Brain injuries can have devastating effects on the lives of individuals and their families. They can impair cognitive, physical, emotional, and behavioral functions and require long-term care and support. However, many people with brain injuries prefer to remain in their homes and communities rather than be institutionalized. That’s where the Brain Injury (BI) Waiver comes in.
The BI Waiver is a Medicaid program that provides home and community-based services to individuals with traumatic or acquired brain injuries who meet the level of care criteria for a nursing facility or a neurobehavioral hospital. The program aims to promote independence, choice, and community integration for people with brain injuries while reducing the costs of institutional care.
In this article, we cover the BI Waiver in detail, including its eligibility requirements, services and supports, and caregiver compensation.
The BI Waiver is one of the five Medicaid waivers in Minnesota that offer home and community-based services to individuals with disabilities or chronic conditions. The program was established in 1992 and is administered by the Minnesota Department of Human Services (DHS) in collaboration with county agencies.
The BI Waiver serves individuals who:
The BI Waiver provides services and supports tailored to the individual’s needs and goals. These include:
The BI Waiver also offers a self-direction option called Consumer Directed Community Support (CDCS), which allows individuals to choose, hire, and pay their service providers, including family caregivers.
To be eligible for the BI Waiver, individuals must meet the following requirements:
The BI Waiver provides various services and supports designed to help individuals with brain injuries live independently, participate in their communities, and achieve their goals. The services and supports are based on the individual’s person-centered service plan, which reflects their needs, preferences, and choices.
The BI Waiver services and supports include:
One of the benefits of the BI Waiver is that it allows individuals to self-direct their services and supports, which means that they can choose, hire, and pay their service providers. This option is called Consumer Directed Community Supports (CDCS).
CDCS gives individuals more flexibility and control over their BI Waiver services and budget. Individuals can decide what services they need, how they are delivered, who provides them, and how much they are paid. Individuals can also use their CDCS budget to purchase goods and services not covered by the BI Waiver or MA state plan.
One of the advantages of CDCS is that it enables individuals to hire and pay family members as caregivers. Family caregivers can provide personal care assistance, home health aide, or extended home health care services to their loved ones under CDCS. Family caregivers can include spouses, parents, children, siblings, grandparents, grandchildren, aunts, uncles, cousins, nieces, nephews, or other relatives.
The amount of compensation for family caregivers depends on several factors, such as the type and amount of services provided, the individual’s CDCS budget, and the prevailing wage rates in the area. Family caregivers must comply with the CDCS policies and procedures, such as completing a background check, signing a service agreement, submitting timesheets and invoices, and paying taxes.
Family caregivers can also receive training and support from CDCS staff or consultants to help them perform their duties effectively and safely. Family caregivers can also access respite services to take a break from their caregiving responsibilities.
If you want to apply for the BI Waiver or learn more about its benefits, please fill out this form to contact one of our experts. We will help you navigate the eligibility process and find the best services and support for your situation.