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26 <br /> <br />APPENDIX A: ELIGIBILITY FOR DDA SERVICES <br />Individuals who want to participate in Employment and Day Programs must be eligible to be on a <br />Waiver Program through DDA that provides employment funding. Funding for these services comes <br />through a federal program under Title XIX Medicaid called the Home a nd Community-Based Services <br />(HCBS) Waivers. The HCBS waivers allow the state to use Medicaid funding while “waiving” Medicaid <br />rules that require services to be provided in an institutional setting. The purpose of the waivers is to <br />provide integrated, community-based services to individuals with developmental disabilities. Waivers <br />Provide an alternative to institutional services. To assist consumers in selecting the right Waiver <br />Program, a description of the Waiver Programs and the services provided under each program is listed <br />on the following page. <br /> <br />WHO IS ELIGIBLE FOR A WAIVER PROGRAM? <br />Eligibility for waiver services includes people with developmental disabilities who: <br />• Are clients of DSHS Developmental Disabilities Administration (DDA), <br />• Meet disability criteria established by the Social Security Administration (SSA), <br />• Are eligible for Medicaid services in an institution, <br />• Have been determined to need home and community-based services in order to live in the <br />community, and <br />• Have an individual gross income that does not exceed 300 percent of the Supplement Security <br />Income benefit amount and individual resources that do not exceed $2,000 (Parental income is <br />not considered for children.) <br /> <br />TYPES OF WAIVER PROGRAMS <br /> <br />BASIC PLUS WAIVER <br />This waiver program is for people who live with their families, on their own, in an adult family home, <br />in another setting with assistance or an Adult Residential Care Assisted Living Facility (ARC) and are at <br />high risk of out of home placement. Services covered include the following: <br />• Hours per year available for Supported Employment or, Community Access, based on DDA <br />assessment and employment status. <br />• Up to $6,192 is available for any combination of Skilled Nursing (Nursing Delegation); <br />Community Guide; Environmental Accessibility; Adaptations; Specialized Medical <br />Equipment/Supplies; Occupational Therapy; Specialized Psychiatric Services; Physical Therapy; <br />Speech, Hearing and Language Services; Staff/Family Consultation and Training; Behavioral <br />Health Stabilization; and Transportation to a Waiver Service. <br />• Behavioral Health Stabilization Services <br />• Respite is based on assessed need. <br />• $6,000 per year available for Emergency Assistance. <br /> <br />CORE WAIVER <br />This waiver is intended for people who are at immediate risk of out of home placement and need up to <br />24-hour residential services. Services covered include: Residential Services, Behavior Support, <br />Therapies, Environmental Adaptations, Skilled Nursing, Employment services, Specialized Medical <br />Equipment and Supplies and more. <br />