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THE JOURNEY TO COMMUNITY HOUSING WITH SUPPORTS
Funding Sources
-EDICAIDS (OME AND #OMMUNITY "ASED 3ERVICES (#"3 7AIVERS The Medicaid HCBS Waivers pay for services and supports necessary for eligible individuals with I/DD to live in the community and avoid institutional care. State appropriations, supplemented with federal Medicaid dollars, fund these waivers.
The federal government’s Centers for Medicare and Medicaid Services (CMS) permit each state to create waivers that fund specific services. In New Jersey for instance, a Community Care Waiver (CCW) could pay for individual supports and supported employment/day habilitation as well as other services. Sometimes these are provided in a program like a group home or an adult day program. For others, an individual may select specific services and contract with providers to receive them. In New Jersey’s CCW as well as the Supports Program through the NJ Comprehensive Medicaid Waiver, individuals must be eligible for DDD services, be assessed to need a certain level of care as well as secure and maintain Medicaid eligibility.
For example, persons eligible for the CCW in New Jersey live with significant intellectual and developmental disabilities as determined by functional assessments and meet the need for an institutional level of care. Individuals not receiving the CCW but eligible for DDD services may be provided a budget that can be used to purchase individualized supportive services as well as day habilitation/employment services. This Supports Program is not intended to fund extensive support needs. Governmental agencies administer services appropriated by the state. In addition, state dollars combined with federal Medicaid funding supply supports and services through Home and Community Based Services (HCBS) Waivers.
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