Before you worry about understanding Medicaid Waivers, get on the Interest Lists for them.
Then you will have 3-15 years to learn how they work.
You DO NOT need medical or diagnostic info to get on Interest lists. Just name, address, phone, birthday, & social security number.
1. CLASS MEDICAID WAIVER, MDCP MEDICAID WAIVER, and DBMD WAIVER
Call HHSC Interest List – 1-877-438-5658:
- Ask to get on the CLASS interest list
- Ask to get on the MDCP interest list
- If in immediate urgent need (no time for a waiting list), read about Money Follows the Person Limited NF Stay Option for a Medically Fragile Individual to learn how to skip the waiting list (this was formerly referred to as Rider 28 and info I wrote is here)
- Ask to get on the Deaf-Blind Multiple Disabilities interest list (if applicable)
2. HCS MEDICAID WAIVER & TXHML MEDICAID WAIVER
Call the Local Intellectual and Developmental Disability Authority for your county:
- Ask to get on the HCS interest list & Texas Home Living interest list
- If in crisis, ask about IDD Crisis and Stabilization.
- If in immediate urgent need (no time for a waiting list), ask about HCS Crisis Diversion
- These spots are for individuals who are at risk of institutionalization. A person is at imminent risk of admission to an institution if one or more of the following exists:
- loss or incapacity of the person’s primary caregiver;
- loss of the person’s placement in a community residential facility;
- the person exhibits repeated and severe behavior disturbances that jeopardize the person’s safety or current living arrangement, but does not need:
- inpatient mental health treatment; or
- care in a behavioral health facility, such as Texana Center’s Behavior Treatment and Training Facility or Bayes Achievement Center; or
- the person is recommended for discharge from a state hospital and unable to return to family or community-based care.
- These spots are for individuals who are at risk of institutionalization. A person is at imminent risk of admission to an institution if one or more of the following exists:
3. STAR+PLUS HCBS MEDICAID WAIVER
If you are over 21 years old, call your Star+Plus Managed Care Organization:
- Ask to be evaluated for Long-Term Care Services through the Star+Plus Waiver