What is the Elderly and Disabled Waiver?
The Elderly and Disabled (E&D) Waiver is a statewide program designed to offer assistance to qualified Medicaid beneficiaries. The program allows qualified individuals to remain in a home or community-based setting as an alternative to nursing facility car or other institutional care.
Who is qualified?
- Beneficiaries must be 21 years of age or older
- Persons qualify by either SSI or 300% of SSI
- Beneficiaries must score 50 or above on the Medicaid Long Term Care Pre-Admission screening (PAS) instrument
- Persons must require nursing facility level care, if assistance is not provided
All persons who are eligible to receive Home and Community-based Services under this waiver must first be approved through the Division of Medicaid.
What services are offered under this waiver?
- Case Management: Everyone who participates in the waiver is assigned to a local case management team. This team consists of a Registered Nurse and licensed Social Worker. They are responsible for managing and coordinating the services for each participant.
- Personal Care Services (PCS): These are supportive services provided in the home of the participant. They include assistance with light housekeeping, laundry, meal preparation, marketing, grooming, medication reminder, and accompanying the beneficiary to the doctor.
- Adult Day Services: This is a structured program that focuses on the strengths and abilities of the participant. This service allows participants to contact connections with their community and/or use all of their retained skills. Depending on the specific facility, the following services are provided: supervision and/or assistance with ADLs group activities, nutritious meals, and medication monitoring.
- Home Delivered Meals: A well-balanced meal is delivered to the home of the person who is unable to leave his/her home without assistance and/or is unable to prepare his/her own meals.
- Non-Emergency Transportation (NET): This is offered for the frail beneficiary and may be used to facilitate trips to the doctor and dialysis, when the participant has no other means of transportation.
- Institutional Respite and/or In-Home Respite: This is provided to participants on a short-term basis because of the absence of or need for relief for the primary care giver. This can be provided in the home or other licenses respite care centers.