The Missouri Children's with Developmental Disabilities (MOCDD) Waiver is a Medicaid waiver administered by the Division of DD since FY 1995. Medicaid guidelines require parental income and resources to be considered in determining a child’s financial eligibility for Medicaid when the child lives at home with the parents.

This requirement, called deeming parental income to the child, is waived for children who participate in the MOCDD Waiver. This waiver provides participants eligibility for all State plan Medicaid services in addition to waiver services. To be eligible for this waiver, the child must: Not be eligible for Medicaid under regular guidelines; be under the age of 18; live with their parents/family; meet financial guidelines; be determined to have a permanent and total disability; be eligible for ICF/ID level of care; and be at risk of needing ICF/ID services if waiver services are not accessed.

The MOCDD waiver serves no more than 366 participants and remains below the cost of an ICF/ID facility.