A Home and Community Based (HCBS) Waiver is a Medicaid program that allows the District to provide person-centered community-based programs and supports designed to help individuals leave institutional settings or to prevent having to move into one in the first place. The federal government reimburses the District 70% of the cost of services and supports for people enrolled in a HCBS Waiver. This reimbursement helps the District to fund programs that might otherwise not be affordable. Today, all the home and community-based services provided through the DDA service delivery system are done so through the DDA Waiver program. Waiver Service Descriptions and Rules

To participate in the HCBS Waiver program, the District must assure to the Federal government that people enrolled in the program have person-centered plans, receive the services outlined in the plan, have free choice of service providers, have safeguards in place to remain safe and healthy, and that the program is fiscally responsible. DDA operates the Waiver program under the Administrative Oversight of the Department of Health Care Finance.

For information about the DDA HCBS Waiver Program, contact your DDA Service Coordinator, or the DDA Waiver Unit.

HCBS IDD Waiver Brochure