Medicaid Waiver Comparison Chart

In order to “waive off” institutionalization, each Medicaid Waiver has access to a specific “cost limit” (maximum) that is connected to the price of a specific institutionalization – either:

  • Nursing Home annual cost
  • Intermediate Care Facility for Intellectual Disability cost
  • Psychiatric facility cost
Texas Medicaid Waiver Cost Limit Comparisons
Program: Limit based on: Max per year per person:
HCS Waiver 200% Institutional cost Pervasive Plus (9) $305,877
Pervasive (6) $168,615
Extensive (8) $167,468
Limited (5) $167,468
Intermittent (1) $167,468
Star+Plus Waiver 200% Institutional cost Without vent: $142,022
With vent <24 hr day: $178,551
With 24-hr/day vent: $233,337
Link to full list.
CLASS Waiver 200% Institutional cost $114,736.07
Link to source.
DBMD Waiver 200% Institutional cost $114,736.07
MDCP Waiver 50% Institutional cost Without vent: $35,505

With vent <24 hr day: $44,638
Tracheostomy: $49,202
With 24-hr/day vent: $58,334
Link to full list.

YES Waiver $35,000
TxHmL Waiver $17,000
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