Home and Community Based Waivers (HCBS)

The Developmental Disabilities Administration (DDA) offers five Home and Community Based Services (HCBS) Waivers:

Each of the five waivers provides an array of services tailored to the specific populations they serve. Waiver services provide additional support when Medicaid state plan services and other supports are not sufficient.  For more information about the waiver program, go to the Services and Information Request form, contact your Case Resource Manager, Social Worker, or regional DDA office.

For detailed information about all DDA services, please visit the Informing Families Website. 

Current Approved Waivers

The Centers for Medicare and Medicaid Services have approved DDA’s five HCBS Waiver Appendix K applications.  Appendix K provide the state flexibility in existing waiver programs.

Waiver Amendments

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Draft waiver amendments for the Individual and Family Services, Basic Plus, Core, Community Protection and Children’s Intensive In-Home Behavioral Support waivers are available for public comment February 15, 2023, through March 16, 2023.

Proposed changes to the Individual and Family Services, Basic Plus, Core, Community Protection and Children’s Intensive In-Home Behavioral Support waivers amendments effective July 1, 2023, include:

  • Adding an agency provider type serving children for the service Stabilization Services – Crisis Diversion Bed;
  • Add persons exiting Washington Department of Children, Youth and Families extended foster care or aging out of dependency as an additional priority group for waiver enrollment;
  • Add the ability for trained DDA Case/Resource Managers, Social Service Specialists and Joint Requirement Plan staff to perform CARE Level of Care assessments virtually and obtain electronic signatures on Person-Centered Service Plans;
  • Add an agency provider type for the service Residential Habilitation/Alternative Living (AL) on the Core waiver and project increased utilization of AL in waiver years 2023-2024 through 2026-2027.

The proposed changes for the amendments will have no negative impacts on participants on the IFS, Basic Plus, Core, Community Protection and Children’s Intensive In-Home Behavioral Support waivers.

To view a draft waiver application, click on the bolded name of the waiver above.

Send your comments to DDAWaiverAmendments@dshs.wa.gov during the comment period.

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