USEFUL HOUSING Resources
HOW TO APPLY FOR MEDICAID I/DD WAIVER
Once you have been found eligible for DDD and been assigned a case manager, you may apply for the Medical / DD Waiver . Medicaid 1915(c) Home and Community-Based Service (HCBS) Waiver for individuals with intellectual and developmental
disabilities (Medicaid I/DD Waiver). Eligibility for the Medicaid. I/DD Waiver is determined by the Department of Human must
meet the following criteria:
- Assessed to need services at the Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF-IID) Level of Care
- Eligible for Medicaid coverage through MQD/Eligibility Branch
- Eligible for Long Term Care (LTC) benefit through Medicaid
HOW TO APPLY FOR MEDICAID I/DD WAIVER
Step 1: Inform your case manager of your interest in applying for the Medicaid I/DD Waiver
Your case manager will help you complete and sign the.
Request to Participate in Home and Community-Based
Services for People with Intellectual and Developmental
Disabilities form . Step 2: Participate in the ICF-IID Level of Care Assessment. Your case manager will inform you of the required documents and submit them for an authorization approved by the
Medical Director of MQ
Step 3: Submit Application for Medicaid coverage and Long term Care Benefit.
Upon approval of ICF-IID Level of Care, your case manager will assist you in applying for Medicaid coverage, if applicable, and Long Term Care benefit.
Step 4: Receive eligibility determination.
The MQD eligibility worker will determine if you are eligible
for services through the Medicaid I/DD Waiver by determining eligibility for Medicaid coverage and Long Term Care benefit.
- If you are eligible for Medicaid I/DD Waiver services, your case manager will work with you to get services started within 90 days from the date that Long Term Care eligibility determination is made.
- If you are not eligible for Medicaid I/DD Waiver services, you have the right to appeal the decision within 90 days of the dated MQD notice. You may also re-apply at a later time if your situation changes and new information is available.
Important Note: If you are eligible for Medicaid I/DD Waiver services, MQD is required to reassess eligibility every year to ensure that you continue to meet the eligibility requirements
for Medicaid coverage and Long Term Care benefit.
STATE FUNDED SERVICES.
Individuals who are eligibe for DD services but not the
MedicaidI/DD Waiver, may be able to access state funded services. These services and supports are identified through person-centered planning process with case managers.
The programs below are funded directly by the State of Hawaii.
Individuals and families should speak with their Case Manage
to see if they qualify for these state funded services.
LASR SERVICES
LASR funding is available for individuals 18 years and older, who are not eligible for Medicaid I/DD Waiver services but are eligible for DDD Services.
.
- The total amount of LASR funding available varies from year to year.
- Examples of services include, but are not limited to:
- Opportunities for discovery and career planning, volunteer work, and competitive employment
- Activities to increase skills with shopping, banking, using the telephone, paying bills, budgeting, and cooking
- Developing friendships and relationships with community members
- Practicing skills in activities of daily living
- Currently, the DDD contracts with Goodwill Industries of Hawaii to administer LASR services.
- It is important to remember that if an individual is admitted to the Medicaid I/DD Waiver, LASR services for that individual will end.
FSSP SERVICES.
FSSP funding is available to help families support children and adults in the family home. FSSP
funding is considered to be “last dollar”, which means that the services and supports that are
identified by the individual are not covered through other funding sources such as the Medicaid.
I/DD Waiver, the individual’s medical insurance, or any other (government) funding source.
- FSSP is a reimbursement program, which means when services and supports are approved, the items can be purchased, and the individual is later reimbursed by DDD.
- Individuals will be expected to pay for a percentage of their purchase, and the FSSP program will pay for the remainder of the cost.
- Examples of common items include, but are not limited to:
- Incontinent supplies
- Nutritional supplements such as Pediasure or Ensure
- Transportation services such as HandiVan coupons
- Each request for FSSP is considered on a case-by-case basis.
- FSSP funding is subject to the availability of funds.
WAIVER SERVICES
Through the Medicaid 1915(c) Home and Community-Based Services Waiver for individuals with
intellectual and developmental disabilities (Medicaid I/DD Waiver), individuals can access services to support a full life in the community. Services and supports are identified through a person-centered
planning process with case managers. Case managers also coordinate and assist individuals in
accessing these services from qualified providers, chosen by the individual, or through the
Consumer-Directed (CD) Option. Services available through providers and the Consumer-Directed
Option have an * (asterisk) next to the service.
For more information on available services, click on the service below.
Please note that links below open in PDF Format
SERVICES AVAILABLE IN ALL RESIDENTIAL SETTINGS
- Adult Day Health (ADH)
- Assistive Technology
- Community Learning Services – Group (CLS-G)
- Community Learning Services – Individual (CLS-Ind)*
- Discovery and Career Planning
- Individual Employment Supports
- Personal Emergency Response System
- Private Duty Nursing
- Specialized Medical Equipment and Supplies
- Training and Consultation
- Waiver Emergency Services: Crisis Mobile Outreach
- Waiver Emergency Services: Out-of-Home Stabilization
SERVICES FOR THOSE LIVING INDEPENDENTLY OR WITH FAMILY
- Chore*
- Environmental Accessibility Adaptations
- Personal Assistance/Habilitation (PAB)*
- Respite (for Family Home only)*
- Non-medical Transportation*
- Vehicular Modifications
SERVICES FOR THOSE LIVING IN LICENSED/CERTIFIED HOME ONLY
- Additional Residential Supports
- Residential Habilitation (ResHab)
Donate to Fuller Lives
Your donation will help us to continue our mission of supporting our community. Every dollar counts and will make a difference in the lives of those we serve.
