Explainer

CT Comprehensive Supports Waiver

Published on
December 5, 2023
Last updated
February 29, 2024
Written by
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Katie Wilkinson
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This Medicaid waiver provides services to individuals with developmental disabilities ages 18 or older and individuals with intellectual disabilities ages 3 or older who meet an ICF/IID level of care.
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Overview of Comprehensive Supports Waiver

Under the Medicaid Home and Community-Based Services (HCBS) program, the Comprehensive Supports Waiver is a pivotal initiative to assist Medicaid beneficiaries. This waiver is fundamental in providing extensive services, ensuring individuals live within their communities while preventing unnecessary institutionalization. Designed to meet the unique requirements of its target population, this program is tailored to suit various needs and circumstances. The Centers for Medicare & Medicaid Services (CMS) acknowledges the varying needs of different populations and allows states the flexibility to develop cost-effective and diverse service delivery models, including participant-directed services.

Eligibility Requirements

The Comprehensive Supports Waiver, listed as Waiver Number CT.0437 and its amendments, is designed to serve individuals residing in licensed settings or homes requiring a comprehensive range of services. This program is specifically tailored for individuals with more complex needs, particularly in behavioral or medical areas. It enables them to select a personalized support package necessary for living independently in their own or family homes.

Services and Supports

The Comprehensive Supports Waiver offers a wide range of services and supports, including:

  • Respite
  • Individual Supported Employment
  • Home Delivered Meals
  • Behavioral Support Services
  • Environmental Modifications
  • Transportation
  • Peer Support
  • Live-in Caregiver
  • Training, Counseling, and Support Services for Unpaid Caregivers
  • Parenting Support
  • Senior Supports
  • Personal Support
  • Health Care Coordination
  • Assistive Technology
  • Employment Transitional Services
  • Customized Employment Supports
  • Individualized Day Supports
  • Specialized Medical Equipment and Supplies
  • Individual Directed Goods and Services
  • Interpreter Services
  • Adult Day Health
  • Blended Supports
  • Group Day Supports
  • Group Supported Employment
  • Prevocational Services
  • Independent Support Broker
  • Assisted Living
  • Continuous Residential Supports
  • Personal Emergency Response System (PERS)
  • Remote Supports Services
  • Shared Living
  • Vehicle Modifications

These services are designed to support participant direction and are procured and compensated as per the waiver's guidelines.

Compensation for Caregivers

The waiver's participant-directed options allow individuals to choose and compensate their caregivers. This setup provides flexibility and personalization in care, catering to the specific needs of the participants.

Limitations and Challenges

While the Comprehensive Supports Waiver offers extensive services, it has inherent limitations. These services are meant to supplement, not replace, acute care hospital services. They should be identified in the individual's person-centered service plan and aim to smooth transitions between acute care and community-based settings while preserving their functional abilities. The waiver's design necessitates careful planning and coordination, especially when services are temporarily provided in a critical care setting.

A Note from Givers

The Comprehensive Supports Waiver offers a lifeline for individuals needing extensive support in Connecticut. If you or your loved ones require such services, we invite you to fill out this form to check if you are eligible for compensation and support under this waiver. Take the first step towards personalized care and support today.

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