Medicaid Home & Community Based Waivers

The Missouri Department of Mental Health's Division of Developmental Disabilities (Division of DD) administers four Medicaid Home and Community Based (HCB) Waiver programs for individuals with intellectual and developmental disabilities. The four waivers are the Comprehensive Waiver, Community Support Waiver, Missouri Children with Developmental Disabilities Waiver (MOCDD or Sarah Jian Lopez Waiver); and Partnership for Hope.

Authority for the Division of DD waivers is the result of a federal law enacted by Congress in 1981 that added a new section to the Social Security Act in 1915(c). Under Home and Community-based waivers, a state may use Medicaid funding for home and community-based services provided only to a target group of people who have intellectual and developmental disabilities and whose care needs would otherwise require services in an institution. Federal law also allows a state to target services by geographic region. The Division of DD uses general revenue funds and local county dollars to match federal dollars to pay for HCB waiver services.

The Division of Developmental Disabilities Autism Waiver expired June 30, 2017. The target population of the Autism Waiver will now receive Applied Behavior Analysis services through Medicaid state plan. The remaining services offered in the Autism Waiver are also covered in the existing 1915 (c) Community Support Waiver. All Autism waiver participants were transitioned to the Community Support Waiver with no loss in any services.

The expiration of the Autism waiver has no direct correlation to the Office of Autism Services.

If you have questions, please contact the Regional Office in your area.

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