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FUNDING SOURCES
For more information on ACCESSING SERVICES, see the flow chart on page 32.
STATE FUNDED
FEDERAL FUNDED
Each waiver has specific eligibility requirements for the finite number of beneficiaries to be served with the state’s appropriated funding. Some waivers are available for pre-determined, renewable periods while others are ongoing in their duration. The intent of a waiver is to prevent the need for placement in an institutional setting or support a person who is re-entering the community after a period of institutionalization. Medicaid regulations require that a person can be enrolled in only one waiver program. Someone may, however, be enrolled in one waiver while on a waiting list for another.
MEDICAID IS A SOCIAL HEALTH CARE PROGRAM FOR FAMILIES AND INDIVIDUALS WITH LOW INCOME AND LIMITED RESOURCES. It is jointly funded by the state and federal governments and managed by the states. Medicaid is a key entitlement that will provide both physical health care and supports to people of low income living with disabilities, including I/DD. Eligibility for Medicaid can be obtained through several doors. Perhaps most common is through Social Security’s Supplemental Security Income (SSI) program, which provides cash and Medicaid benefits to eligible seniors and people with disabilities. Community Medicaid and the Disabled Adult Child Social Security benefit (DAC) also provide Medicaid options.
“It is so essential that your family member maintains eligibility for their Social Security and Medicaid benefits if they want to obtain state funded services.”
For more information on Social Security go to www.ssa. GOV Medicaid also funds state plan benefits and long-term care.
The Centers for Medicaid and Medicare Services (CMS) issued an information bulletin (June 2015) regarding Coverage of Housing-Related Activities and Services for Individuals with Disabilities. While Medicaid cannot be used to fund rent or utilities, the bulletin does describe some flexible options including one-time only needs such as security deposits and furniture purchase as well as transition services to assist individuals with housing stability. For more information visit WWWMEDICAIDGOVFEDERAL POLICY GUIDANCE DOWNLOADS#)" PDF
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