Medicaid Waiver Program Support

Guiding Access to Services Through Coordinated Enrollment and Advocacy

We assist individuals and families in navigating Medicaid waiver programs, helping them understand eligibility, available services, and appropriate care options.

Our team works to simplify the enrollment process, ensuring individuals can access the right programs and begin receiving services with clarity, efficiency, and confidence.

Types of Home and Community-Based Services (HCBS) Waivers Supported:

• Adult HCBS Waivers
  • Brain Injury (BI)
  • Community Mental Health Supports (CMHS)
  • Complementary and Integrative Health (CIH)
• Children HCBS Waivers
  • Children with Complex Health Needs (CwCHN)
• Optional Medicaid Program
  • Community First Choice (CFC) — As of July 1, 2025, In-Home Support Services (IHSS) is available only through the CFC program for:
    • Health Maintenance Activities (HMA)
    • Homemaker
    • Personal Care

Support May Include:

• Guidance on eligibility for Medicaid waiver programs (e.g., EBD, CwCHN, and other applicable waivers)
• Assistance with initiating referrals through the appropriate case management agency based on the client’s location
• Support with completing and submitting required documentation for enrollment
• Coordination and communication with case managers, social workers, and primary care providers
• Collaboration with third-party entities, including the Department of Human Services, to verify financial eligibility and Medicaid coverage
• Ongoing follow-up to support timely approval and continuity of care

All services are delivered using a coordinated, person-centered approach, ensuring individuals and families feel supported throughout the process while promoting timely access to care and continuity of services.

Enrollment and coordination support are reinforced through ongoing communication, collaboration with care teams, and a commitment to timely, compliant, and outcome-driven service delivery.