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
  • Program Website

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

  • Populations served: Adults with intellectual/developmental disabilities 
  • Program Website

Elderly and Disabled Waiver*

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

Personal Choices

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

State of Alabama Independent Living (SAIL) Waiver

Technology Assisted Waiver*

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

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • 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.
  • Program Website

Consumer-Directed Personal Care Services Program (CDPCA)*

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

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • 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
  • Program Website

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Program Website

Arkansas

Independent Choices

  • Populations served: Adults with physical disabilities and seniors
  • For more information call: 1-844-581-6018
  • Program Website

Veteran-Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)  
  • 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 
  • Program Website

HCBS DD Waiver

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

IHSS Plus Option (IPO)

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

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

  • Populations served: People with disabilities who are not eligible for full-scope Medi-Cal
  • Program Website

Personal Care Services Program (PCSP)

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

Self-Determination Waiver

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

Veteran-Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)
  • Program Website

Colorado

Brain Injury Waiver*

  • Populations served: Individuals 16 years or older with a brain injury

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

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

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

  • Populations served: Adults with disabilities and seniors 

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

Spinal Cord Injury (SCI) Waiver*

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

Supportive Living Services Waiver (SLS)*

  • Populations served: Adults with developmental disabilities

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)

Connecticut

Acquired Brain Injury Waiver*

Community First Choice

  • Populations served: Adults with physical disabilities, seniors, and individuals with traumatic brain injury (TBI)

Comprehensive Supports Waiver*

  • Populations served: Adults with intellectual disabilities 

Connecticut Home Care Program for Elders (CHCPE)*

Employment and Day Supports Waiver*

  • Populations served: Adults with intellectual disabilities 

Home and Community Supports Waiver for Persons with Autism*

Individual and Family Support Waiver*

  • Populations served: Children with intellectual/developmental disabilities and adults with intellectual disabilities 

Mental Health Waiver*

  • Populations served: Individuals with serious mental health conditions

Personal Care Assistance Program*

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)

Delaware

Attendant Services

  • Populations served: Adults with physical disabilities and seniors

DDDS Lifespan Waiver

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

Diamond State Health Plan Plus

  • Populations served: Adults with physical disabilities, children with physical disabilities, and seniors 

Pathways to Employment

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

District of Columbia

Elderly and Persons with Physical Disabilities Waiver

  • Populations served: Adults with physical disabilities and seniors

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)

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

Florida Self-Directed Care, Circuit 20

  • Populations served: Individuals with serious mental health conditions

Florida Self-Directed Care, District 4 (Jacksonville)

  • Populations served: Individuals with serious mental health conditions

Veteran-Directed Care

  • Populations served: Adults with disabilities and seniors (Veterans) 

Georgia

Comprehensive Supports Waiver (COMP) 

  • Populations served: Individuals with intellectual/developmental disabilities (birth to no maximum age)

Georgia Community Care Services Program (CCSP) Medicaid Waiver

  • Populations served: Individuals with disabilities (aged 0 - 64) and seniors 

Independent Care Waiver

  • Populations served: Adults with severe physical disabilities including traumatic brain injuries (aged 21 - 64)  

New Options Waiver (NOW)

  • Populations served: Children and adults with intellectual/developmental disabilities 

Veteran-Directed Care

  • Populations served: Adults with disabilities and seniors (Veterans) 

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 

Home and Community-Based Services for People with Developmental Disabilities

  • Populations served: Individuals with intellectual/developmental disabilities 

Quest Integration (QI)

  • Populations served: All populations except individuals with intellectual/developmental disabilities 

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)

Idaho

Aged and Disabled Waiver

  • Populations served: Seniors and adults with physical disabilities 

Children's Developmental Disabilities Waiver

  • Populations served: Children with intellectual/developmental disabilities 

Idaho Developmental Disabilities Waiver

  • Populations served: Adults with intellectual/developmental disabilities 

Veteran-Directed Care 

  • Populations served: Adults with disabilities and seniors (Veterans)

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)

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

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

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

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

Home Services Program

  • Populations served:  People with severe disabilities under age 60 who need help with daily living activities in their homes. 

Persons with Disabilities/Physically Disabled

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

Support Waiver for Children and Young Adults with Developmental Disabilities

  • Populations served: Children and young adults with developmental disabilities ages 3 through 21 who live at home with their families and are at risk of placement in an Intermediate Care Facility for persons with Developmental Disabilities (ICF/DD)

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)

Indiana

Aged and Disabled Waiver

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

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) 

Consumer Directed Attendant Care

  • Populations served: Adults with disabilities and seniors 

Home and Community Based Services - AIDS*

Home and Community Based Services - Brain Injury*

  • Populations served: Individuals with traumatic brain injury

Home and Community Based Services - Elderly Waiver*

Home and Community Based Services - Health and Disability Waiver*

Home and Community Based Services - Intellectual Disabilities Waiver*

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

Home and Community Based Services - Physical Disability Waiver*

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)

Kansas

Brain Injury (BI) Waiver Program

Frail Elderly Waiver Program

Intellectual/Developmental Disability (I/DD) Waiver Program

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

KanCare

Physical Disability Waiver Program

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

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

WORK

  • Populations served: Adults with physical disabilities and adults with developmental disabilities

Kentucky

Acquired Brain Injury (ABI) Waiver

Acquired Brain Injury Long Term Care (ABI LTC) Waiver

Home and Community Based (HCB) Waiver

  • Populations served: Seniors and adults with physical disabilities

HCBS Transitions

  • Populations served: Seniors and adults with physical disabilities

Michelle P. Waiver (MPW)

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

Supports for Community Living (SCL) Waiver

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

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)

Louisiana

Children's Choice Waiver

  • Populations served: Children with developmental disabilities (birth to 18)

Community Choices Waiver

  • Populations served: Adults with physical disabilities and seniors 

New Opportunities Waiver

  • Populations served: Individuals with intellectual/developmental disabilities (age 3 and older) 

Residential Options Waiver

  • Populations served: Individuals with intellectual/developmental disabilities 

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)

Maine

Consumer Directed Attendant Services (or Consumer Directed Assistance Services)

  • Populations served: Adults with physical disabilities and seniors 

Elderly and Adults with Disabilities Waiver

  • Populations served: Adults with physical disabilities and seniors 

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

  • Populations served: Adults with physical disabilities and seniors 

Private Duty Nursing/Personal Care State Plan

  • Populations served: Adults with physical disabilities and seniors 

Veteran Directed Care

  • Populations served: Adults with disabilities and seniors (Veterans)

Maryland

Community Pathways*

  • Populations served: Children and adults with developmental disabilities

Community Supports Waiver*

  • Populations served: Children and adults with developmental disabilities

Family Supports Waiver* 

  • Populations served: Children birth to 21 with developmental disabilities

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)

Massachusetts

Adult Supports Waiver*

  • Populations served: Adults with developmental disabilities

Children's Autism Waiver

Community Living Waiver*

  • Populations served: Individuals 22 years and older with intellectual/developmental disabilities

Intensive Supports Waiver*

  • Populations served: Individuals 22 years and older with intellectual/developmental disabilities who require 24/7 support

MFP Community Living (MFP-CL)

  • Populations served: Seniors, adults with physical disabilities, adults with serious mental illness

MFP Residential Supports (MFP-RS)

  • Populations served: Seniors, adults with physical disabilities, adults with serious mental illness

Participant Directed Program (PDP)

  • Populations served: Individuals with intellectual/developmental disabilities

Senior Care Options Personal Care Attendant (PCA) Program

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

  • Populations served: Seniors and adults with physical disabilities

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)

Michigan

Children's Waiver Program

  • Populations served: Children with intellectual disabilities/developmental disabilities

Habilitation Supports Waiver

  • Populations served: Children with intellectual/developmental disabilities and adults with intellectual/developmental disabilities

Home Help Program

MI Choice

  • Populations served: Seniors and adults with physical disabilities

MI Health Link 

  • Populations served: Adults with physical disabilities and seniors

Self-Determination Initiative

  • Populations served: Individuals with mental health conditions

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)

Minnesota

Alternative Care (AC) Program

Brain Injury Waiver*

  • Populations served: Children and adults who have an acquired or traumatic brain injury.

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

  • Populations served: Adults and children with physical disabilities

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

Consumer Support Grant Program

  • Populations served: Individuals who require assistance with Activities of Daily Living (ADLs)

Deaf-Blind Consumer Directed Services (DBCDS)

  • Populations served: Adults and children with physical disabilities

Development Disabilities (DD) Waiver*

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

Elderly Waiver (EW)*

Personal Care Assistance (PCA) Choice

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)

Mississippi

Independent Living Waiver

  • Populations served: Adults with physical disabilities and seniors 

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

  • Populations served: Adults who have an acquired or traumatic brain injury

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)

Missouri

DD Comprehensive Waiver

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

Division of DD Community Support Waiver

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

Independent Living Waiver

Missouri Children with Developmental Disabilities (MOCDD) Waiver

  • Populations served: Children with intellectual/developmental disabilities

Partnership for Hope

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

State Plan Consumer-Directed Services

  • Populations served: Adults with intellectual/developmental disabilities and seniors

Veteran Directed Care (VDC)

  • Populations served: Adults with intellectual/developmental disabilities and seniors (Veterans)

Montana

Big Sky Waiver

  • Populations served: Seniors, adults with physical disabilities, and children with physical disabilities

Home and Community-Based Waiver for Individuals with Developmental Disabilities

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

Severe Disabling Mental Illness (SDMI) HCBS Waiver

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

  • Populations served: Adults with intellectual/developmental disabilities and seniors

Veteran Directed Care (VDC)

  • Populations served: Adults with intellectual/developmental disabilities and seniors (Veterans)

Nebraska

Comprehensive Developmental Disabilities (CDD) Waiver

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

Developmental Disabilities Adult Day (DDAD) Waiver

  • Populations served: Adults with intellectual/developmental disabilities

Personal Assistance Services

  • Populations served: Adults with physical disabilities and seniors

Nevada

Autism Treatment Assistance Program (ATAP)

  • Populations served: Children (18 months to 19 years) with Autism

Home and Community Based Waiver (HCBW)

State Plan Personal Care Services (PCS)

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

NH Acquired Brain Disorder Waiver

  • Populations served: Adults who have an acquired or traumatic brain injury

NH BDS Developmental Services  

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

NH In Home Supports Waiver for Children with Developmental Disabilities

  • Populations served: Children with intellectual/developmental disabilities

PCA Services- State Plan

Veteran Directed Care (VDC)

  • Populations served: Adults with physical disabilities and seniors 

New Jersey

 Division of Developmental Disabilities (DDD)

  • Populations served: Adults with intellectual/developmental disabilities

Personal Assistance Service Program (PASP)

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

Veteran Directed Care (VDC)

  • Populations served: Adults with physical disabilities and seniors (Veterans)

New Mexico

Centennial Care

  • Populations served: Adults with physical disabilities, seniors, children with physical disabilities including medically fragile, and persons with mental Illness

Mi Via - ICF/IDD Renewal Waiver

  • Populations served: Adults and children with intellectual/developmental disabilities, medically fragile

Veteran Directed Care (VDC)

  • Populations served: Adults with physical disabilities and seniors (Veterans)

New York

Community First Choice

  • Populations served: Seniors and adults with physical disabilities

Community Living

  • Populations served: Adults with serious mental illness

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

Manhattan Community Access

  • Populations served: Adults with serious mental illness

NYS OPWDD Comprehensive Renewal Waiver

  • Populations served: Adults with intellectual/developmental disabilities

Veteran Directed Care (VDC)

  • Populations served: Adults with physical disabilities and seniors (Veterans) 

North Carolina

Cardinal Innovations

  • Populations served: Adults with serious mental illness, children with serious mental illness, and adults with traumatic brain injury

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

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

NC Innovations Waiver

  • Populations served: Adults and chidren with intellectual/developmental disabilities (Autism)

Veteran Directed Care (VDC)

  • Populations served: Adults with physical disabilities and seniors (Veterans) 

North Dakota

North Dakota Medicaid Waiver for Medically Fragile Children

  • Populations served: Children with physical disabilities including medically fragile

Traditional ID/DD Home and Community Based Services Waiver

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

Veteran Directed Care (VDC)

  • Populations served: Adults with physical disabilities and seniors (Veterans) 

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.

Integrated Care Delivery - MyCare Ohio

  • Populations served: Seniors and adults with physical disabilities

Level One Waiver*

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

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

Self-Empowered Life Funding (SELF)

  • Populations served: Adults with intellectual/developmental disabilities

Veteran Directed Care

  • Populations served: Adults with disabilities and seniors (Veterans)

Oklahoma

ADvantage

  • Populations served: Adults with physical disabilities and seniors

In-Home Supports Waiver for Children

  • Populations served: Children with intellectual/developmental disabilities

In-Home Supports Waiver for Adults

  • Populations served: Adults with intellectual/developmental disabilities

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

Medically Fragile

  • Populations served: Adults with physical disabilities (medically fragile and tech dependent)

Oregon

1905ab State Plan

  • Populations served: Adults with physical disabilities and seniors

Aged and Physically Disabled Waiver*

  • Populations served: Adults with physical disabilities and seniors

Behavioral (ICF/IDD) Model Waiver*

  • Populations served: Children with intellectual/developmental disabilities

ICF/IDD Support Services Waiver*

  • Populations served: Adults with intellectual/developmental disabilities

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

Luke-Dorf

Medically Fragile (Hospital) Model*

  • Populations served: Children with physical disabilities including medically fragile

Veteran Directed Care (VDC)

  • Populations served: Adults with physical disabilities and seniors (Veterans)

Pennsylvania

Act 150 (State funded program)

Aging Waiver

Attendant Care Waiver

  • Populations served: Individuals 18 - 59 with physical disabilities

Community HealthChoices (formerly COMMCARE)

  • Populations served: Seniors and adults with physical disabilities

Community Living

  • Populations served: Adults and children with developmental disabilities

Consolidated Waiver

  • Populations served: Adults with intellectual/developmental disabilities

Consumer Recovery Investment Fund Program

Independence Waiver

  • Populations served: Adults 18 - 59 with physical disabilities

OBRA Waiver

  • Populations served: Adults 18 - 59 with intellectual/developmental disabilities

Options

Person/Family Directed Support Waiver

  • Populations served: No age limit for individuals with an intellectual disability or Autism

Veteran Directed Care (VDC)

  • Populations served: Adults with physical disabilities and senior (Veterans)

Rhode Island

ID/DD program

  • Populations served: Adults with intellectual/developmental disabilities

Personal Assistance Services and Supports (PASS)

  • Populations served: Children with physical disabilities, children with developmental disabilities, and children with serious mental illness

Personal Choice

  • Populations served: Seniors and adults with physical disabilities

South Carolina

Community Choices Waiver

  • Populations served: Adults with physical disabilities and seniors

Community Supports Waiver

  • Populations served: Adults and children with developmental disabilities

Head and Spinal Cord Injury

  • Populations served: People with a traumatic brain injury and/or spinal cord injury

HIV/AIDS Waiver

ID and Related Disabilities Waiver

  • Populations served: Adults and children with developmental disabilities

Mechanical Ventilator Dependent Waiver

South Dakota

Assistive Daily Living Waiver (ADL)

  • Populations served: Adults with intellectual/developmental disabilities and children with physical disabilities including medically fragile

Family Support 360

  • Populations served: Adults and children with developmental disabilities

Tennessee

Self-Determination Waiver Program

  • Populations served: Adults with intellectual/developmental disabilities and children with physical disabilities including medically fragile

TennCare

  • Populations served: Adults with physical disabilities and seniors (includes level 2 [meets level of care] and 3 [does not meet level of care])

Veteran Directed Care (VDC)

  • Populations served: Adults with physical disabilities and seniors (Veterans) 

Texas

Community First Choice

  • Populations served: Children with intellectual/developmental disabilities, adults with physical disabilities, and adults with intellectual/developmental disabilities

Community Living Assistance and Support Services (CLASS)*

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

Consumer Managed Personal Attendant Services (CMPAS)

Deaf Blind with Multiple Disabilities (DBMD)*

  • Populations served: Adults with physical disabilities and children with intellectual/developmental disabilities

Home and Community-Based Services (HCS) Program*

  • Populations served: Adults with physical disabilities and children with intellectual/developmental disabilities

Medically Dependent Children Program (MDCP)*

  • Populations served: Children with physical disabilities including medically fragile

My Choice My Voice

STAR Kids*

Texas Home Living Program (TxHmL)*

  • Populations served: Adults with physical disabilities and children with intellectual/developmental disabilities

Texas Healthcare Transformation (STAR PLUS)*

  • Populations served: Seniors, adults with physical disabilities, persons with mental illness, and children with intellectual/developmental disabilities

Texas Self-Directed Care*

Veteran Directed Care (VDC)

  • Populations served: Adults with physical disabilities and seniors (Veterans) 

Utah

Aging Waver (Individuals Age 65 or Older)

Acquired Brain Injury

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

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

EPAS - Employment-related Personal Assistant Services

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

New Choices Waiver

  • Populations served: Adults with physical disabilities and seniors

Physical Disabilities Waiver

  • Populations served: Adults with physical disabilities and seniors

Veteran Directed Care (VDC)

  • Populations served: Adults with disabilities and seniors (Veterans)

Vermont

Attendant Services - General Fund

Choices for Care

  • Populations served: Adults with physical disabilities and seniors

Children's Personal Care Services

  • Populations served: Children with physical disabilities including medically fragile and children with intellectual/developmental disabilities

Developmental Services

  • Populations served: Individuals with developmental disabilities

Flexible Choices

  • Populations served: Adults with physical disabilities and seniors

TBI Program*

Veteran-Directed Care

  • Populations served: Adults with physical disabilities and seniors (Veterans)

Virginia

Community Living Waiver

Commonwealth Coordinated Care Plus

  • Populations served: Seniors and adults with physical disabilities

Family and Individual Supports Waiver

  • Populations served: Individuals 6 to no max age with Autism or developmental disabilities 

Veteran Directed Care (VDC)

  • Populations served: Adults with physical disabilities and seniors (Veterans) 

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

Medicaid Personal Care

  • Populations served: Adults with physical disabilities, seniors, and adults with developmental disabilities

New Freedom

  • Populations served: Adults with physical disabilities and seniors

Roads to Community Living

  • Populations served: Seniors, adults with physical disabilities, adults with developmental disabilities 

Veteran Directed Care 

  • Populations served: Adults with disabilities and seniors (Veterans)

West Virginia

Aged and Disabled Waiver

  • Populations served: Adults with physical disabilities and seniors

ID/DD Waiver

TBI Waiver

  • Populations served: Children and adults with traumatic brain injury

Wisconsin

Children's Long Term Support DD Waiver

  • Populations served: Children with intellectual/developmental disabilities

Family Care Waiver

  • Populations served: Adults with intellectual/developmental disabilities, seniors, and adults with physical disabilities

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

  • Populations served: Adults with intellectual/developmental disabilities, seniors, and adults with physical disabilities

Veteran Directed Care (VDC)

  • Populations served: Adults with physical disabilities and seniors (Veterans)

Wyoming

Community Choices

  • Populations served: Adults with physical disabilities and seniors

Comprehensive Waiver

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

Supports Waiver

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



  • *Feeder Programs: During the 2019 Inventory, Applied Self-Direction 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 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.