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    Medicaid Waiver Programs

    Waiver Programs, authorized under section 1915(C) of the Social Security Act, provide states with greater flexibility to serve individuals with substantial long-term care needs at home or in the community rather than in an institution. The Federal Government "waives" certain Medicaid rules. This allows a state to select a portion of the population on Medicaid to receive specialized services not available to all Medicaid recipients.

    Ability Beyond Disability is an approved provider for three Medicaid Waiver Programs:

    • CT TBI Waiver: Connecticut Traumatic Brain Injury Medicaid Waiver
    • NY DOH HCBS/TBI Waiver: New York State, Department of Health, Home & Community Based Services Medicaid Waiver for Individuals with Traumatic Brain Injury
    • NY OMRDD HCBS Waiver: New York State, Office of Mental Retardation and Developmental Disabilities, Home & Community Based Services Medicaid Waiver
    CT TBI Waiver
    Eligibility (must meet all of the following criteria): be between the ages of 18 and 64; have an Acquired Brain Injury; meet the level of care criteria; meet the eligibility requirements of the Connecticut Medicaid Home and Community Based Services waiver coverage group; and be able to participate in the development of a cost-effective plan that offers an alternative to institutionalization.

    Waiver Services:

      Case Management
      Cognitive/Behavioral Programs
      Community Living Support Services
      Companion Services
      Family Training
      Independent Living Skills Training
      Pre-Vocational Services
      Respite Care
      Supported Employment Services
      Transitional Living Services
      Transportation Services

    NY DOH HCBS/TBI Waiver
    Eligibility (must meet all of the following criteria): A New York Medicaid recipient who is diagnosed with TBI or other type of brain injury; 22-64 years old with the injury occurring on or after 22nd birthday; eligible for a nursing facility level of care; chose to live in the community rather than in a nursing facility; can identify a safe living arrangement that will meet their needs; can be supported safely within the community with the funds and services available under the DOH HCBS/TBI Waiver.

    Waiver Services:

      Service Coordination
      Independent Living Skills Training
      Structured Day Program
      Community Integration Counseling
      Home and Community Support Services
      Substance Abuse Program
      Intensive Behavioral Program
      Environmental Modification
      Respite
      Special Medical Equipment and Supplies
      Transportation

    NY OMRDD HCBS Waiver Services
    Eligibility: must have a formal diagnosis of mental retardation or other developmental disability which includes: autism, cerebral palsy, epilepsy, mental retardation, and/or other neurological impairments; the onset of this disability must have been manifested prior to age twenty-two; must receive New York Medicaid; must have a Medicaid service coordinator to be eligible.

    Waiver Services:

      Medical Service Coordination
      Residential Habilitation
      Day Habilitation
      Prevocational
      Supported Employment
      Respite
      Environmental Modifications
      Adaptive Technologies
      Family Education Training
      In-Home Residential Habilitation





Meet Russell “Russell never complains, and I mean never, said Debra Nardello. The store gets really busy, he gets tired, someone gives him a hard time... but he never complains.”