Home and Community Based Waivers (HCBS)

Waiver Overview

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.

DDA received approval from the Centers for Medicare and Medicaid Services (CMS) for the 5 year renewals of the following 4 waivers:  Basic Plus, Core, Community Protection (CP) and Children’s Intensive In-home Behavioral Support (CIIBS).  DDA also received approval of the Individual and Family Services (IFS) waiver amendment. 

Current Approved Waivers

Waiver Renewal

The draft waiver renewal application for the Individual and Family Services (IFS) Waiver was submitted to The Centers for Medicare and Medicaid Services (CMS) on May 10, 2019, following 30 days of public comment.

Proposed Changes to the IFS waiver renewal, effective September 1, 2019:

  • Remove the client age limit of three years of age or more in order to be eligible for this waiver;
  • Expand provider types for the waiver service Peer Mentoring;
  • Change the waiver calendar year from June 1 through May 31 to September 1 through August 31 to match the calendars of DDA’s other four waivers; and
  • Add Behavioral Health Stabilization Services – Crisis Diversion Bed Services.

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

Waiver Amendments

DDA Waiver Amendment Stakeholder Summary

In June, 2018 DDA representatives met with stakeholders across Washington State to discuss amendments to DDAs five HCBS waiver programs.  The amendments would help redefine DDA services to make the pathway to access between AppleHealth behavioral health and DDA waiver services more transparent and easier for a waiver participant to navigate. Stakeholder feedback summary