Did you know that every state in the US has at least one self-direction program? The 2019 National Inventory of Self-Direction Programs, identified over 260 self-direction programs in the United States with over 1.2 million individuals self-directing. Click on the Interactive Map below to view a list of self-direction programs by state. We will continue to update this page as new information becomes available.
Did you know that every state in the US has at least one self-direction program? The 2019 National Inventory of Self-Direction Programs, identified over 260 self-direction programs in the United States with over 1.2 million individuals self-directing. Click on the Interactive Map below to view a list of self-direction programs by state. We will continue to update this page as new information becomes available.
Alabama ⋀
Alabama Community Transition (ACT) Waiver*
- Populations served: Individuals with disabilities or long-term illnesses currently living in an institutional setting
- Self-directing participant count: 1,913 across the Elderly and Disabled Waiver, the Technology Assisted Waiver, Alabama Community Transition Waiver, and Personal Choices
- Program Website
Alabama Home and Community-Based Waiver for Persons with Intellectual Disabilities*
- Populations served: Adults with intellectual/developmental disabilities
- Self-directing participant count: 151 across the Alabama Home and Community-Based Waiver for Persons with Intellectual Disabilities and the SAIL Waiver
- Program Website
Elderly and Disabled Waiver*
- Populations served: Seniors (over 65 years of age) and adults with physical disabilities
- Self-directing participant count: 1,913 across the Elderly and Disabled Waiver, the Technology Assisted Waiver, Alabama Community Transition Waiver, and Personal Choices
- Program Website
Personal Choices
- Populations served: Adults with physical disabilities, children with physical disabilities, and seniors
- Self-directing participant count: 1,913 across the Elderly and Disabled Waiver, the Technology Assisted Waiver, Alabama Community Transition Waiver, and Personal Choices
- Program Website
State of Alabama Independent Living (SAIL) Waiver
- Populations served: Adults with physical disabilities
- Self-directing participant count: 151 across the Alabama Home and Community-Based Waiver for Persons with Intellectual Disabilities and the SAIL Waiver
- Program Website
Technology Assisted Waiver*
- Populations served: Individuals (over 21) who have had a tracheostomy or who are ventilator dependent and require skilled nursing services
- Self-directing participant count: 1,913 across the Elderly and Disabled Waiver, the Technology Assisted Waiver, Alabama Community Transition Waiver, and Personal Choices
- Program Website
Veteran Directed Care (VDC)
- Populations served: Adults with disabilities and seniors (Veterans)
- Self-directing participant count: 5
- Program Website
Alaska ⋀
Community First Choice Personal Care Service
- Populations served: All recipients who currently meet an institutional level of care and receive both Home and Community Based Waiver Services and Personal Care Services have predetermined eligibility.
- Self-directing participant count: 826
- Program Website
Consumer-Directed Personal Care Services Program (CDPCA)*
- Populations served: Adults with physical disabilities, children with physical disabilities, and seniors
- Self-directing participant count: 2,304
- Program Website
Veteran Directed Care (VDC)
- Populations served: Adults with disabilities and seniors (Veterans)
- Self-directing participant count: 22
- Program Website
Arizona ⋀
Arizona Healthcare Cost Containment System
- Populations served: Adults with physical disabilities, children with physical disabilities, seniors, and individuals with serious mental health conditions
- Self-directing participant count: 3,239
- Program Website
Veteran Directed Care (VDC)
- Populations served: Adults with disabilities and seniors (Veterans)
- Self-directing participant count: 1
- Program Website
Arkansas ⋀
Independent Choices
- Populations served: Adults with physical disabilities and seniors
- Self-directing participant count: 3,000
- For more information call: 1-844-581-6018
- Program Website
Veteran-Directed Care (VDC)
- Populations served: Adults with disabilities and seniors (Veterans)
- Self-directing participant count: 10
- Program Website
California ⋀
Community First Choice Option (CFCO)
- Populations served: Individuals who are eligible for medical assistance under the State Plan who meet specific income criteria and meet the Nursing Facility Level of Care
- Self-directing participant count: 259,160
- Program Website
HCBS DD Waiver
- Populations served: Adults with developmental disabilities and children with developmental disabilities
- Self-directing participant count: 9,221
- Program Website
IHSS Plus Option (IPO)
- Populations served: Seniors and adults with physical disabilities
- Self-directing participant count: 15,111
- Program Website
In-Home Supportive Services - Residual (IHSS-R)
- Populations served: People with disabilities who are not eligible for full-scope Medi-Cal
- Self-directing participant count: 10,740
- Program Website
Personal Care Services Program (PCSP)
- Populations served: Seniors (over 65 years of age) and adults with physical disabilities
- Self-directing participant count: 308,517
- Program Website
Self-Determination Waiver
- Populations served: Adults with developmental disabilities and children with developmental disabilities
- Self-directing participant count: New program, data not yet available
- Program Website
Veteran-Directed Care (VDC)
- Populations served: Adults with disabilities and seniors (Veterans)
- Self-directing participant count: 29
- Program Website
Colorado ⋀
Brain Injury Waiver*
-
Populations served: Individuals 16 years or older with a brain injury
- Self-directing participant count: Included in the IHSS or CDASS programs
Children's Home and Community Based Services (CHCBS) Waiver*
-
Populations served: Children with disabilities
- Self-directing participant count: Included in the IHSS or CDASS programs
Consumer-Directed Attendant Support Services (CDASS)
-
Populations served: Seniors (over 65 years of age), adults with physical disabilities, adults with developmental disabilities, adults with serious mental illness, adults with traumatic brain injury, children with physical disabilities, and children with developmental disabilities
-
Self-directing participant count: 3,600
Elderly, Blind and Disabled (HCBS-EBD) Waiver*
-
Populations served: Adults with disabilities and seniors
- Self-directing participant count: Included in the IHSS or CDASS programs
In-Home Support Services (IHSS)
-
Populations served: Seniors (over 65 years of age), adults with physical disabilities, adults with developmental disabilities, adults with serious mental illness, adults with traumatic brain injury, children with physical disabilities, and children with developmental disabilities
-
Self-directing participant count: 5,200
Spinal Cord Injury (SCI) Waiver*
-
Populations served: Adults with a diagnosis of a spinal cord injury
- Self-directing participant count: Included in the IHSS or CDASS programs
Supportive Living Services Waiver (SLS)*
-
Populations served: Adults with developmental disabilities
- Self-directing participant count: Included in the IHSS or CDASS programs
Veteran Directed Care (VDC)
-
Populations served: Adults with disabilities and seniors (Veterans)
-
Self-directing participant count: 206
Connecticut ⋀
Acquired Brain Injury Waiver*
-
Populations served: Adults with traumatic brain injury
-
Self-directing participant count: 3,000 across all waivers
Community First Choice
-
Populations served: Adults with physical disabilities, seniors, and individuals with traumatic brain injury (TBI)
-
Self-directing participant count: 3,000 across all waivers
Comprehensive Supports Waiver*
-
Populations served: Adults with intellectual disabilities
-
Self-directing participant count: 3,000 across all waivers
Connecticut Home Care Program for Elders (CHCPE)*
-
Populations served: Seniors
-
Self-directing participant count: 3,000 across all waivers
Employment and Day Supports Waiver*
-
Populations served: Adults with intellectual disabilities
-
Self-directing participant count: 3,000 across all waivers
Home and Community Supports Waiver for Persons with Autism*
-
Populations served: Individuals with autism
-
Self-directing participant count: 3,000 across all waivers
Individual and Family Support Waiver*
-
Populations served: Children with intellectual/developmental disabilities and adults with intellectual disabilities
-
Self-directing participant count: 3,000 across all waivers
Mental Health Waiver*
-
Populations served: Individuals with serious mental health conditions
-
Self-directing participant count: 3,000 across all waivers
Personal Care Assistance Program*
-
Populations served: Adults with physical disabilities
-
Self-directing participant count: 3,000 across all waivers
Veteran Directed Care (VDC)
-
Populations served: Adults with disabilities and seniors (Veterans)
-
Self-directing participant count: 45
Delaware ⋀
Attendant Services
-
Populations served: Adults with physical disabilities and seniors
-
Self-directing participant count: 132
DDDS Lifespan Waiver
-
Populations served: Adults with developmental disabilities and children with developmental disabilities
-
Self-directing participant count: 25
Diamond State Health Plan Plus
-
Populations served: Adults with physical disabilities, children with physical disabilities, and seniors
-
Self-directing participant count: 1,463
Pathways to Employment
-
Populations served: Individuals with physical disabilities (aged 14-25) and individuals with intellectual/developmental disabilities (aged 14-25)
-
Self-directing participant count: 0
District of Columbia ⋀
Elderly and Persons with Physical Disabilities Waiver
-
Populations served: Adults with physical disabilities and seniors
-
Self-directing participant count: 641
Veteran Directed Care (VDC)
-
Populations served: Adults with disabilities and seniors (Veterans)
-
Self-directing participant count: 0
Florida ⋀
Florida Long-Term Care Waiver (Participant-Directed Option)
-
Populations served: Seniors (ages 65 and older), individuals with physical disabilities, and individuals with traumatic brain injury
-
Self-directing participant count: 4,090
Florida Self-Directed Care, Circuit 20
-
Populations served: Individuals with serious mental health conditions
-
Self-directing participant count: 65
Florida Self-Directed Care, District 4 (Jacksonville)
-
Populations served: Individuals with serious mental health conditions
-
Self-directing participant count: 175
Veteran-Directed Care
-
Populations served: Adults with disabilities and seniors (Veterans)
-
Self-directing participant count: 373
Georgia ⋀
Comprehensive Supports Waiver (COMP)
-
Populations served: Individuals with intellectual/developmental disabilities (birth to no maximum age)
-
Self-directing participant count: 2,800 across Comprehensive Supports Waiver and New Options Waiver
Georgia Community Care Services Program (CCSP) Medicaid Waiver
-
Populations served: Individuals with disabilities (aged 0 - 64) and seniors
-
Self-directing participant count: 436
Independent Care Waiver
-
Populations served: Adults with severe physical disabilities including traumatic brain injuries (aged 21 - 64)
-
Self-directing participant count: 150
New Options Waiver (NOW)
-
Populations served: Children and adults with intellectual/developmental disabilities
-
Self-directing participant count: 2,800 across Comprehensive Supports Waiver and New Options Waiver
Veteran-Directed Care
-
Populations served: Adults with disabilities and seniors (Veterans)
-
Self-directing participant count: 1
Hawaii ⋀
Community Living Program (Participant Directed through the State of Hawaii Executive Office on Aging)
-
Populations served: Older adults at risk of placement in a nursing home that do not qualify for Medicaid
-
Self-directing participant count: 34
Home and Community-Based Services for People with Developmental Disabilities
-
Populations served: Individuals with intellectual/developmental disabilities
-
Self-directing participant count: 697
Quest Integration (QI)
-
Populations served: All populations except individuals with intellectual/developmental disabilities
-
Self-directing participant count: 2,901
Veteran Directed Care (VDC)
-
Populations served: Adults with disabilities and seniors (Veterans)
-
Self-directing participant count: 23
Idaho ⋀
Aged and Disabled Waiver
-
Populations served: Seniors and adults with physical disabilities
-
Self-directing participant count: 218
Children's Developmental Disabilities Waiver
-
Populations served: Children with intellectual/developmental disabilities
-
Self-directing participant count: 1,083 across the Children and Adult Developmental Disabilities waivers
Idaho Developmental Disabilities Waiver
-
Populations served: Adults with intellectual/developmental disabilities
-
Self-directing participant count: 1,403 across the Children and Adult Developmental Disabilities waivers
Veteran-Directed Care
-
Populations served: Adults with disabilities and seniors (Veterans)
-
Self-directing participant count: 4
Illinois ⋀
Home and Community-Based Services (HCBS) Waiver for Adults with Developmental Disabilities
-
Populations served: Persons age 18 or older with developmental disabilities who are at risk of placement in an Intermediate Care Facility for persons with Developmental Disabilities (ICF/DD)
-
Self-directing participant count: 8,390
Home and Community-Based Services (HCBS) Waiver for Persons with Brain Injury
-
Populations served: Persons with brain injury, of any age, who are at risk of nursing facility placement due to functional limitations resulting from the brain injury
-
Self-directing participant count: 2,408
Home and Community-Based Services (HCBS) Waiver for Persons with HIV or AIDS
-
Populations served: Persons of any age who are diagnosed with Human Immune Deficiency Virus (HIV) or Acquired Immune Deficiency Syndrome (AIDS) and are at risk of placement in a nursing facility
-
Self-directing participant count: 1,010
Home Services Program
-
Populations served: People with severe disabilities under age 60 who need help with daily living activities in their homes.
-
Self-directing participant count: 18,847
Persons with Disabilities/Physically Disabled
-
Populations served: Individuals with disabilities who are under age 60 at the time of application and are at risk of placement in a nursing facility, individuals 60 years or older, who began services before age 60, may choose to remain in this waiver
-
Self-directing participant count: 24,424
Support Waiver for Children and Young Adults with Developmental Disabilities
-
Populations served: Children and young adults with developmental disabilities ages 3 through 21 who live at home with their families and are at risk of placement in an Intermediate Care Facility for persons with Developmental Disabilities (ICF/DD)
-
Self-directing participant count: 9,500
Veteran Directed Care (VDC)
-
Populations served: Adults with disabilities and seniors (Veterans)
-
Self-directing participant count: 134 across the IL and KY VDC programs
Indiana ⋀
Aged and Disabled Waiver
-
Populations served: Aged, blind, or otherwise disabled
-
Self-directing participant count: 280
Community and Home Options to Institutional Care for the Elderly and Disabled (CHOICE)
-
Populations served: At least 60 years of age or have a physical or mental impairment
-
Self-directing participant count: 34
Iowa ⋀
Consumer Choices Option
-
Populations served: Individuals with a disability or seniors eligible for Home and Community-Based Waiver (HCBS) Services (AIDS Waiver, Brain Injury Waiver, Elderly Waiver, Health and Disability Waiver, Intellectual Disabilities Waiver, and Physical Disability Waiver)
-
Self-directing participant count: 2,600
Consumer Directed Attendant Care
-
Populations served: Adults with disabilities and seniors
-
Self-directing participant count: 4,500
Home and Community Based Services - AIDS*
-
Populations served: Individuals with HIV/AIDS
Self-directing participant count: included in Consumer Choices Option
Home and Community Based Services - Brain Injury*
-
Populations served: Individuals with traumatic brain injury
Self-directing participant count: included in Consumer Choices Option
Home and Community Based Services - Elderly Waiver*
-
Populations served: Seniors
Self-directing participant count: included in Consumer Choices Option
Home and Community Based Services - Health and Disability Waiver*
-
Populations served: Adults with physical disabilities
Self-directing participant count: included in Consumer Choices Option
Home and Community Based Services - Intellectual Disabilities Waiver*
-
Populations served: Adults with developmental disabilities and children with developmental disabilities
Self-directing participant count: included in Consumer Choices Option
Home and Community Based Services - Physical Disability Waiver*
-
Populations served: Adults with physical disabilities
Self-directing participant count: included in Consumer Choices Option
Veteran Directed Care (VDC)
-
Populations served: Adults with disabilities and seniors (Veterans)
-
Self-directing participant count: 5
Kansas ⋀
Brain Injury (BI) Waiver Program
-
Populations served: Adults with traumatic brain injury
Self-directing participant count: Data included in KanCare
Frail Elderly Waiver Program
-
Populations served: Seniors (ages 65 and over)
Self-directing participant count: Data included in KanCare
Intellectual/Developmental Disability (I/DD) Waiver Program
-
Populations served: Adults with developmental disabilities and children with developmental disabilities
Self-directing participant count: Data included in KanCare
KanCare
-
Populations served: All populations
-
Self-directing participant count: 8,500
Physical Disability Waiver Program
-
Populations served: Adults with physical disabilities and children with physical disabilities
Self-directing participant count: Data included in KanCare
Technology Assisted (TA) Waiver
-
Populations served: Individuals ages 0 through 21 years who are chronically ill or medically fragile and dependent upon a ventilator or medical device to compensate for the loss of vital bodily function
Self-directing participant count: Data included in KanCare
WORK
-
Populations served: Adults with physical disabilities and adults with developmental disabilities
-
Self-directing participant count: 1,030
Kentucky ⋀
Acquired Brain Injury (ABI) Waiver
-
Populations served: Adults with traumatic brain injury
-
Self-direction participant count: 43
Acquired Brain Injury Long Term Care (ABI LTC) Waiver
-
Populations served: Adults with traumatic brain injury
-
Self-direction participant count: 61
Home and Community Based (HCB) Waiver
-
Populations served: Seniors and adults with physical disabilities
-
Self-direction participant count: 2,701 across Home and Community Based Waiver and HCBS Transitions
HCBS Transitions
-
Populations served: Seniors and adults with physical disabilities
-
Self-direction participant count: 2,701 across Home and Community Based Waiver and HCBS Transition
Michelle P. Waiver (MPW)
-
Populations served: Adults with developmental disabilities and children with developmental disabilities
-
Self-direction participant count: 7,634 across Michelle P Waiver and Supports for Community Living
Supports for Community Living (SCL) Waiver
-
Populations served: Adults with developmental disabilities and children with developmental disabilities
-
Self-direction participant count: 7,634 across Michelle P Waiver and Supports for Community Living
Veteran Directed Care (VDC)
-
Populations served: Adults with disabilities and seniors (Veterans)
-
Self-directing participant count: 134 across the KY and IL VDC programs
Louisiana ⋀
Children's Choice Waiver
-
Populations served: Children with developmental disabilities (birth to 18)
-
Self-directing participant count: 111
Community Choices Waiver
-
Populations served: Adults with physical disabilities and seniors
-
Self-directing participant count: 240
New Opportunities Waiver
-
Populations served: Individuals with intellectual/developmental disabilities (age 3 and older)
-
Self-directing participant count: 907
Residential Options Waiver
-
Populations served: Individuals with intellectual/developmental disabilities
-
Self-directing participant count: 45
Veteran Directed Care (VDC)
-
Populations served: Adults with disabilities and seniors (Veterans)
-
Self-directing participant count: 41
Maine ⋀
Consumer Directed Attendant Services (or Consumer Directed Assistance Services)
-
Populations served: Adults with physical disabilities and seniors
-
Self-directing participant count: 391
Elderly and Adults with Disabilities Waiver
-
Populations served: Adults with physical disabilities and seniors
-
Self-directing participant count: 616
In-Home and Community Support Services for Elderly and Other Adults
-
Populations served: Adults with physical disabilities and seniors
-
Self-directing participant count: 109
Private Duty Nursing/Personal Care State Plan
-
Populations served: Adults with physical disabilities and seniors
-
Self-directing participant count: 87
Veteran Directed Care
-
Populations served: Adults with disabilities and seniors (Veterans)
-
Self-directing participant count: 9
Maryland ⋀
Community Pathways*
-
Populations served: Children and adults with developmental disabilities
-
Self-directing participant count: 995 across all programs
Community Supports Waiver*
-
Populations served: Children and adults with developmental disabilities
-
Self-directing participant count: 995 across all programs
Family Supports Waiver*
-
Populations served: Children birth to 21 with developmental disabilities
-
Self-directing participant count: 995 across all programs
Veteran Directed Care (VDC)
-
Populations served: Adults with disabilities and seniors (Veterans)
-
Self-directing participant count: 56
Massachusetts ⋀
Adult Supports Waiver*
-
Populations served: Adults with developmental disabilities
Self-directing participant count: Data not provided
Children's Autism Waiver
-
Populations served: Children with autism (birth to 8)
-
Self-directing participant count: 280
Community Living Waiver*
-
Populations served: Individuals 22 years and older with intellectual/developmental disabilities
Self-directing participant count: Data not provided
Intensive Supports Waiver*
-
Populations served: Individuals 22 years and older with intellectual/developmental disabilities who require 24/7 support
Self-directing participant count: Data not provided
MFP Community Living (MFP-CL)
-
Populations served: Seniors, adults with physical disabilities, adults with serious mental illness
-
Self-directing participant count: 150 across MFP Community Living and MFP Residential Supports
MFP Residential Supports (MFP-RS)
-
Populations served: Seniors, adults with physical disabilities, adults with serious mental illness
-
Self-directing participant count: 150 across MFP Community Living and MFP Residential Supports
Participant Directed Program (PDP)
-
Populations served: Individuals with intellectual/developmental disabilities
-
Self-directing participant count: 842
Senior Care Options Personal Care Attendant (PCA) Program
-
Populations served: Seniors
-
Self-directing participant count: 37,578 across Senior Care Options PCA Program and State Plan Fee for Service PCA Program
State Plan Fee for Service Personal Care Attendant (PCA) Program
-
Populations served: Seniors and adults with physical disabilities
-
Self-directing participant count: 37,578 across Senior Care Options PCA Program and State Plan Fee for Service PCA Program
Veteran Directed Care (VDC)
-
Populations served: Adults with disabilities and seniors (Veterans)
-
Self-directing participant count: 48
Michigan ⋀
Children's Waiver Program
-
Populations served: Children with intellectual disabilities/developmental disabilities
-
Self-directing participant count: 342
Habilitation Supports Waiver
-
Populations served: Children with intellectual/developmental disabilities and adults with intellectual/developmental disabilities
-
Self-directing participant count: 1,403
Home Help Program
-
Populations served: Seniors and children
-
Self-directing participant count: 38,000
MI Choice
-
Populations served: Seniors and adults with physical disabilities
-
Self-directing participant count: 2,230
MI Health Link
-
Populations served: Adults with physical disabilities and seniors
-
Self-directing participant count: 2,951
Self-Determination Initiative
-
Populations served: Individuals with mental health conditions
-
Self-directing participant count: 5,763
Veteran Directed Care (VDC)
-
Populations served: Adults with disabilities and seniors (Veterans)
-
Self-directing participant count: 113
Minnesota ⋀
Alternative Care (AC) Program
-
Populations served: Seniors
-
Self-directing participant count: 329
Brain Injury Waiver*
-
Populations served: Children and adults who have an acquired or traumatic brain injury.
-
Self-directing participant count: 82
Community Access for Disability Inclusion (CADI) Waiver (Called "Community Access for Disabled Individuals" on CMS website)*
-
Populations served: Adults and children with physical disabilities
-
Self-directing participant count: 2,476
Community Alternative Care (CDCS)/1915-i
-
Populations served: Adults and children with disabilities who would otherwise require the level of care provided in a hospital
-
Self-directing participant count: 329
Consumer Support Grant Program
-
Populations served: Individuals who require assistance with Activities of Daily Living (ADLs)
-
Self-directing participant count: 3,331
Deaf-Blind Consumer Directed Services (DBCDS)
-
Populations served: Adults and children with physical disabilities
-
Self-directing participant count: 33
Development Disabilities (DD) Waiver*
-
Populations served: Adults with intellectual/developmental disabilities and children with intellectual/developmental disabilities
-
Self-directing participant count: 3,975
Elderly Waiver (EW)*
-
Populations served: Seniors
-
Self-directing participant count: 488
Personal Care Assistance (PCA) Choice
-
Populations served: Seniors
-
Self-directing participant count: 26,175
Veteran Directed Care (VDC)
-
Populations served: Adults with disabilities and seniors (Veterans)
-
Self-directing participant count: 7
Mississippi ⋀
Independent Living Waiver
-
Populations served: Adults with physical disabilities and seniors
-
Self-directing participant count: 2,419
Traumatic Brain Injury/Spinal Cord Injury (TBI/SCI) Waiver
-
Populations served: Adults who have an acquired or traumatic brain injury
-
Self-directing participant count: 863
Veteran Directed Care (VDC)
-
Populations served: Adults with disabilities and seniors (Veterans)
-
Self-directing participant count: 9
Missouri ⋀
DD Comprehensive Waiver
-
Populations served: Adults and children with intellectual/developmental disabilities
-
Self-directing participant count: 2,100 across Division of DD Community Support Waiver, Children's DD, Partnership for Hope, and Comprehensive Waiver
Division of DD Community Support Waiver
-
Populations served: Adults and children with intellectual/developmental disabilities
-
Self-directing participant count: 2,100 across Division of DD Community Support Waiver, Children's DD, Partnership for Hope, and Comprehensive Waiver
Independent Living Waiver
-
Populations served: Adults with physical disabilities
-
Self-directing participant count: 600
Missouri Children with Developmental Disabilities (MOCDD) Waiver
-
Populations served: Children with intellectual/developmental disabilities
-
Self-directing participant count: 2,100 across Division of DD Community Support Waiver, Children's DD, Partnership for Hope, and Comprehensive Waiver
Partnership for Hope
-
Populations served: Adults and children with intellectual/developmental disabilities
-
Self-directing participant count: 2,100 across Division of DD Community Support Waiver, Children's DD, Partnership for Hope, and Comprehensive Waiver
State Plan Consumer-Directed Services
-
Populations served: Adults with intellectual/developmental disabilities and seniors
-
Self-directing participant count: 38,258
Veteran Directed Care (VDC)
-
Populations served: Adults with intellectual/developmental disabilities and seniors (Veterans)
-
Self-directing participant count: 279
Montana ⋀
Big Sky Waiver
-
Populations served: Seniors, adults with physical disabilities, and children with physical disabilities
-
Self-directing participant count: 27
Home and Community-Based Waiver for Individuals with Developmental Disabilities
-
Populations served: Adults with developmental disabilities and children with developmental disabilities
-
Self-directing participant count: 280
Severe Disabling Mental Illness (SDMI) HCBS Waiver
-
Populations served: Adults with serious mental illness
-
Self-directing participant count: 36
State Plan Personal Care Program (including the Community First Option)
-
Populations served: Adults with intellectual/developmental disabilities and seniors
-
Self-directing participant count: 1,740 (including the Community First Option)
Veteran Directed Care (VDC)
-
Populations served: Adults with intellectual/developmental disabilities and seniors (Veterans)
-
Self-directing participant count: 194
Nebraska ⋀
Comprehensive Developmental Disabilities (CDD) Waiver
-
Populations served: Adults with developmental disabilities and children with developmental disabilities
-
Self-directing participant count: 806
Developmental Disabilities Adult Day (DDAD) Waiver
-
Populations served: Adults with intellectual/developmental disabilities
-
Self-directing participant count: 335
Personal Assistance Services
-
Populations served: Adults with physical disabilities and seniors
-
Self-directing participant count: 1,738
Nevada ⋀
Autism Treatment Assistance Program (ATAP)
-
Populations served: Children (18 months to 19 years) with Autism
-
Self-directing participant count: 75
Home and Community Based Waiver (HCBW)
-
Populations served: Seniors
-
Self-directing participant count: 431
State Plan Personal Care Services (PCS)
-
Populations served: All ages
-
Self-directing participant count: 497
New Hampshire ⋀
Choices for Independence
-
Populations served: Seniors and adults with chronic illnesses who are financially eligible for Medicaid and medically qualify for the level of care provided in nursing facilities
-
Self-directing participant count: 368
NH Acquired Brain Disorder Waiver
-
Populations served: Adults who have an acquired or traumatic brain injury
-
Self-directing participant count: 41
NH BDS Developmental Services
-
Populations served: Adults and children with intellectual/developmental disabilities
-
Self-directing participant count: 1,053
NH In Home Supports Waiver for Children with Developmental Disabilities
-
Populations served: Children with intellectual/developmental disabilities
-
Self-directing participant count: 447
PCA Services- State Plan
-
Populations served: Adults with physical disabilities
-
Self-directing participant count: 200
Veteran Directed Care (VDC)
-
Populations served: Adults with physical disabilities and seniors
-
Self-directing participant count: 90
New Jersey ⋀
Division of Developmental Disabilities (DDD)
-
Populations served: Adults with intellectual/developmental disabilities
-
Self-directing participant count: 3,183
Personal Assistance Service Program (PASP)
-
Populations served: Adults with physical disabilities
-
Self-directing participant count: 506
Personal Preference Program (PPP)
-
Populations served: Seniors, adults with physical disabilities, adults with developmental disabilities, adults with serious mental illness, adults with traumatic brain injury, children with physical disabilities, children with developmental disabilities, and children with serious mental illness
-
Self-directing participant count: 14,860
Veteran Directed Care (VDC)
-
Populations served: Adults with physical disabilities and seniors (Veterans)
-
Self-directing participant count: 10
New Mexico ⋀
Centennial Care
-
Populations served: Adults with physical disabilities, seniors, children with physical disabilities including medically fragile, and persons with mental Illness
-
Self-directing participant count: 1,865
Mi Via - ICF/IDD Renewal Waiver
-
Populations served: Adults and children with intellectual/developmental disabilities, medically fragile
-
Self-directing participant count: 1,669
Veteran Directed Care (VDC)
-
Populations served: Adults with physical disabilities and seniors (Veterans)
-
Self-directing participant count: 10
New York ⋀
Community First Choice
-
Populations served: Seniors and adults with physical disabilities
-
Self-directing participant count: 70,000
Community Living
-
Populations served: Adults with serious mental illness
-
Self-directing participant count: 99
Expanded In-Home Services for the Elderly (EISEP)
-
Populations served: Adults (60+) who need help with everyday activities to take care of themselves, want to remain at home, and are not eligible for Medicaid
-
Self-directing participant count: 735
Manhattan Community Access
-
Populations served: Adults with serious mental illness
-
Self-directing participant count: 79
NYS OPWDD Comprehensive Renewal Waiver
-
Populations served: Adults with intellectual/developmental disabilities
-
Self-directing participant count: 12,781
Veteran Directed Care (VDC)
-
Populations served: Adults with physical disabilities and seniors (Veterans)
-
Self-directing participant count: 7
North Carolina ⋀
Cardinal Innovations
-
Populations served: Adults with serious mental illness, children with serious mental illness, and adults with traumatic brain injury
-
Self-directing participant count: 130
Community Alternative Program for Adults with Disabilities (CAP/DA)
-
Populations served: Adults with disabilities who prefer to remain in their primary private residences rather than nursing home placement
-
Self-directing participant count: 2,357
Community Alternative Program for Children (CAP/C)
-
Populations served: Child from birth through 20 years of age who meets both the Medicaid eligibility criteria and the CAP/C eligibility criteria
-
Self-directing participant count: 649
NC Innovations Waiver
-
Populations served: Adults and chidren with intellectual/developmental disabilities (Autism)
-
Self-directing participant count: 336
Veteran Directed Care (VDC)
-
Populations served: Adults with physical disabilities and seniors (Veterans)
-
Self-directing participant count: 1
North Dakota ⋀
North Dakota Medicaid Waiver for Medically Fragile Children
-
Populations served: Children with physical disabilities including medically fragile
-
Self-directing participant count: 21
Traditional ID/DD Home and Community Based Services Waiver
-
Populations served: Adults and children with intellectual/developmental disabilities
-
Self-directing participant count: 433
Veteran Directed Care (VDC)
-
Populations served: Adults with physical disabilities and seniors (Veterans)
-
Self-directing participant count: 1
Ohio ⋀
Individual Options (IO) Waiver*
-
Populations served: People must be Medicaid-eligible and have an intermediate care facility level of care. There are no age requirements.
-
Self-directing participant count: 0
Integrated Care Delivery - MyCare Ohio
-
Populations served: Seniors and adults with physical disabilities
-
Self-directing participant count: 150
Level One Waiver*
-
Populations served: People must be Medicaid-eligible and have an intermediate care facility level of care. There are no age requirements.
-
Self-directing participant count: 0
PASSPORT (Pre-Admission Screen System Providing Options and Resources Today)
-
Populations served: Seniors 60+
-
Self-directing participant count: 563
Self-Empowered Life Funding (SELF)
-
Populations served: Adults with intellectual/developmental disabilities
-
Self-directing participant count: 1700
Veteran Directed Care
-
Populations served: Adults with disabilities and seniors (Veterans)
-
Self-directing participant count: 77
Oklahoma ⋀
ADvantage
-
Populations served: Adults with physical disabilities and seniors
-
Self-directing participant count: 1,571
In-Home Supports Waiver for Children
-
Populations served: Children with intellectual/developmental disabilities
-
Self-directing participant count: 36
In-Home Supports Waiver for Adults
-
Populations served: Adults with intellectual/developmental disabilities
-
Self-directing participant count: 101
Living Choice/Money Follows the Person
-
Populations served: Individuals at least 19 years of age who have lived in an institutional setting (nursing home, intermediate care facility) for at least 90 consecutive days prior to transition
-
Self-directing participant count: 0
Medically Fragile
-
Populations served: Adults with physical disabilities (medically fragile and tech dependent)
-
Self-directing participant count: 13
Oregon ⋀
1905ab State Plan
-
Populations served: Adults with physical disabilities and seniors
-
Self-directing participant count: 2,006
Aged and Physically Disabled Waiver*
-
Populations served: Adults with physical disabilities and seniors
Self-directing participant count: Data included in K Plan
Behavioral (ICF/IDD) Model Waiver*
-
Populations served: Children with intellectual/developmental disabilities
Self-directing participant count: Data included in K Plan
ICF/IDD Support Services Waiver*
-
Populations served: Adults with intellectual/developmental disabilities
Self-directing participant count: Data included in K Plan
K Plan
-
Populations served: Seniors, adults with physical disabilities, adults with developmental disabilities, children with physical disabilities, children with developmental disabilities, children with serious mental illness
-
Self-directing participant count: 26,252
Luke-Dorf
-
Populations served: Adults with serious mental illness
Self-directing participant count: Data not provided
Medically Fragile (Hospital) Model*
-
Populations served: Children with physical disabilities including medically fragile
Self-directing participant count: Data not provided
Veteran Directed Care (VDC)
-
Populations served: Adults with physical disabilities and seniors (Veterans)
-
Self-directing participant count: 62
Pennsylvania ⋀
Act 150 (State funded program)
-
Populations served: Adults with physical disabilities
-
Self-directing participant count: 17,490 across Act 150, Attendant Care Waiver, HCBS Waiver for 60 and Over, Independence Waiver, and the OBRA Waiver
Aging Waiver
-
Populations served: Seniors 60+
-
Self-directing participant count: 17,490 across Act 150, Attendant Care Waiver, HCBS Waiver for 60 and Over, Independence Waiver, and the OBRA Waiver
Attendant Care Waiver
-
Populations served: Individuals 18 - 59 with physical disabilities
-
Self-directing participant count: 17,490 across Act 150, Attendant Care Waiver, HCBS Waiver for 60 and Over, Independence Waiver, and the OBRA Waiver
Community HealthChoices (formerly COMMCARE)
-
Populations served: Seniors and adults with physical disabilities
-
Self-directing participant count: 17,490 across Act 150, Attendant Care Waiver, HCBS Waiver for 60 and Over, Independence Waiver, and the OBRA Waiver
Community Living
-
Populations served: Adults and children with developmental disabilities
-
Self-directing participant count: 5,279 across Community Living, Consolidated Waiver, and Person/Family Directed Support Waiver
Consolidated Waiver
-
Populations served: Adults with intellectual/developmental disabilities
-
Self-directing participant count: 5,279 across Community Living, Consolidated Waiver, and Person/Family Directed Support Waiver
Consumer Recovery Investment Fund Program
-
Populations served: Adults with serious mental illnesses
-
Self-directing participant count: 24
Independence Waiver
-
Populations served: Adults 18 - 59 with physical disabilities
-
Self-directing participant count: 17,490 across Act 150, Attendant Care Waiver, HCBS Waiver for 60 and Over, Independence Waiver, and the OBRA Waiver
OBRA Waiver
-
Populations served: Adults 18 - 59 with intellectual/developmental disabilities
-
Self-directing participant count: 17,490 across Act 150, Attendant Care Waiver, HCBS Waiver for 60 and Over, Independence Waiver, and the OBRA Waiver
Options
-
Populations served: Seniors
-
Self-directing participant count: 778
Person/Family Directed Support Waiver
-
Populations served: No age limit for individuals with an intellectual disability or Autism
-
Self-directing participant count: 5,279 across Community Living, Consolidated Waiver, and Person/Family Directed Support Waiver
Veteran Directed Care (VDC)
-
Populations served: Adults with physical disabilities and senior (Veterans)
-
Self-directing participant count: 18
Rhode Island ⋀
ID/DD program
-
Populations served: Adults with intellectual/developmental disabilities
-
Self-directing participant count: 620
Personal Assistance Services and Supports (PASS)
-
Populations served: Children with physical disabilities, children with developmental disabilities, and children with serious mental illness
-
Self-directing participant count: 421
Personal Choice
-
Populations served: Seniors and adults with physical disabilities
-
Self-directing participant count: 550
South Carolina ⋀
Community Choices Waiver
-
Populations served: Adults with physical disabilities and seniors
-
Self-directing participant count: 2,000
Community Supports Waiver
-
Populations served: Adults and children with developmental disabilities
-
Self-directing participant count: 580
Head and Spinal Cord Injury
-
Populations served: People with a traumatic brain injury and/or spinal cord injury
-
Self-directing participant count: 197
HIV/AIDS Waiver
-
Populations served: HIV birth to no max age
-
Self-directing participant count: 30
ID and Related Disabilities Waiver
-
Populations served: Adults and children with developmental disabilities
-
Self-directing participant count: 48
Mechanical Ventilator Dependent Waiver
-
Populations served: Technology dependent 21+
-
Self-directing participant count: 20
South Dakota ⋀
Assistive Daily Living Waiver (ADL)
-
Populations served: Adults with intellectual/developmental disabilities and children with physical disabilities including medically fragile
-
Self-directing participant count: 105
Family Support 360
-
Populations served: Adults and children with developmental disabilities
-
Self-directing participant count: 61
Tennessee ⋀
Self-Determination Waiver Program
-
Populations served: Adults with intellectual/developmental disabilities and children with physical disabilities including medically fragile
-
Self-directing participant count: 596
TennCare
-
Populations served: Adults with physical disabilities and seniors (includes level 2 [meets level of care] and 3 [does not meet level of care])
-
Self-directing participant count: 3,547
Veteran Directed Care (VDC)
-
Populations served: Adults with physical disabilities and seniors (Veterans)
-
Self-directing participant count: 4
Texas ⋀
Community First Choice
-
Populations served: Children with intellectual/developmental disabilities, adults with physical disabilities, and adults with intellectual/developmental disabilities
-
Self-directing participant count: 13,718
Community Living Assistance and Support Services (CLASS)*
-
Populations served: Adults with intellectual/developmental disabilities and children with intellectual/developmental disabilities
Self-directing participant count: Included in Community First Choice
Consumer Managed Personal Attendant Services (CMPAS)
-
Populations served: Adults with physical disabilities
-
Self-directing participant count: 70
Deaf Blind with Multiple Disabilities (DBMD)*
-
Populations served: Adults with physical disabilities and children with intellectual/developmental disabilities
Self-directing participant count: Included in Community First Choice
Home and Community-Based Services (HCS) Program*
-
Populations served: Adults with physical disabilities and children with intellectual/developmental disabilities
Self-directing participant count: Included in Community First Choice
Medically Dependent Children Program (MDCP)*
-
Populations served: Children with physical disabilities including medically fragile
Self-directing participant count: Included in Community First Choice
My Choice My Voice
-
Populations served: Adults with serious mental illness
-
Self-directing participant count:150
STAR Kids*
-
Populations served: Children with physical disabilities
Self-directing participant count: Included in Community First Choice
Texas Home Living Program (TxHmL)*
-
Populations served: Adults with physical disabilities and children with intellectual/developmental disabilities
Self-directing participant count: Included in Community First Choice
Texas Healthcare Transformation (STAR PLUS)*
-
Populations served: Seniors, adults with physical disabilities, persons with mental illness, and children with intellectual/developmental disabilities
Self-directing participant count: Included in Community First Choice
Texas Self-Directed Care*
-
Populations served: Adults with serious mental illness
Self-directing participant count: Included in Community First Choice
Veteran Directed Care (VDC)
-
Populations served: Adults with physical disabilities and seniors (Veterans)
-
Self-directing participant count: 136
Utah ⋀
Aging Waver (Individuals Age 65 or Older)
-
Populations served: Seniors
-
Self-directing participant count: 500
Acquired Brain Injury
-
Populations served: Traumatic brain injury and other
-
Self-directing participant count: 32
Community Supports Waiver for Individuals with Intellectual Disabilities & Other Related Conditions
-
Populations served: Adults with intellectual/developmental disabilities and children with intellectual/developmental disabilities
-
Self-directing participant count: 1,687
EPAS - Employment-related Personal Assistant Services
-
Populations served: Person determined to have a disability, receiving UT Medicaid, currently employed in integrated setting, working minimum of 40 hours per month or self-employed, needs PAS to maintain employment
-
Self-directing participant count: 184
New Choices Waiver
-
Populations served: Adults with physical disabilities and seniors
-
Self-directing participant count: 43
Physical Disabilities Waiver
-
Populations served: Adults with physical disabilities and seniors
-
Self-directing participant count: 108
Veteran Directed Care (VDC)
-
Populations served: Adults with disabilities and seniors (Veterans)
-
Self-directing participant count: 108
Vermont ⋀
Attendant Services - General Fund
-
Populations served: Adults with physical disabilities
-
Self-directing participant count: 44
Choices for Care
-
Populations served: Adults with physical disabilities and seniors
-
Self-directing participant count: 1,376 across Choices for Care and Flexible Choices
Children's Personal Care Services
-
Populations served: Children with physical disabilities including medically fragile and children with intellectual/developmental disabilities
-
Self-directing participant count: 1,011
Developmental Services
-
Populations served: Individuals with developmental disabilities
-
Self-directing participant count: 2,123
Flexible Choices
-
Populations served: Adults with physical disabilities and seniors
-
Self-directing participant count: 1,376 across Choices for Care and Flexible Choices
TBI Program*
-
Populations served: Adults with traumatic brain injuries
Self-directing participant count: Included in Choices for Care
Veteran-Directed Care
-
Populations served: Adults with physical disabilities and seniors (Veterans)
-
Self-directing participant count: 78
Virginia ⋀
Community Living Waiver
-
Populations served: Birth to no max age
-
Self-directing participant count: 2,362
Commonwealth Coordinated Care Plus
-
Populations served: Seniors and adults with physical disabilities
-
Self-directing participant count: 23,000
Family and Individual Supports Waiver
-
Populations served: Individuals 6 to no max age with Autism or developmental disabilities
-
Self-directing participant count: 1,258
Veteran Directed Care (VDC)
-
Populations served: Adults with physical disabilities and seniors (Veterans)
-
Self-directing participant count: 211
Washington ⋀
Community First Choice
-
Populations served: Seniors, adults with physical disabilities, adults with developmental disabilities, children with physical disabilities, children with developmental disabilities, children with serious mental illness
-
Self-directing participant count: 39,600
Medicaid Personal Care
-
Populations served: Adults with physical disabilities, seniors, and adults with developmental disabilities
-
Self-directing participant count: 221
New Freedom
-
Populations served: Adults with physical disabilities and seniors
-
Self-directing participant count: 454
Roads to Community Living
-
Populations served: Seniors, adults with physical disabilities, adults with developmental disabilities
-
Self-directing participant count: 63
Veteran Directed Care
-
Populations served: Adults with disabilities and seniors (Veterans)
-
Self-directing participant count: 19
West Virginia ⋀
Aged and Disabled Waiver
-
Populations served: Adults with physical disabilities and seniors
-
Self-directing participant count: 990
ID/DD Waiver
-
Self-directing participant count: 1,671
TBI Waiver
-
Populations served: Children and adults with traumatic brain injury
-
Self-directing participant count: 33
Wisconsin ⋀
Children's Long Term Support DD Waiver
-
Populations served: Children with intellectual/developmental disabilities
-
Self-directing participant count: 6,479
Family Care Waiver
-
Populations served: Adults with intellectual/developmental disabilities, seniors, and adults with physical disabilities
-
Self-directing participant count: 17,000
Include, Respect, I Self-Direct (IRIS) Waiver
-
Populations served: Adults with intellectual/developmental disabilities, seniors, and adults with physical disabilities
-
Self-directing participant count: 19,100
Veteran Directed Care (VDC)
-
Populations served: Adults with physical disabilities and seniors (Veterans)
-
Self-directing participant count: 90
Wyoming ⋀
Community Choices
-
Populations served: Adults with physical disabilities and seniors
-
Self-directing participant count: 731
Comprehensive Waiver
-
Populations served: Adults with intellectual/developmental disabilities and children with intellectual/developmental disabilities
-
Self-directing participant count: 320 across Comprehensive Waiver and Supports Waiver
Supports Waiver
-
Populations served: Adults with intellectual/developmental disabilities and children with intellectual/developmental disabilities
-
Self-directing participant count: 320 across Comprehensive Waiver and Supports Waiver
*Feeder Programs: During the 2019 Inventory, ASD developed the term “feeder program” to define waivers that allow self-direction but do not provide self-direction as a service option. In this situation, waiver recipients who opt to receive self-directed LTSS services are referred by their primary HCBS waiver (i.e., the feeder program) to an appropriate self-direction program to receive self-directed services. Waiver recipients continue to remain enrolled in the primary HCBS waiver to receive non-self-directed services. This categorization was developed during the 2019 Inventory and states likely do not use this term.