Aged and Disabled waiver:
This waiver is intended primarily for older adults who have acquired disabilities and need nursing care.
Ages: 65 and older for adults with or without disabilities, and 63 and older for adults with disabilities
Level of Care: nursing
Home: respite care, homemaker services, chore services, home delivered meals
Assisted Living waiver:
This waiver provides assisted living services in community-based settings for people with disabilities.
Ages: 65 and older for adults with or without disabilities, or 18 to 64 for adults with disabilities
- Home: assisted living
Autism waiver:
The autism waiver provides services to children with autism to they can remain living at home with their families. Children must be diagnosed with Autism Spectrum Disorder or a related and pervasive developmental disorder.
Ages: 3 to 18
Restrictions: The child must have a medical diagnosis. This waiver has only 150 slots, so there may be waiting lists for services.
Community: transportation
Health: specialized medical equipment and supplies, behavioral analysis services- Home: personal assistant, respite care, environmental accessibility adaptations
Social Services: support broker
Developmental Disabilities Comprehensive waiver:
This waiver is intended to meet a higher level of need than the Community Support waiver, and so it has no cap on yearly individual spending. People with disabilities who qualify for this waiver must be at risk for placement in an intermediate care facility if these services are not provided in the home. This is the only Missouri Medicaid waiver that provides individual living supports and residential habilitation.
Level of Care: intermediate
- Community: transportation, community specialists
- Health: specialized medical equipment and supplies, day habilitation, behavioral therapy, crisis intervention, communication skills coaching, counseling, physical therapy, occupational therapy, speech therapy
- Home: individual living supports, residential habilitation, personal assistant, respite care, environmental accessibility modifications
- Social Services: support brokers
Work: supported employment
Division of Developmental Disabilities Community Support waiver:
Like the Comprehensive waiver, this waiver tries to help people remain at home with their families by helping the families provide appropriate care. It is intended to serve people who might be placed in an intermediate care facility. Unlike the Comprehensive waiver, there is a limit on how much the program can pay for each person per year, and some services are different.
Level of Care: intermediate
- Community: transportation, community specialists
- Health: specialized medical equipment and supplies, day habilitation, crisis intervention, behavior therapy, communication skills coaching, counseling, physical therapy, occupational therapy, speech therapy
- Home: personal assistant, respite care, environmental accessibility modifications
- Social Services: support broker
- Work: supported employment
Independent Living waiver:
This waiver provides independent living services for people with physical disabilities.
Ages: 18 to 64
- Health: special medical equipment and supplies
- Home: personal care, environmental accessibility modifications
- Social Services: case management
Sarah Jian Lopez waiver:
This waiver helps families with children who need Medicaid services pay for the cost of their care, even if they would not normally qualify for help. Normally, parents’ income is considered in determining whether their child can receive services through Medicaid. Under this waiver, this requirement is not considered. Families do have to meet other financial guidelines, but they are not as strict.
Ages: 18 and under
Level of Care: intermediate
Restrictions: Only 200 children can be served under this waiver at one time.
- Community: transportation, community specialist
- Health: medical equipment and supplies, day habilitation, crisis intervention, behavioral therapy
- Home: personal assistant, respite care, environmental accessibility modifications
- Social Services: support broker
Partnership for Hope waiver:
This waiver is currently being tried in 74 counties, so in order to be eligible the person to be served must live in a participating county. There is no age restriction, but the waiver can only serve 970 people at a time and there is a $12,000 limit on spending per person per year.
Level of Care: intermediate
Restrictions: you must live in a county that has this waiver
- Community: transportation, community specialists
- Health: specialized medical equipment and supplies, behavioral analysis, behavioral therapy, physical therapy, occupational therapy, speech therapy, dental, day habilitation, personal electronic safety device
- Home: personal assistant, temporary residential services, environmental adaptations
- Social Services: support broker
- Work: supported employment, professional assessment and monitoring, career preparation
Medically Fragile Adult waiver:
This waiver provides community-based services to people with developmental disabilities and other additional medical needs.
Ages: 21 and over
- Health: private duty nursing, specialized medical equipment and supplies
- Home: attendant care
