, and the OBRA Waiver

OBRA Waiver

  • Populations served: Adults 18 - 59 with intellectual/developmental disabilities
  • Self-directing participant count: 17,490 across Act 150, Attendant Care Waiver, HCBS Waiver for 60 and Over, Independence Waiver, and the OBRA Waiver

Options

  • Populations served: Seniors
  • Self-directing participant count: 778

Person/Family Directed Support Waiver

  • Populations served: No age limit for individuals with an intellectual disability or Autism
  • Self-directing participant count: 5,279 across Community Living, Consolidated Waiver, and Person/Family Directed Support Waiver

Veteran Directed Care (VDC)

  • Populations served: Adults with physical disabilities and senior (Veterans)
  • Self-directing participant count: 18

Rhode Island

ID/DD program

  • Populations served: Adults with intellectual/developmental disabilities
  • Self-directing participant count: 620

Personal Assistance Services and Supports (PASS)

  • Populations served: Children with physical disabilities, children with developmental disabilities, and children with serious mental illness
  • Self-directing participant count: 421

Personal Choice

  • Populations served: Seniors and adults with physical disabilities
  • Self-directing participant count: 550

South Carolina

Community Choices Waiver

  • Populations served: Adults with physical disabilities and seniors
  • Self-directing participant count: 2,000

Community Supports Waiver

  • Populations served: Adults and children with developmental disabilities
  • Self-directing participant count: 580

Head and Spinal Cord Injury

  • Populations served: People with a traumatic brain injury and/or spinal cord injury
  • Self-directing participant count: 197

HIV/AIDS Waiver

  • Populations served: HIV birth to no max age
  • Self-directing participant count: 30

ID and Related Disabilities Waiver

  • Populations served: Adults and children with developmental disabilities
  • Self-directing participant count: 48

Mechanical Ventilator Dependent Waiver

  • Populations served: Technology dependent 21+
  • Self-directing participant count: 20

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: 105

Family Support 360

  • Populations served: Adults and children with developmental disabilities
  • Self-directing participant count: 61

Tennessee

Self-Determination Waiver Program

  • Populations served: Adults with intellectual/developmental disabilities and children with physical disabilities including medically fragile
  • Self-directing participant count: 596

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: 3,547

Veteran Directed Care (VDC)

  • Populations served: Adults with physical disabilities and seniors (Veterans) 
  • Self-directing participant count: 4

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: 13,718

Community Living Assistance and Support Services (CLASS)*

  • Populations served: Adults with intellectual/developmental disabilities and children with intellectual/developmental disabilities
  • Self-directing participant count: Included in Community First Choice

Consumer Managed Personal Attendant Services (CMPAS)

  • Populations served: Adults with physical disabilities
  • Self-directing participant count: 70

Deaf Blind with Multiple Disabilities (DBMD)*

  • Populations served: Adults with physical disabilities and children with intellectual/developmental disabilities
  • Self-directing participant count: Included in Community First Choice

Home and Community-Based Services (HCS) Program*

  • Populations served: Adults with physical disabilities and children with intellectual/developmental disabilities
  • Self-directing participant count: Included in Community First Choice

Medically Dependent Children Program (MDCP)*

  • Populations served: Children with physical disabilities including medically fragile
  • Self-directing participant count: Included in Community First Choice

My Choice My Voice

  • Populations served: Adults with serious mental illness
  • Self-directing participant count:150

STAR Kids*

  • Populations served: Children with physical disabilities
  • Self-directing participant count: Included in Community First Choice

Texas Home Living Program (TxHmL)*

  • Populations served: Adults with physical disabilities and children with intellectual/developmental disabilities
  • Self-directing participant count: Included in Community First Choice

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: Included in Community First Choice

Texas Self-Directed Care*

  • Populations served: Adults with serious mental illness
  • Self-directing participant count: Included in Community First Choice

Veteran Directed Care (VDC)

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

Utah

Aging Waver (Individuals Age 65 or Older)

  • Populations served: Seniors
  • Self-directing participant count: 500

Acquired Brain Injury

  • Populations served: Traumatic brain injury and other
  • Self-directing participant count: 32

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: 1,687

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: 184

New Choices Waiver

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

Physical Disabilities Waiver

  • Populations served: Adults with physical disabilities and seniors
  • Self-directing participant count: 108

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: 108

Vermont

Attendant Services - General Fund

  • Populations served: Adults with physical disabilities
  • Self-directing participant count: 44

Choices for Care

  • Populations served: Adults with physical disabilities and seniors
  • Self-directing participant count: 1,376 across Choices for Care and Flexible Choices

Children's Personal Care Services

  • Populations served: Children with physical disabilities including medically fragile and children with intellectual/developmental disabilities
  • Self-directing participant count: 1,011

Developmental Services

  • Populations served: Individuals with developmental disabilities
  • Self-directing participant count: 2,123

Flexible Choices

  • Populations served: Adults with physical disabilities and seniors
  • Self-directing participant count: 1,376 across Choices for Care and Flexible Choices

TBI Program*

  • Populations served: Adults with traumatic brain injuries
  • Self-directing participant count: Included in Choices for Care

Veteran-Directed Care

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

Virginia

Community Living Waiver

  • Populations served: Birth to no max age
  • Self-directing participant count: 2,362

Commonwealth Coordinated Care Plus

  • Populations served: Seniors and adults with physical disabilities
  • Self-directing participant count: 23,000

Family and Individual Supports Waiver

  • Populations served: Individuals 6 to no max age with Autism or developmental disabilities 
  • Self-directing participant count: 1,258

Veteran Directed Care (VDC)

  • Populations served: Adults with physical disabilities and seniors (Veterans) 
  • Self-directing participant count: 211

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: 39,600

Medicaid Personal Care

  • Populations served: Adults with physical disabilities, seniors, and adults with developmental disabilities
  • Self-directing participant count: 221

New Freedom

  • Populations served: Adults with physical disabilities and seniors
  • Self-directing participant count: 454

Roads to Community Living

  • Populations served: Seniors, adults with physical disabilities, adults with developmental disabilities 
  • Self-directing participant count: 63

Veteran Directed Care 

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Self-directing participant count: 19

West Virginia

Aged and Disabled Waiver

  • Populations served: Adults with physical disabilities and seniors
  • Self-directing participant count: 990

ID/DD Waiver

TBI Waiver

  • Populations served: Children and adults with traumatic brain injury
  • Self-directing participant count: 33

Wisconsin

Children's Long Term Support DD Waiver

  • Populations served: Children with intellectual/developmental disabilities
  • Self-directing participant count: 6,479

Family Care Waiver

  • Populations served: Adults with intellectual/developmental disabilities, seniors, and adults with physical disabilities
  • Self-directing participant count: 17,000

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

  • Populations served: Adults with intellectual/developmental disabilities, seniors, and adults with physical disabilities
  • Self-directing participant count: 19,100

Veteran Directed Care (VDC)

  • Populations served: Adults with physical disabilities and seniors (Veterans)
  • Self-directing participant count: 90

Wyoming

Community Choices

  • Populations served: Adults with physical disabilities and seniors
  • Self-directing participant count: 731

Comprehensive Waiver

  • Populations served: Adults with intellectual/developmental disabilities and children with intellectual/developmental disabilities
  • Self-directing participant count: 320 across Comprehensive Waiver and Supports Waiver

Supports Waiver

  • Populations served: Adults with intellectual/developmental disabilities and children with intellectual/developmental disabilities
  • Self-directing participant count: 320 across Comprehensive Waiver and Supports Waiver



  • *Feeder Programs: During the 2019 Inventory, ASD developed the term “feeder program” to define waivers that allow self-direction but do not provide self-direction as a service option. In this situation, waiver recipients who opt to receive self-directed LTSS services are referred by their primary HCBS waiver (i.e., the feeder program) to an appropriate self-direction program to receive self-directed services. Waiver recipients continue to remain enrolled in the primary HCBS waiver to receive non-self-directed services. This categorization was developed during the 2019 Inventory and states likely do not use this term.