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Connecticut State Medicaid Waiver Program Application Guide

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  • Connecticut State Medicaid Waiver Program Application Guide




    Waiver Overview:
    Connecticut has a bunch of different waiver programs which can make the process super intimidating to start. We’re going to cover one of the three main Home and Community Based Service (HCBS) waivers in the state and one autism specific waiver. We highly recommend checking out this comprehensive guide on HCBS waivers for more information and other alternatives that could work for your child if the ones we cover aren’t a perfect fit. You can find information on the remainder of the waivers on this page.

    Waiver #1: Individual and Family Support Waiver

    Who Can Apply?

    Circumstances/Diagnosis:
    Any child or adult who is diagnosed with mental retardation (State of Connecticut’s phrasing, not ours). The state requires that individuals need an intermediate care facility level of care to qualify. There is a technical definition for this but it really 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 the parents income. This means that your child is financially eligible for the waiver if they don’t have an income but the max limit for adults is typically $2,300.

    What do I get?

    • Supported Employment Service • Community-Based Day Support Options • Individualized Day Supports • Transportation • Respite • Independent Support Broker • Behavior Support Services • Interpreter Services • Specialized Medical/Adaptive Equipment • Individual Goods and Services are only available to individuals/families who self-direct (hire/manage staff) their services • Nutrition Services • Personal Support • Adult Companion • Individual Home Supports • Personal Emergency System (PERS) • Environmental Adaptation • Vehicle Adaptation • Live-In Caregiver• Family Training • Healthcare Coordinator

    How do I apply?

    Call the Statewide Eligibility Unit at 1-866-433-8192.


    Waiver #2: Home and Community Supports for Peoples with Autism

    Who can apply?

    Circumstances/Diagnosis: Anyone older than 3 who is diagnosed with autism but does not have an intellectual disability. In other words their IQ is above 70. The state requires that individuals need an intermediate care facility level of care to qualify. This means that an individual must have substantial limitations in two or more of the following major life activities: (1) self-care, (2) understanding and use of language, (3) learning, (4) mobility, (5) self-direction, or (6) capacity for independent living.

    Income: Income eligibility is only based on the child’s income and not the parents income. This means that your child is financially eligible for the waiver if they don’t have an income but the max limit for adults is typically $2,300.

    What do I get?

    You will receive Clinical Behavioral Supports, Social Skills Group, Job Coaching, Life Skills Coach, Community Mentor, Individual Goods and Services, Personal Emergency Response System, Respite, Assistive Technology, Interpreter, Non-Medical Transportation, Specialized Driving Assessment, Live-in Companion.

    How do I apply?

    Contact Autism Services at 860-418-6078

    What does the Goally Team Think?

    Connecticut's variety and coverage areas of waivers makes it so that specialized needs can be delivered to the unique communities who need them most. This makes things more confusing when applying but ultimately means you get better healthcare coverage. There is a waitlist for Connecticut’s services but it is fairly short, especially so for children. We were not able to find an estimated time for how long it would take to get off the waitlist, so if you know please comment below!

    Goally Waiver Scorecard

    Website clarity and ease of navigation: 3/5
    Access and requirements of qualification: 3/5
    Healthcare coverage: 5/5

    Other online resources for Connecticut:

    Autism Services & Resources Connecticut can help with advocacy, social groups, and parent training.
    The ARC of Connecticut can help with everything from advocacy to employment to events.
    Family Voices of Connecticut has information and emotional support from other parents.

    Telephone Resources

    Your region's Department of Developmental Services can help you with questions about the waiver process.
    You can find the contact info for autism support and resources specialists here.
    Last edited by Nate; 07-14-2020, 11:56 PM.
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