LISTING OF MEDICAID

ALABAMA	IDT based on individual choice, resources and appropriateness of care. Resources are considered in decision. Alabama Medicaid: http://www.medicaid.state.al.us/ HCBS MR/DD Waiver http://www.medicaid.state.al.us/MANUALS/AdminCode/ad_ch_52.htm
ALASKA	Regions serve from waiting lists based on available funds. Eligible individuals are selected from waiting list until no funds are available. Alaska Medicaid: http://www.hss.state.ak.us/dma/ MAKING HCBS WAIVERS WORK FOR ALASKANS: http://add.infoinsights.com/hcbswaivers/ Dept. of Health & Social Services � DMHDD Division: http://www.hss.state.ak.us/dmhdd/
ARIZONA	1115 Demonstration Waiver, all eligible enrolled. Arizona Medicaid: http://www.ahcccs.state.az.us/ Arizona Office for Children with Special Health Care Needs: http://www.hs.state.az.us/phs/ocshcn/index.htm ALTCS Program (Long Term Care System): http://www.ahcccs.state.az.us/Services/Overview/ForArizonans.asp#ALTCS
ARKANSAS	First come, first served. Plan of care caps for different program levels. Arkansas Medicaid: http://209.12.159.21/ ArkKids First: http://www.arkidsfirst.com/home.htm Arkansas DDS Services: http://www.state.ar.us/dhs/ddds/ddsback.html
CALIFORNIA	Individual's planning team. All eligible, but must be "cost-effective". California Medicaid: http://www.dhs.ca.gov/mcs/ Department of Developmental Services (DDS): http://www.dds.ca.gov/ To find the location of your Regional Center: http://www.arcanet.org/map.htm#map California Children's Services pays for medical equipment and supplies. Read about CCS at: http://www.dhs.ca.gov/prp/cms/html/ccs.htm Genetically Handicapped Persons Program (GHPP): http://www.dhs.ca.gov/prp/cms/HTML/GHPP.htm DHS contacts: http://www.dhs.cahwnet.gov/home/comments.htm California Waivers (.pdf document): http://www.cahsah.org/statebudget/waiveroverview.pdf
COLORADO	First come, first served - case management agency. Opening matched with identified needs, new resources usually go to high needs. Colorado Medicaid: http://www.chcpf.state.co.us/index.html Children�s Extensive Support Waiver Program: http://www.chcpf.state.co.us/StateRules/503ces.html
CONNECTICUT	Individual's IDT and QMRP. State matching funds must have been appropriated. Connecticut Medicaid: http://www.dss.state.ct.us/svcs/medical/index.htm Family Support Grant Program: http://www.dss.state.ct.us/svcs/adults.htm
DELAWARE	Division of MR based on person's support needs. Limited in aggregate by division's budget. Delaware Medicaid: http://www.state.de.us/dhss/irm/dss/dsshome.htm Disabled Children DSS Program: http://www.state.de.us/dhss/dss/disabledchildren.html
DISTRICT OF COLUMBIA	District of Columbia Medicaid: http://dchealth.dc.gov/information/maa_outline.shtm
FLORIDA	Florida Medicaid: http://www.fdhc.state.fl.us/Medicaid/about/index.shtml Medi-Kids � Florida KidCare Program: http://www.fdhc.state.fl.us/Medicaid/MediKids/index.shtml Children�s Medical Services (CMS): http://www.floridakidcare.org/partners/programs.html#cms A really helpful .pdf document of Florida programs: http://card-usf.fmhi.usf.edu/cardpubs/factsheet/Engsheets/Services.pdf
GEORGIA	MHMRSA regional boards. Regional board must identify the state match for placement. Georgia Medicaid (Dept. of Community Health): http://www.communityhealth.state.ga.us/ Babies Can�t Wait Program: http://www.ph.dhr.state.ga.us/programs/bcw/index.shtml
HAWAII	DD division determines eligibility for DD services/Medicaid agency determines admission to HCBS. No applicant denied based on availability of funds/priority to persons placed in or risk of placement in institutions. Hawaii Medicaid: http://www.state.hi.us/dhs/
IDAHO	Regional DD authority and central office. Idaho Medicaid: http://www2.state.id.us/dhw/medicaid/index.htm Developmentally Disabled HCBS waiver: http://www2.state.id.us/dhw/medicaid/waivers/dd_waiver_main.htm
ILLINOIS	DMHDD approves resident placement and supports/person must be eligible to receive the waiver. Priority given to consent decree class members, people living in state operated facilities, and community crisis. Illinois Medicaid: http://www.state.il.us/dpa/medical_programs.htm Illinois Waivers: http://www.state.il.us/dpa/home_and_community_based_servi.htm Auditor�s report on Illinois medicaid programs: http://www.state.il.us/auditor/meddig.htm
INDIANA	Area agencies for diversions, state case managers for conversions/first come, first served. DNF. Indiana Medicaid: http://www.state.in.us/fssa/servicedisabl/medicaid/index.html Bureau of Developmental Disabilities (BDDS): http://www.state.in.us/fssa/servicedisabl/ddars/bdds.html FSSA First Step Program: http://www.state.in.us/fssa/first_step/index.html
IOWA	County makes decision based on case manager recommendations. Ill and handicapped waiver � after age 18, MR Waiver. Iowa Medicaid: http://www.dhs.state.ia.us/MedicalServices/hcbs_waivers.asp Community Living Program - Info on Special Needs Grants http://www.dhs.state.ia.us/mhdd/MHDDSpecialNeeds.htm
KANSAS	Community developmental disability organization. Effectively no constraints. Kansas Medicaid: http://www.srskansas.org/hcp/medicalpolicy/MPmain.html HCBS Waiver Info: http://www.srskansas.org/services/hcbs.htm
KENTUCKY	Waiting list/first come, first served. State cap for waiver services. Kentucky Medicaid: http://chs.state.ky.us/dms Home & Community Based (HCB) Waiver Program: http://chs.state.ky.us/dms/services/hcb/default.htm
LOUISIANA	State regional officers. First come, first served with a few emergency exceptions. Louisiana Medicaid: http://www.dhh.state.la.us/medicaid/index.htm Louisiana CHIP Program: http://www.dhh.state.la.us/medicaid/LaCHIP/Index.htm Louisiana Waivers: http://www.dhh.state.la.us/PDF/MRDD_BRO.pdf http://www.dhh.state.la.us/BCSS/ http://www.dhh.state.la.us/BCSS/MRDD_page.htm http://www.dhh.state.la.us/BCSS/CC_page.htm
MAINE	Case Manager, registered nurse, Medicaid rules, available funding. Maine Medicaid: http://www.state.me.us/bms/bmshome.htm Katie Beckett waiver info: http://www.mainecite.org/ping/page17.htm
MARYLAND	Services coordinator, case manager. State match must already be appropriated. Maryland Medicaid: http://www.dhmh.state.md.us/mma/mmahome.html Waiver Programs: http://www.dhmh.state.md.us/mma/waiverprograms/ HealthChoice: http://www.dhmh.state.md.us/mma/healthchoice/
MASSACHUSETTS	Recommendation of service coordinator and ISP team/HCBS eligibility. Prioritized waiting lists. Massachusetts Medicaid: http://www.masslegalhelp.org/housing/how-waiting-lists-work
MICHIGAN	Local responsible mental health agency. Persons with most severe conditions served first. Michigan Medicaid: http://www.mdch.state.mi.us/msa/mdch_msa/msahome.HTM Children�s Special Health Care Services (CSHCS) info: http://www.mdch.state.mi.us/msa/cshcs/CSHCS.htm Trust Fund for Children With Special Health Care Needs info: http://www.mdch.state.mi.us/msa/cshcs/
MINNESOTA	County social service agency. Aggregate average allowed each county. Minnesota Medicaid: http://www.dhs.state.mn.us/HealthCare/asstprog/mmap.htm Info on Home & Community Based Waivers: http:http://www.dhs.state.mn.us/Contcare/disability/hcbwaiver.htm MR/RC Waivers: http://www.dhs.state.mn.us/Contcare/disability/mrrcwaiver.htm
MISSISSIPPI	Regional retardation facilities. Person and financial caps as approved in waiver. Mississippi Medicaid: http://www.dom.state.ms.us/ First Step - Early Intervention Program: http://www.msdh.state.ms.us/OPHS/EARLYINT/home.htm MR/DD Waiver info: http://www.dmh.state.ms.us/mental_retardation_developmental_disabilities_services.htm
MISSOURI	State agency determines eligibility/individual chooses to accept HCBS. Missouri Medicaid: http://www.dss.state.mo.us/dms/ Sarah Lopez waiver: http://www.dss.state.mo.us/dms/pages/description.htm#waivers
MONTANA	Team composed of state and provider staff. Assessment information used to determine if provider can meet person's needs. Montana Medicaid: http://www.dphhs.state.mt.us/hpsd/medicaid/index.htm Developmental Disabilities Program: http://www.dphhs.state.mt.us/dsd/govt_programs/ddp/index.htm
NEBRASKA	State Medicaid agency/Dept. of Social Services. Individual Medicaid eligibility. Nebraska Medicaid: http://www.hhs.state.ne.us/med/medindex.htm Children With Disabilities � programs offered (Adobe Acrobat .PDF files): http://www.hhs.state.ne.us/chd/chdindex.htm
NEVADA	Caseworker in conjunction with IDT, director of community services. Review of persons needing supports, state priority and waiting list, comparison of alternative settings. Nevada Medicaid: http://dhcfp.state.nv.us/index.htm
NEW HAMPSHIRE	State decides on proposals from local agencies. Sufficient funds, HCFA cap, overall average. New Hampshire Medicaid: http://www.dhhs.state.nh.us/DHHS/MEDICAIDPROGRAM/default.htm Division of Developmental Services: http://www.dhhs.state.nh.us/DHHS/DDS/default.htm
NEW JERSEY	Eligibility for DD services and received waiver eligible services. Availability of funds. New Jersey Medicaid: http://www.state.nj.us/humanservices/dmahs/index.html NJ Developmental Disabilities Council: http://www.njddc.org/index.htm
NEW MEXICO	DD division determines eligibility for DD services and budget availability, HSD/ISD determines financial eligibility, BC/BS determines medical eligibility. Federal and state appropriations determines number of individuals served based on aggregate costs. New Mexico Medicaid: http://www.state.nm.us/hsd/mad/Index.htm New Mexico Waiver Programs: http://www.health.state.nm.us/ltsd/medwaiv_3.html
NEW YORK	Regional office directors. OMRDD's annual priorities for HCBS enrollment and funding. New York Medicaid: http://www.health.state.ny.us/nysdoh/medicaid/medicaid.htm Early Intervention Program: http://www.health.state.ny.us/nysdoh/eip/index.htm New York MR/DD Office: www.omr.state.ny.us
NORTH CAROLINA	Local DD programs (eligibility determined by state DD and MA). Priority listing in terms of client needs. North Carolina Medicaid: http://www.dhhs.state.nc.us/dma/ CAP-MR/DD and CAP/C Programs: http://www.dhhs.state.nc.us/dma/commaltprog.htm
NORTH DAKOTA	DD case manager. HCBS level of care does not include resource considerations. North Dakota Medicaid: http://lnotes.state.nd.us/dhs/dhsweb.nsf/ServicePages/MedicalServices Developmental Disabilities services: http://lnotes.state.nd.us/dhs/dhsweb.nsf/fc0f0c1fcf4943e6862566730066a4cd/e1373afbce9c32d8862566730065ec8f?OpenDocument
OHIO	First come, first served. State regulations include cost as a component of eligibility. Ohio Medicaid: http://www.state.oh.us/odjfs/ohp Ohio Home Care Program: http://www.state.oh.us/odjfs/ohp/bcltcs/ohiocare.stm Ohio Waivers: http://198.30.214.7/employment/waiver/default.htm http://odmrdd.state.oh.us/Includes/Waivers/Waivers_Forms.htm http://www.state.oh.us/olrs/fsc/asp/WaiverServicesTopicTXT.asp
OKLAHOMA	Waiting list/ first come, first served. No disqualification from HCBS due to severity of need. Oklahoma Medicaid: http://www.ohca.state.ok.us/ Oklahoma Developmental Disabilities Services Division: http://www.okdhs.org/ddsd/
OREGON	State based on eligibility and funding. Waiting list, based on whether or not appropriate service can be provided in the community. Oregon Medicaid: http://www.dhs.state.or.us/healthplan/index.html
PENNSYLVANIA	Placement controlled by county MH/MR program. Caps on number of people served and maximum per capita expense. Pennyslvania Medicaid: http://www.dpw.state.pa.us/omap/dpwomap.asp Home & Community Based Services info: http://www.dpw.state.pa.us/general/hacbbroc.asp
RHODE ISLAND	State case manager. Overall state budget must be met, no individual cost limit. Rhode Island Medicaid: http://www.dhs.state.ri.us/dhs/dheacre.htm Children with special needs: http://www.dhs.state.ri.us/dhs/famchild/dchspec.htm
SOUTH CAROLINA	Dept. of Disabilities and Special Needs. HCBS can not exceed the cost of serving an individual in an ICF-MR. South Carolina Medicaid: http://www.dhhs.state.sc.us/Medicaid_info/mediciaidindex.htm South Carolina Dept. of Disabilities & Special Needs: http://www.state.sc.us/ddsn/
SOUTH DAKOTA	Division of DD. Prioritized waiting list. South Dakota Medicaid: http://www.state.sd.us/state/executive/social/medicaid/index.htm Children�s Special Health Services: http://www.state.sd.us/doh/Famhlth/child.htm
TENNESSEE	DMH/MR. Statewide average may not be exceeded; individual averaging allowed. TennCare: http://www.state.tn.us/tenncare/ Council for Developmental Disabilities: http://www.state.tn.us/cdd/
TEXAS	DMH/MR. Persons enrolled first come, first served off waiting list. Texas Medicaid: http://www.hhsc.state.tx.us/Medicaid/index.html Children With Special Health Care Needs (CSHCN) Programs: http://www.tdh.state.tx.us/cshcn/ http://www.tdh.state.tx.us/cshcn/familysupport.htm Medically Dependent Children Waiver Program (MDCP): http://www.dhs.state.tx.us/programs/communitycare/mdcp/
UTAH	Waiver case manager. Considered in scope of services, must stay within aggregate average. Utah Medicaid: http://hlunix.hl.state.ut.us/medicaid/ Children with Special Health Care Needs - Community Based Services: http://health.utah.gov/cshcn/cbs/index.htm
VERMONT	State DD division. Provided to eligible people in accordance with funding that prioritizes funding based on need. Vermont Medicaid: http://www.dsw.state.vt.us/districts/HAEU/Medicaid.htm Disabled Children Health Care (DCHC) & Katie Beckett Waiver & other Vermont programs: http://www.partoparvt.org/SixWays.html Vermont Dept. of Social Welfare � policy bulletin: http://www.dsw.state.vt.us/policy/partm2/m200s.htm
VIRGINIA	Local community services board and case manager. Financial constraints may limit access, localities prioritize need. Virginia Medicaid: http://www.dmas.state.va.us/ DD Waiver Program: http://www.dmas.state.va.us/ltc-dev_disability_waiver.htm
WASHINGTON	Individual case manager. Amount of funding determines capacity. Washington Medicaid: http://maa.dshs.wa.gov/ Division of Developmental Disabilities (DDD): http://www1.dshs.wa.gov/ddd/services.shtml
WEST VIRGINIA	Selection committee form MR/DD waiver service coordinator agencies, with final eligibility determined by state certification agency. Prioritization guidelines examine natural supports, entitlement programs, current resources, and unmet needs due to unavailability or inaccessibility of needed supports through alternative resources. West Virginia Medicaid: http://www.wvdhhr.org/bms/ MR/DD Home and Community-Based Services Waiver and TEFRA Programs: http://www.wvdhhr.org/bms/BehAltCare/bms_beh_alt_main.htm http://www.wvdhhr.org/bhhf/mrddwaiver/default.asp
WISCONSIN	County program. Financial resources. Wisconsin Medicaid: http://www.dhfs.state.wi.us/medicaid/ Developmental Disabilities Services & Programs: http://www.dhfs.state.wi.us/bdds/index.htm Katie Beckett Waiver Program (Wisconsin): http://www.dhfs.state.wi.us/bdds/kbp.htm
WYOMING	Adult and child DD manages within limits of waiver. Wyoming Medicaid: http://wyequalitycare.acs-inc.com/ Wyoming Developmental Disabilities Division: http://ddd.state.wy.us/ Children�s Waiver & Respite Services: http://ddd.state.wy.us/Documents/kathy1.htm http://ddd.state.wy.us/Documents/kidsvcs.htm