Connecticut has established the Individual and Family Support Waiver—a pioneering Medicaid program that extends assistance to individuals with developmental disabilities aged 18 or older and those with intellectual disabilities aged three or older who meet the level of care required in an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID).
Connecticut's Individual and Family Support Waiver is a Medicaid program that aims to provide crucial support and financial assistance to caregivers who dedicate themselves to caring for individuals with developmental disabilities aged 18 and above and those with intellectual disabilities aged three and older who meet the level of care required in an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID).
The waiver's goals and objectives are multi-faceted, aiming to:
Applicants must meet specific eligibility criteria to qualify for Connecticut's Individual and Family Support Waiver, ensuring the program benefits those who genuinely require its assistance and support. The requirements are as follows:
Spend Down Option: In cases where individuals exceed Medicaid's income and asset limits but cannot afford the cost of care, they may still qualify for the program through a "spend down" program. This involves evaluating the individual's care costs and income to determine whether they can meet their expenses. If they cannot, they can qualify for Medicaid by "spending down" their income to cover their medically-necessary care costs.
Appeals Process: If an individual is denied enrollment into the waiver or is denied specific requested services, they have the right to request a hearing from the Department of Social Services. The department provides individuals with a Notice of Fair Hearing Rights and a Hearing Request Form in case of written denial of enrollment or service.
Understanding these eligibility requirements is essential for caregivers and individuals with disabilities to determine their eligibility for the Individual and Family Support Waiver and access the much-needed support and services it offers.
The Individual and Family Support Waiver in Connecticut offers a comprehensive range of waiver services tailored to meet the unique needs of individuals with developmental and intellectual disabilities, as well as their caregivers. The following are the types of services available under the IFS Waiver:
The Individual and Family Support Waiver's extensive array of services underscores its commitment to improving the quality of life for individuals with disabilities while recognizing and supporting the essential role of their caregivers. By providing diverse support, the program strives to foster greater independence, community integration, and overall well-being for those it serves.
The Connecticut Individual and Family Support Waiver recognizes the crucial role played by unpaid family caregivers and provides compensation for their services. This waiver offers a self-directed option, empowering caregivers to have more control over their caregiving responsibilities and receive payment for their dedicated efforts.
Through the self-directed option, eligible caregivers can choose to manage and direct the services provided to their family members with disabilities, including hiring and training their support staff. This approach ensures that caregivers are recognized for their valuable contributions and have the flexibility to tailor care to their loved one's specific needs, promoting a more person-centered and family-driven approach to caregiving within the Medicaid program.
If you are a caregiver in Connecticut, we invite you to fill out this form to determine eligibility for caregiver compensation.