Home and Community Based Waivers (HCBS)

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

  • Basic Plus
  • Children's Intensive In-home Behavioral Supports (CIIBS)
  • Community Protection         
  • Core
  • Individual and Family Services (IFS). 

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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Approved Waiver Amendments

Waiver amendments for the Individual and Family Services (IFS), Basic Plus, Core, Community Protection and Children’s Intensive In-Home Behavioral Support (CIIBS) Waivers were approved  on September 16, 2021, with an effective date of October 1, 2021.

Approved Changes to the Individual and Family Services, Basic Plus, Core, Community Protection and Children’s Intensive In-Home Behavioral Support waivers effective October 1, 2021 include:

  • Modifying how individual respite providers are contracted. In 2018, the Washington State Legislature passed Senate Bill 6199 authorizing DSHS to create a Consumer Directed Employer (CDE) Program. To implement this program, the State intends to file a concurrent §1915(b)(4) waiver application for Selective Contracting, which will apply to the IFS, Basic Plus, Core and CIIBS waivers;
  • Adding limitations for waiver transportation to exclude CDE and Home Care Agency providers;
  • Adding State-operated provider to Stabilization Services – Crisis Diversion Bed service;
  • Revising provider qualifications for Child Foster Home providers;
  • Adding qualified Specialized Habilitation providers as qualified Staff/Family Consultation providers;
  • Adding qualified Specialized Habilitation providers as qualified Stabilization Services – Staff/Family Home Consultation providers;
  • Increasing Individual and Family Services waiver annual budget allocations 30% for each level:
    • $1,200 annual allocation increase to $1,560;
    • $1,800 annual allocation increases to $2,340;
    • $2,400 annual allocation increases to $3,120; and
    • $3,600 annual allocation increase to $4,680.
  • Adding 923 participant slots to the Individual and Family Services Waiver
  • Adding 467 participant slots to the Basic Plus Waiver
  • Adding 159 participant slots to the Core Waiver

Adding 100 participant slots to the Children’s Intensive In-Home Behavioral Support Waiver

Documents

Resources