Medicaid waivers allow states to provide home and community-based services (HCBS) to people who would otherwise need institutional care. These services help people live independently and avoid costly nursing homes or other facilities. Medicaid waivers also benefit family caregivers, who often provide unpaid care to their loved ones with disabilities or chronic conditions.
In this article, we explore the Waiver for Home and Community-Based Services (HCBS), also known as the Aged and Disabled Waiver or the 1915c Waiver.
The Waiver for Home and Community-Based Services (HCBS) is a Medicaid program that provides various services to eligible individuals who need a nursing facility level of care but prefer to stay in their homes or communities. The waiver serves two groups: those 65 or older and those 18 to 64 with physical or other disabilities.
The waiver aims to promote independence, dignity, choice, and quality of life for the participants. The waiver also seeks to reduce the cost of long-term care by preventing or delaying institutionalization. The waiver is not an entitlement program; meeting the eligibility criteria does not guarantee immediate enrollment. The waiver has limited slots, and there may be a waiting list.
The waiver is administered by the North Dakota Department of Health and Human Services (HHS) in collaboration with the Centers for Medicare and Medicaid Services (CMS). The waiver is effective from April 1, 2023, to March 31, 2028.
To be eligible for the Waiver for Home and Community Based Services (HCBS), an individual must meet the following criteria:
The Waiver for Home and Community-Based Services (HCBS) offers various services and supports that help participants live safely and comfortably in their homes or communities. The services are tailored to each individual's needs and preferences, as determined by an assessment and a person-centered service plan. The services include:
One of the benefits of the Waiver for Home and Community Based Services (HCBS) is that it allows participants to choose their service providers, including family members or friends. This means unpaid family caregivers can get paid for the care they provide to their loved ones under the waiver.
The service that allows this option is called family personal care. Family personal care is similar to personal care, except that the provider is a relative or friend of the participant. The provider must be at least 18, pass a background check, complete a training program, and meet other qualifications. The provider cannot be the participant's spouse, parent, or legal guardian.
The rate of pay for family personal care varies depending on the level of care needed by the participant and the location of the service. HHS determines the rates, and they are subject to change. As of 2023, the rates range from $9.50 to $15.50 per hour.
Family caregivers interested in becoming paid providers under the waiver must contact their case manager or HHS for more information and guidance. They must also follow the rules and regulations of the waiver program, such as submitting timesheets, keeping records, and reporting changes.
If you think you may be eligible for this waiver or want to learn more about it, please fill out this form, and we will get back to you as soon as possible. We are here to help you find the best care solution for your situation.
