The Home and Community-Based Services Waiver for the Developmentally Disabled (HCBS-DD) is a program that was created by the California Department of Developmental Services (DDS) to provide an alternative to an intermediate care facility for individuals with intellectual disabilities (ICF-IID) or state developmental center placement for individuals who meet specific criteria and who are regional center consumers. In this blog post, we will explain the HCBS-DD waiver, how it works, and how it can benefit families.
The HCBS-DD waiver is a Medicaid waiver program established in 1982 and renewed in 2023 for a five-year period. The purpose of the HCBS-DD waiver is to provide home and community-based services (HCBS) to individuals with developmental disabilities who are at risk of institutionalization or who need help with activities of daily living or instrumental activities of daily living. The HCBS-DD waiver serves individuals who are eligible for full-scope Medi-Cal benefits, have a diagnosis of developmental disability, have a physician’s certification of the need for ICF-IID level of care, and meet other clinical and financial criteria. The DDS administers the HCBS-DD waiver in collaboration with 21 regional centers throughout California that buy and coordinate services for people with developmental disabilities.
To qualify for the HCBS-DD waiver, you must meet the following eligibility requirements:
The HCBS-DD waiver offers various services and supports tailored to your needs and preferences. These services and supports include:
One of the benefits of the HCBS-DD waiver is that it allows you to self-direct some or all of your services through the Self-Determination Program (SDP), which gives you an individual budget and the option to hire your service providers, including family members. You can also choose how much to pay your providers within the limits set by the program. The SDP pays your providers directly through a financial management service (FMS) that handles payroll, taxes, insurance, and background checks. The FMS also provides training and support to your providers. By self-directing your services, you can have more control over your care and reward your family members for their work.
If you want to learn more about the HCBS-DD waiver or other programs that can compensate your family caregivers, please fill out this form, and we will contact you soon. We are here to help you find the best options for your situation and advocate for your rights as a caregiver.