Medicaid Waivers For Families And Individuals With Developmental Disabilities

Medicaid Waivers for Families and Individuals with Developmental Disabilities

Being healthy is a gift. There is nothing else a man can ask for, as long as he knows he is in tip-top shape. However, not everyone is blessed with good health. There are people who are in need of medical care, and it can be a predicament to avail of treatment or any medical assistance when you are on a tight, or out of, budget.

The U.S. government’s Medicaid program provides Medicaid Waivers that will shoulder the additional expenses that a person with developmental disability needs. The service itself can be given in the person’s home or community. The Medicaid Waiver service is open to both adults and children.

Medicaid is used to pay for medical fees such as doctor’s professional fees, hospital bills, therapy, and any adaptive equipment that a person may need. The Medicaid Waiver gives Medicaid the chance to provide payment for additional services that an eligible person may need. The state proposes a plan and spells out the type of service that will be provided under the Medicaid Waiver program. However, the federal government has to approve the Medicaid Waiver plan.

Medicaid Waivers are not automatically given to a person who is eligible for Medicaid; they are applied for. There is an evaluation team that screens each applicant and determines if they are qualified or not. The names of the candidates are logged in a long- or short-term waiting list.

Those that are on the short-term list will be given a support coordinator who will be responsible for checking on them from time to time and even making house visits to evaluate their condition. When funding is ready, the regional office will send a letter announcing the approval of the Medicaid Waiver request.


The evaluation team will be tasked to complete the paperwork for the waiver. They will take note of the eligible person’s social history, psychological update, and nursing needs; and complete all other Medicaid documents that are required. If you are a parent of a child diagnosed with autism spectrum disorder (ASD or autism) and the child is being evaluated, make sure that the papers they are filling out will describe the needs of your child.

Each state will have a different approach to how they check their specific Medicaid Waivers. There are general principles that will apply in the entire nation; however, each waiver needs approval from the legislation before it can be given out in a specific state. It is important to check with your regional office to find out what services are covered by your state’s Medicaid Waivers.

Copyright © by Special Learning Inc. All right reserved.

No part of this article may be reproduced in any manner whatsoever without written permission except in the case of brief quotations embodied in critical articles and reviews. For information, contact Special Learning Inc., at: contact@special-learning.com

Leave A Comment

5 × three =

Being an RBT for me was extremely fun because where were you going to find a place where you can be completely silly without having to worry what people thought about you? This was the only job that made me feel like I could make a dramatic difference while being myself.

I also liked to be surrounded by people that had the same goals of wanting to help kids and the teamwork made the job much easier and more enjoyable.

Change and progress was the ultimate goal for our kiddos. The early intervention program was seriously only a miracle because I saw changes in the kiddos that from day one, you wouldn’t even recognize who they were.

Changes from being able to utter 3-4 words where they can only make a syllable from when they started, the behavior decreases in which kiddo that used to engage in 30-40 0 self-harm to only half, learning how to wait during games, table work where they use to swipe and drop to the floor if they had to.

My favorite was when the parents would tell us what amazing progress they were making at home. I used to tear up and felt for these parents so much because it was already difficult for them and now, they can trust and rely on ABA and the therapists knowing their goal was ours.

By Emma Rogers, BA, RBT

Special Learning’s Free Hotline

This is an independent SL Hotline that is part of our VCAT service. This hotline has no connection with any other association or membership group.

Got a question you want a BCBA or other ABA expert to answer?
Fill in this form and one of our professionals will handle your question quickly and confidently. You can expect a response in 24-hours or less.