What are Waivered Services? In 1981, Congress passed a law which created the Home and Community-Based Services Program. This act allows the federal government to waive, meaning to make an exception for, the traditional Medicaid requirements. It gives states the option of applying for a waiver to use Medicaid funds to provide home and community-based services as an alternative to institutional settings.
Home and Community-Based Medicaid Waiver for Persons with Mental Retardation or Related Conditions
In 1983, Minnesota began its home and community-based services program for persons with mental retardation and related conditions, also referred to as the MR/RC Waiver. The goal of the MR/RC waiver program is to provide necessary services and support that are meaningful to the person receiving the services, respectful of the person's beliefs, and skills, and helping them become more involved in the community. These services are coordinated with residential services.
Community Alternatives for Disabled Individuals (CADI Waiver)
Foster Care Services: Late in the year of 2003 CCSI opened its first corporate foster care home where support services were funded by the Community Alternatives for Disabled Individuals (or CADI ) waiver. This waiver or funding source has been reserved for persons who are age 65 years or younger and who would otherwise require the level of care provided in a nursing facility. The primary emphasis of this waiver was to provide a community alternative for those who previously had known only institutional alternatives. Although similar in nature to some of CCS1's Community Living Alternatives, the home is unique with regard to the consumers who have taken residence there. Persons eligible for CADI funding are not required to have a diagnosis of mental retardation or a related condition.
Consequently the home's development marked a shift in the population that we have served in residential based services.
In contrast with the MR/RC waiver, eligibility for CADI funding implied a nursing need for the individual. CCSI successfully met this service challenge by developing a successful partnership with local Home Health providers so that service needs could be met in a seamless and holistic manner. In this setting up to four adults may reside together in the home. CCSI is responsible for providing food, lodging, protection, supervision, and household services. Furthermore we may also provide living skills assistance or training, medication assistance and assistance in safeguarding the person's cash resources. Local county social service agencies manage access and on-going eligibility for services funded by the CADI waiver.