How Do I Enroll in Medicaid HCBS
Waiver Disability Services?

Become eligible through your local Case Management Agency (CMA):

• CMA's provide case management services for those receiving disability services. 

• All individuals receiving disability services should go through the CMA assigned to the county they live in.

• CMA's are determined by region and county of residence:

  • CMA by region

  • If your region is not listed, start with one that is closest to you.

• Be prepared to complete paperwork and intake assessments.

  • This will involve the individual receiving services directly.

• The intake process will include:

  • Support Intensity Scale (SIS) assessment

  • Selection of waiver and services

  • Request for Proposal (RFP) process

  • Individual Plan (IP) meeting

  • Service enrollment

• You will receive confirmation of enrollment typically within 1 to 3 months of beginning the intake process.

Enroll in a HCBS Waiver:

• Learn about HCBS Waivers 

• Choose a waiver

  • Youth Services Waiver Options and Descriptions

  • Adult Services Waiver Options and Descriptions

  • Many waivers may have a waitlist. Options for immediate enrollment are:

    • Child immediate enrollment: CES Waiver

    • Adult immediate enrollment: SLS Waiver

  • In crisis or emergency situations there are processes to bypass the waitlist including:

    • Child emergency enrollment: CHRP Waiver

    • Adult emergency enrollment: DD or Comprehensive Waiver

Choose a Program Approved Service Agency (PASA):

• Learn about available PASAs

• Start the request for proposal (RFP) process

  • Individuals in services have the right to make an informed choice on their service providers through the RFP process.

  • Individuals are able to send out a detailed request for the services they are looking for to meet their needs.

  • PASAs will reply with their ability to meet the needs of the proposal.

  • Individuals can then interview providers who responded to make an informed choice about who they would like to work with.

  • Individuals can work with different agencies for different services. There is no requirement to choose only one agency.

Start Services: