Logo for Center for Personal Assistance Services New Browser Window, University of California, San Francisco  
Jump over main navigation bar to the sub navigation barHome (press control H in some browsers)Formal and Informal PAS (press control F in some browsers)Home and Community PAS (press control C in some browsers)PAS Workforce (press control W in some browsers)Workplace PAS (press control O in some browsers)PAS Users (press control U in some browsers)  
Jump over the sub navigation bar to the main body content

Table of Contents

1. Medicaid Research and Demonstration Waivers.

2. Demo Waivers Table (HTML).

3. Demo Waivers Table (PDF).

4. Download PDF of Entire Report.

Jump over the main body content to the main navigation bar 		 

Printer-friendly page

Home and Community-Based PAS > Reports > Medicaid Research and Demonstration Waivers

Home and Community-Based Services:
Medicaid Research and Demonstration Waivers.

Martin Kitchener, Micky Willmott and Charlene Harrington.
UCSF National Center for Personal Assistance Services.

Updated November 2004.

 

Demo Waivers by State

State Section1 Date submitted2 Date approved3 Date started4 Expiry date5 Name of project Target group (eligibility)6 No. slots Services covered Area covered Further details
AR 1115 May 1996 October 1998 December 1998 November 2006 Independent Choices Aged/Physically disabled adults 3,500 PAS Statewide Independent Choices website: http://www.independentchoices.com/ICHome.htm Waiver amended in 2002 to remove the experimental design & expand the program.
AZ 1115 May 1982 July 1982 October 1982 N/A Arizona LTC System (ALTCS) Aged, physically disabled, MR/DD adults. 34,000 HCBS (e.g. home health, homemaker, personal care, PAS, meals, transport). Statewide Factsheet: http://www.cms.hhs.gov/medicaid/1115/azfact.asp>http://www.cms.hhs.gov/medicaid/1115/azfact.asp Acute care and institutional care are also covered under ALTCS.
CA 1115 May 2004 July 2004 August 2004 July 2009 California In-Home Supportive Services (IHSS) Plus Demonstration Aged, blind & disabled adults and children. 52,000 Personal care, homemaker services, restaurant meal allowances (allows consumer direction). Statewide Factsheet: http://www.cms.hhs.gov/medicaid/1115/ihssfs.pdf>http://www.cms.hhs.gov/medicaid/1115/ihssfs.pdf Up to 195 hrs assistance per month allowed (up to 283 for severely impaired people). 3 delivery types: (1) individual provider (2) contract & (3) homemaker.
CO7 1115 July 1999 August 2001 December 2002 December 2007 Consumer Directed Attendant Support Aged/Physically disabled adults. 200 Skilled nursing, personal care, home aide & homemaker services. Statewide Approved before IP was introduced.
FL8 1115 May 1996 October 1998 March 2000 February 2008 Consumer Directed Care Plus9 Aged/Physically disabled adults10, MR/DD adults, children with DD 6,000 HCBS waiver services and any others approved by the consumer\'s state program office (e.g. yard work). Statewide (children with DD). Selected counties (other groups). A Report to the Florida Legislature: Consumer-Directed Care Project (Jan 2004). http://www.cdcplus.org/>http://www.cdcplus.org/ & http://www.fdhc.state.fl.us/Medicaid/deputy_secretary/recent_presentations/cdc_leg_rpt_011504.pdf>http://www.fdhc.state.fl.us/Medicaid/deputy_secretary/recent_presentations/cdc_leg_rpt_011504.pdf
LA11 1915c October 2002 April 2003 April 2003 April 2006 New Opportunities Waiver (NOW) MR/DD 4,77612 18 services including respite, adaptations, skilled nursing & family support. N/A Factsheet:http://www.dhh.state.la.us/offices/publications.asp?ID=105&Detail=134>http://www.dhh.state.la.us/offices/publications.asp?ID=105&Detail=134 Approved under IP, this replaces a previous waiver & provides a self-direction option.
MD 1915c N/A N/A November 2004 N/A New Directions N/A 100 Personal care, PAS, adaptations & equipment. N/A News Release (11.8.04) HHS Approves Maryland Plan To Allow Individuals With Disabilities To Direct Own Care
MN 1115 June 2000 Pending N/A N/A Consumer-Directed Home Care Adults & children 1,500 Personal care, duty nursing, home health. Statewide Minnesota received funding from the RWJF \"Self-Determination\" project & the waiver builds on that project.
NC 1915c May 2003 January 2004 Not yet implemented13 N/A CAP Choice Aged/Disabled adults (not MR/DD). 60014 In-home respite, PAS, home mobility aids, good & services. Pilot in a limited no. of counties. NC Community Alternatives Program website: http://www.dhhs.state.nc.us/dma/commaltprog.htm
ND 1915c October 2003 Pending N/A N/A North Dakota Self Directed Supports MR/DD Adults & Children. N/A Any services not included in the state plan Statewide Application under IP
NH 1915c July 2002 December 2002 January 2003 January 2006 Home Support Waiver for Children with DD Children with MR/DD 20015 Family support & care co-ordination, personal care, respite, modifications. Statewide New Hampshire received funding from the RWJF \"Self-Determination\" project. Approved under IP.
NJ16 1115 May 1996 October 1998 May 2000 April 2005 Personal Preference Aged/Physically disabled adults, MR/DD adults. 3,500 PAS Statewide http://www.state.nj.us/humanservices/dds/personal.html>http://www.state.nj.us/humanservices/dds/personal.html Individuals are ineligible for the program if they need less than 180 days support/year.
OR 1115 July 1998 November 2000 December 2001 November 2006 Independent Choices Aged/Physically disabled adults, MR/DD adults, other. 300 PAS, homemaker & chore services, transport, adult companion services, in-home services. 3 regions http://www.dhs.state.or.us/disabilities/>http://www.dhs.state.or.us/disabilities/ & http://www.dhs.state.or.us/disabilities/publications_data/independent_choices.pdf>http://www.dhs.state.or.us/disabilities/publications_data/independent_choices.pdf . Oregon intends to replicate this statewide if successful. OR received funding from the RWJF \'Self-Determination\' project.
SC 1915c December 2002 N/A May 2003 May 2006 South Carolina Choice Aged/Physically disabled adults. 90017 Personal care, PAS, care advice, adult day health, respite. 3 selected counties. Approved under IP
VT 1115 October 2003 Pending N/A N/A The Vermont Long-Term Care Plan Aged/Physically disabled adults. 3,250 HCBS Statewide http://www.dad.state.vt.us/1115waiver/1115default.htm>http://www.dad.state.vt.us/1115waiver/1115default.htm

Notes and sources
• The table includes all programs reported by CMS as being 1115 ‘research and demonstration’ programs and all 1915(c) IP waiver programs. Unless otherwise stated, information is from CMS ‘A Map of State Waiver Programs and Demonstrations’. At: http://www.cms.hhs.gov/medicaid/waivers/waivermap.asp (Accessed 11/16/04).
• States marked * received IP Systems Change Grants from CMS in 2003.
• N/A denotes where the information was not available. RWJF is the Robert Wood Johnson Foundation.

 

1 This refers to the section of the Social Security Act under which the waiver has authority.
2 The date the first application was submitted regardless of whether amendments have been made to the original waiver design.
3 The date the application was first approved by CMS regardless of whether amendments have been made to the original waiver design.
4 This is the date that the waiver was first implemented, regardless of any subsequent amendments to the program design.
5 The expiry date is the most recent approved expiration date for the waiver.
6 The target group categories are those used by the CMS to categorize different population groups covered by waivers.
7 Another 1115 waiver program ‘Colorado Alternatives in Medicaid Home Care’ was approved Oct 1997. It would permit greater flexibility in defining where Medicaid home health visits can occur, so that visits can be made in schools, work sites or day treatment centers and would allow delegation of some skilled nursing functions to allow people flexibility in selecting home health aides of their choice. The limit would be 200 slots but it is not expected to be implemented. There are two other proposed 1115 waiver programs, Children’s HCBS Program with Premium and Children’s Extensive Support Program with Premium, these would replace existing 1915(c) programs for children with disabilities and would provide self-directed or family-directed in-home support services (http://www.cms.hhs.gov/medicaid/1115/cocespfs.pdf).
8 Florida received approval to convert it’s ‘Cash and Counseling’ 1115 Demonstration waiver to an IP waiver (Dec 2003). From 2004 the program no longer has an experimental design. http://www.cms.hhs.gov/medicaid/1115/flcdcfs.pdf.
9 Formerly known as Consumer Directed Care.
10 This includes adults with TBI/SCI who are eligible for the Florida TBI/SCI waiver at the time they seek to enroll.
11 Louisiana has a 1915(c) HCBS waiver serving people with lost sensory or motor function that was amended in 2000 to allow consumer directed PAS. It is not an IP program.
12 This figure is for year 3 of the program. The number of approved slots available in year 1 are 4,251 and year 2 are 4,576.
13 Information direct from the state website, state officials state that the waiver will begin early in 2005.
14 Figure is the proposed number of slots in the 3rd (final) year of the waiver. In year 1, the proposed number of slots is 200, in year 2 the proposed number of slots is 400. North Carolina’s application for the IP 1915(c) waiver, Appendix G – Financial Documentation, p.50. Available at: http://www.cms.hhs.gov/medicaid/1915c/ncelddisapp.pdf)
15 Number of slots in the final year of the program. In year 1 the number of approved slots is 180, in year 2 the number of slots is 190.
16 New Jersey is converting the Cash & Counseling 1115 Demonstration waiver to an IP 1115 waiver as the program no longer has an experimental design. In the meantime, the state still has 1115 demonstration authority until April 2005. CMS Approval Letter – Revised implementation Date. http://www.cms.hhs.gov/medicaid/1115/njccrid.pdf.
17 Number of slots in the final year of the program. In year 1, the number of approved slots is 300, in year 2 the number of slots is 600