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

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 August 26, 2022, through September 26, 2022.

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

  • Add Remote Supports (previously called Distance-Based Observation and Reporting) to the Basic Plus, Individual and Family Services and to the Core waiver for participants not receiving residential habilitation;
  • Permit participants on the Basic Plus and Core waivers to receive Individual Supported Employment/Group Supported Employment and Community Inclusion at the same time;
  • Revised information regarding Community Engagement services to better distinguish it from Community Inclusion;
  • Permit participants receiving Residential Habilitation/Companion Home service to also receive Specialized Habilitation;
  • Add teleservice (remote service delivery) for the following services on the Basic Plus and Core waivers, including: Assistive Technology, Community Engagement, Individual Supported Employment, Individualized Technical Assistance, Specialized Habilitation, Staff/Family Consultation, Physical Therapy, Occupational Therapy and Speech, Hearing and Language Services;
  • Add teleservice (remote service delivery) for the following services on the Community Protection waiver, including: Assistive Technology, Individual Supported Employment, Individualized Technical Assistance, Specialized Evaluation and Consultation, Positive Behavior Support and Consultation, Physical Therapy, Occupational Therapy and Speech, Hearing and Language Services;
  • Add teleservice (remote service delivery) for the following services on the Individual and Family Services waiver, including: Assistive Technology, Community Engagement, Person-Centered Plan Facilitation, Peer Mentoring, Specialized Clothing, Specialized Habilitation, Staff/Family Consultation, Supported Parenting, Physical Therapy, Occupational Therapy and Speech, Hearing and Language Services;
  • Add teleservice (remote service delivery) for Supported Parenting on the Core waiver;
  • Add teleservice (remote service delivery) for the following services on the Children’s Intensive In-Home Behavioral Support waiver, including: Assistive Technology, Music Therapy, Peer Mentoring, Person-Centered Plan Facilitation, Specialized Clothing, Specialized Habilitation, and Staff/Family Consultation;
  • Add counties as a provider type for Individual Supported Employment/Group Supported Employment, Individualized Technical Assistance and Community Inclusion on the Basic Plus, Core and Community Protection waivers.

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.

Documents

Resources