Home and Community Based Waivers

 

Home and Community Based Waivers are special programs that provide Long Term Care services that help Medicaid eligible individuals live in the community and avoid institutionalization. The District of Columbia operates two Home and Community Based Waivers: The Home and Community Based Waiver for Persons who are Elderly and Individuals with Physical Disabilities (EPD) and the Home Community Based Waiver for Persons with Intellectual and/or Developmental Disabilities (ID/DD).

 

EPD Waiver Program

 

The EPD Waiver Program provides a range of services to assist elderly and individuals with physical disabilities to live in their homes and communities. These services are provided in addition to other services offered through DC Medicaid.

 

What services does the EPD Waiver cover/include?

ID/DD Waiver Program

The ID/DD Waiver provides a range of services for individuals with intellectual or developmental disabilities who want to live as independently as possible in their homes or communities. These services are provided, according to a person’s need, in addition to other services offered by DC Medicaid.

 

What services does the ID/DD Waiver cover/include?

 

 

To be eligible for the IDD/DD Waiver Program, you must:

 

Receive services from the Department on Disability Services (DDS) or the Developmental Disabilities Administration (DDA) and meet the following requirements:

 

 

How to Apply for the IDD/DD Waiver Program:

 

DHCF partners with the Department on Disability Services (DDS) to provide and manage these services. To apply for the IDD Waiver, call the DDS Intake & Eligibility Office at (202) 730-1745.

 

Institutional Care Program

The Institutional Care Program provides coverage to people receiving institutionalized level of care in a nursing facility or in an Intermediate Care Facility for Individuals with Intellectual Disabilities. District of Columbia Medicaid covers people requiring long-term care in institutions such as nursing facilities, intermediate care facilities for the developmentally disabled (ICF/DDs) or hospice. People who are not eligible for the Institutional Care Program because they transferred assets may be eligible for other Medicaid services. All people 21 years of age and older applying for nursing facility services must receive an assessment from DHCF’s Long Term Care Unit.

 

Money Follows the Person Rebalancing Demonstration Project 

Money Follows the Person Rebalancing Demonstration Project (MFP) is a transition program operated by the DC Department of Health Care Finance (DHCF) in collaboration with the DC Office on Aging, Aging & Disability Resource Center, and the DC Department on Disability Services (DDS) and Developmental Disabilities Administration (DDA). 

 

The program and its transition coordination services help people move out of nursing facilities or Intermediate Care Facilities for Persons with Intellectual Disabilities (ICF/IDs) and begin a new life in a home setting of their choice. The program’s intent is to support DC residents in having greater choice about where they receive their long-term care supports. MFP also helps identify and address barriers to receiving quality home and community-based services.  

 

Currently the District offers MFP to the following people:

To explore transition through MFP, you must be: 

 

To learn more about MFP for people transitioning from nursing facilities to the community, contact the DC Department on Aging, Aging and Disability Resource Center. The telephone number is (202) 724-5626.

 

For transitions from ICFs/ID, contact the MFP Project Coordination Office at the Department of Health Care Finance at (202) 442-9011.