Home and Community-Based Services Waiver for the Developmentally Disabled (HCBS-DD)

Home and Community-Based Services for the Developmentally Disabled

About the HCBS - DD Waiver

Information and Resources

About the hcbs - dd waiver

The Home and Community-Based Services for the Developmentally Disabled (HCBS-DD) Waiver authorizes home and community-based services for developmentally disabled persons who are Regional Center consumers. Twenty-one regional centers throughout California purchase and coordinate services and supports for individuals with developmental disabilities. The Waiver services make it possible for consumers to live in the community instead of an Intermediate Care Facility for the developmentally disabled or a State Developmental Center. The DD Waiver is currently the largest HCBS waiver in California as well as the nation.

Type of Waiver

1915 (c) Home and Community-Based Services Waiver

Eligibility Requirements

Must be eligibile for full scope Medi-Cal
Must have a formal diagnosis of a developmental disability that begins before the age of 18, is expected to continue indefinitely, and presents a substantial disability. Additionally, the disability must be due to mental retardation, autism, cerebral palsy, epilepsy, and other closely related conditions as defined in the California Lanterman Developmental Disabilities Services Act, Welfare and Institutioons Code, Section 4512 (a).
Must be a regional center consumer.
Must meet the level of care for an intermediate care facility for the developmentally disabled

Services Provided

Homemaker
Home Health Aide Services
Respite Care
Habilitation:

Residential habilitation for children services
Day habilitation
Prevocational services
Supported employment services

Environmental Accessibility Adaptations
Skilled Nursing
Transportation
Specialized Medical Equipment / Supplies
Chore Services
Personal Emergency Response System (PERS)
Family Training
Adult Residential Care:

Adult Foster Care
Assisted Living
Supported Living Services

Vehicle Adaptations
Communication Aides
Crisis Intervention:

Crisis Intervention Facility Services
Mobile Crisis Intervention

Nutritional Consultation
Behavior Intervention Services
Specialized Therapeutic Services
Transition / Set-Up Expenses

Funding Sources

State General Fund and Medicaid General Fund

Enrollment Cap

Persons Per Waiver Year (October 1 - September 31)

75,000 - 06/2007
80,000 - 07/2008
85,000 - 08/2009
90,000 - 09/2010
95,000 - 10/2011

Waiver Term

October 1, 2006 through September 30, 2011

Required Federal Assurances:

Plans of care are responsive to Waiver participant's needs.
Only qualified providers may serve Waiver participants.
Level of care need determinations are consistent with the need for institutional care.
The state Medicaid Agency (Medi-Cal) retains administrative authority over the Waiver program.
The state provides financial accountability for the Waiver.
Safeguards are taken to protect the health and welfare of persons receiving services under the HCBS Waiver:

Administration of the California Waiver:

Department of Health Care Services (DHCS): responsible for oversight and monitoring of the Waiver program and its financial aspects; ensures the operation of the Waiver is consistent with the assurances in the approved Waiver and with Medicaid statues and regulations.
Department of Developmental Services (DDS): operates the Waiver under DHCS supervision; over-sees and monitors the implementation of the Waiver in regional centers.
Regional Centers: non-profit community-based corporations under contract with DDS; coordinate, arrange, provide, or purchase services and supports for Waiver participants; supervise service providers.