Developmental Disabilities and Medicaid Eligibility


State Policies & Initiatives: 
Medicaid & Employment

~~“People with developmental disabilities (DD) sometimes have special considerations related to Medicaid eligibility.  Although the Medicaid eligibility rules are the same, the types of Home and Community Based Services (HCBS) waivers are different for DD adults than they are for Aged and Physically Disabled (APD) adults.  The main differences are:
• Adults with developmental disabilities can receive services under the "K Plan", or they may also receive "waivered services".
• Unlike APD waivered services, which are waiving the requirement to reside in a nursing facility, DD waivers are waiving the requirement to reside in an Intermediate Care Facility for people with Intellectual Disabilities (ICF-ID); and
• Unlike APD services, which are delivered through staff in APD/AAA offices, DD services are delivered through Community Developmental Disability Programs (CDDPs) and community organizations called brokerages.
• There is no liability requirement for DD in-home services”

  • Medicaid Agencies
  • Other
  • Home and Community Based Services (HCBS)
Date Enacted: