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California State Medicaid Waiver Program Application Guide

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  • California State Medicaid Waiver Program Application Guide



    Wavier #1: Home and Community Based Services Waiver for Californians with Developmental Disabilities (HCBS-DD)


    Who can apply?


    Circumstance/Diagnosis: Any child or adult who is diagnosed with either an intellectual and/or developmental disability (this includes autism). The state requires that individuals need an intermediate care facility level of care to qualify. This just means that the individual is unable to get through their day without a lot of supervision.


    Income: Income eligibility is only based on the child’s income and not parent income. This means that your child is financially eligible for the waiver if they don’t have an income.


    What do I get?


    The HCBS waiver covers just about every service you can think of: assistive technology, behavioral intervention services (like ABA therapy), occupational therapy, optometric/optician services, physical therapy, community living arrangement services, day service, homemaker, prevocational services, respite care, supported employment individual, dental services, home health aide, prescription lenses and frames, psychology services, speech, hearing and language services, financial management service, chore services, communication aides, community-based training service, environmental accessibility adaptations, family support services, family/ consumer training, housing access services, non-medical transportation, nutritional consultation, personal emergency response systems (PERS), skilled nursing, specialized medical equipment and supplies, transition/set up expenses, and vehicle modifications and adaptations



    How to apply?

    This is our general understanding of how the California Medicaid process works, please add additional information in the comments section if you are a parent who has gone through this process:

    Step One: Find a regional center nearest to you.

    Step Two: Call the number of your local regional center and ask about their eligibility and intake process.

    Step Three: Set up a free appointment with your local regional center. (Note that this may require filling out a brief application form).

    Step Four: After eligibility is determined, you will have a meeting with the Individual Program Plan team. At this meeting, you can choose what services and tools your child will receive like Goally.


    What does the Goally team think about California’s Medicaid waivers?


    California's HCBS waiver is one of the best in the nation. They have tons of available resources, their process is fairly simple to navigate, and there is no waitlist. There are a few other specialized waivers in the state but this one is so great that we recommend that everyone try it first.



    Goally Waiver Scorecard

    Website clarity and ease of navigation: 4/5

    Access and requirements of qualification: 5/5

    Healthcare coverage: 5/5


    Online Resources

    http://www.frcnca.org/ -- The mission of the FRCNCA is to support families of children with disabilities, special healthcare needs, and those at risk by ensuring the continuance, expansion, promotion and quality of family-centered, parent-directed, family resource centers.


    http://www.familyvoicesofca.org/ -- Family Voices of California is a statewide collaborative of parent-run centers working to ensure quality health care for children and youth with special health care needs.


    https://www.disabilityrightsca.org/ -- Disability Rights California advocates, educates, investigates, and litigates to advance the rights, dignity, equal opportunities, and choices for all people with disabilities.



    Telephone Resources

    California Department of Developmental Services Information Line: (916)-654-1690

    Disability Rights California Hotline: 1-800-776-5746
    Last edited by Brady; 06-30-2020, 01:43 PM.
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