Medical Eligibility

Families and Children

Home and Community Based Services for Developmentally Disabled

Home and Community Based Services provides Medical Assistance for individuals with developmental disabilities who would otherwise be institutionalized in a Medicaid-funded hospital, nursing facility or an intermediate care facility.

Eligibility Requirements

  • A person must be developmentally disabled.
  • A person must be aged, blind or disabled.
  • A person must reside in the home of a parent, other relative, legal guardian, adult foster care home licensed by the state, special therapeutic foster home licensed by the state, community residential facilities approved by the Department of Human Services, supervised apartment approved by the Department of Human Services, or community habilitation facilities approved by the Department of Human Services of an individual’s own home.
  • A person's monthly income must be less than 300 percent of the SSI Standard Benefit Amount ($2,022). The resource limit is $2,000 for an individual. Resources include items such as checking and savings accounts and certificates of deposit.

Covered Services

Eligible individuals are entitled to full Medical Assistance coverage. Covered services include:

  • doctor appointments,
  • hospital stays,
  • dental and vision services,
  • prescription drugs,
  • rehab/therapy,
  • chiropractic services

Medical coverage may begin three months prior to the application date. The start of medical coverage is based on the date the application is received in the local office.

In addition, the following services are available through the Home and Community Based Service Program:

  • Case Management and Consumer Support: This includes adaptive equipment needed not to exceed $500 per person per year. Examples of adaptive equipment would be communication devices, eyeglasses, hearing aids, etc.
  • Habilitation and Consumer Training: Habilitation and training includes instruction and training in community living skills, personal living skills, social and communication skills, gross and fine motor skills and activities of daily living.

Application

  • The application can be found on the forms and publications page.
  • After completing the application, return it to the Department of Social Services office serving the county where you live. If you need assistance completing this application or have any questions, contact your local DSS office.

Other Information