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Title XIX Waiver Program

The Medicaid Title XIX I/DD Waiver Program is a federal program designed to deliver services to individuals in their homes and community as an alternative to receiving services in an Intermediate Care Facility for Individuals with Mental Retardation and related conditions (ICF/MR).

How the Title XIX Waiver Program Can Assist

This program is a health care coverage program that reimburses for services to instruct/train and support/assist individuals who have mental retardation and/or related conditions.

This program also aims to achieve the highest level of independence and self-sufficiency possible for the lives of these individuals. 

stetchoscope lying on top of medical cardiograph with piggy bank representing medical savings

Services Reimbursable through the I/DD Waiver

  • Respite Care Services

  • Day Habilitation Services

  • Pre-Vocational Training Services

  • Supported Employment Services

  • Extended Physician Services

  • Transportation Services

  • Skilled Nursing Services

  • Registered Dietician Services

  • Adult Companion Services

  • Positive Behavior Support Services

  • Skills Development Specialist Services

  • Therapy/Counseling

  • Physical Therapy

  • Occupational Therapy

  • Psychological and Psychiatric Services

  • Service Coordination

  • Environmental Accessibility Adaptation

  • Speech and Language Therapy​

Program Eligibility

Financial Eligibility

To be financial eligible, the individual must have:

  • A monthly income of less than three times the current maximum amount of Supplemental Security Income (SSI)

  • Must have less than $2,000 in assets

  • The costs of I/DD Waiver services to participants on average cannot be more expensive than the average cost of support in the ICF/MR facility​​

Medical Eligibility

To be medically eligible, an indivudal must have: 

  • Primary diagnosis of mental retardation

  • And/or a related condition with substantial deficits in major life areas that require the same level of intensive instruction and services that are provided in an ICF/MR facility

For more information about the Title XIX Waiver Program, contact:

Donna Turner, Clinical Director
P: (304) 327-5305

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