Medicaid Waiver Programs

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Medicaid programs offered by states that have been authorized by the Secretary of the U.S. Department of Health and Human Services (HHS) to waive certain Medicaid statutory requirements giving them more flexibility in Medicaid program operation. Each of the states has developed waivers to meet their needs; and while every state's waiver programs have their own unique characteristics, there may also be common threads. AIRS NL-5000.5000-800

195 North 1950 West
Salt Lake City, UT 84116
Phone: 801-538-4200
Service Categories:
Organization Name: Division of Services for People with Disabilities (DSPD)
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Address:
195 North 1950 West
Salt Lake City, UT 84116
Phone: 801-538-4200
Toll Free Phone: 800-837-6811
Fax: 801-538-4279
Email: dspd@utah.gov
Languages Spoken: Translators available
Eligibility:

Children and adults, a U.S. citizen or legal permanent resident, and a resident of the State of Utah. Eligible for services if they have qualifying disabilities in one of four areas: intellectual disabilities or related conditions; Acquired Brain Injury (ABI); physical disabilities; autism.

Services Provided:

Promotes opportunities and provides support for people with disabilities to lead self-determined lives. Support includes community living, day services, respite assistance, parental support, chore assistance, and support coordination.

  • Supported Living Services for Adults With Disabilities
  • Assistive Technology Expense Assistance
  • Caregiver Training
  • Home Barrier Evaluation/Removal Services
  • Case/Care Management
  • Supported Employment
  • Independent Living Skills Instruction
  • Semi-Independent Living Residences for Adults With Disabilities
  • Adult In Home Respite Care
Provider Profiles:

Administers the Community Supports, Acquired Brain Injury, and Physical Disabilities   and Community Transitions waiver programs. There is a waiting list dependent on funding by the State Legislature.

Source: United Way 2-1-1
Last Updated: 12/2/2021
288 North 1460 West
Salt Lake City, UT 84116
Phone: 385-499-6890
Service Categories:
Organization Name: Division of Medicaid and Health Financing, Utah Department of Health
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Address:
288 North 1460 West
Salt Lake City, UT 84116
Phone: 385-499-6890
Text: 800-662-9651
Email: sgunn@utah.gov
Eligibility:

Applicant must meet the following criteria: Be under 21 years of age at the time of admission.

  • Qualify for Medicaid based on his/her income and assets (parent’s income and assets are not counted in determining the applicant’s eligibility).
  • Meet admission criteria for nursing facility (NF) care.
  • Have at least one caregiver trained and available to provide care.
  • Require skilled nursing and/or rehabilitation services at least five days per week and be dependent on one or more of the following: a mechanical ventilator; tracheostomy based respiratory support; continuous or bi-level positive airway pressure support (C-PAP or Bi-PAP); or intravenous administration of nutritional substances or or medications through a central line.
  • Choose to receive home and community-based (instead of nursing facility) services.
  • Only a limited number of children may be served at any point in time by this program. A child may qualify, but be placed on a waiting list until an opening is available.
Services Provided:

Provides supports and services allow recipients to be cared for at home and in the community.

Services Include:

  • Skilled Nursing Respite Care
  • Family Support Services
  • Home Health Certified Nursing Assistant
  • Extended Private Duty Nursing
  • In-Home Feeding Therapy
  • Financial Management Services
  • Family Directed Support
Source: Medical Home Portal
Last Updated: 12/15/2021
288 North 1460 West
Salt Lake City, UT 84116
Service Categories:
Organization Name: Division of Medicaid and Health Financing, Utah Department of Health
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Address:
288 North 1460 West
Salt Lake City, UT 84116
Toll Free Phone: 800-662-9651
Service Categories:
Email: mccw@utah.gov
Eligibility:

Applications are accepted during open application periods as funding permits. To be notified of the next open application period, please enroll in the MCCW listserv by following the link found here.

Services Provided:

Provides medical assistance to children who are medically complex. This waiver serves the following population:

  • Children ages 0-18
  • Children who have 3 or more specialty physicians
  • Children who have 3 or more organ systems involved in their disability
  • Children who are not meeting age appropriate milestones for their activities of daily living; this includes eating, toileting, dressing, bathing and mobility
  • Children who have a SSI Disability Designation through the SSA or a disability determination by the State Medical Review Board, this will be coordinated as part of the MCCW application process.
Source: Medical Home Portal
Last Updated: 11/30/2021
288 North 1460 West
Salt Lake City, UT 84116
Phone: 801-538-6155
Service Categories:
Organization Name: Bureau of Long Term Services & Supports, Utah Department of Health
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Address:
288 North 1460 West
Salt Lake City, UT 84116
Phone: 801-538-6155
Toll Free Phone: 800-662-9651
Service Categories:
Eligibility:

Application required. Must live in a nursing facility, licensed assisted living facility, licensed small health care (Type N) facility or another type of Utah licensed medical institution.

Services Provided:

Offers an option for individuals living in long-term care facilities to move into integrated community-based settings if they wish to do so and if their needs can be safely met in the setting that they have chosen. Participants may receive an expanded package of supportive services including:

  • Adult Day Care
  • Adult Residential Services
  • Assistive Technology Devices
  • Attendant Care
  • Caregiver Training
  • Case Management
  • Chore Services
  • Consumer Preparation Services
  • Emergency Response Systems
  • Environmental Accessibility Adaptations
  • Financial Management Services
  • Habilitation Services
  • Home Delivered Meals
  • Homemaker Services
  • Community Living Services
  • Medication Assistance Services
  • Non-medical Transportation
  • Personal Budget Assistance
  • Respite Care
  • Specialized Medical Equipment
  • Supportive Maintenance
Source: Medical Home Portal
Last Updated: 11/30/2021