Waiver Programs

Minnesota Waiver Programs: CADI, DD, BI, and CAC Explained

Complete breakdown of Minnesota's waiver programs including CADI, Developmental Disabilities, Brain Injury, and Community Alternative Care waivers.

By Dr. Michael Chen, MD, Developmental Medicine
Published 06/12/2024
12 min read

What are Waiver Programs?

Minnesota waiver programs are state-funded initiatives that provide community-based services to individuals with disabilities, allowing them to live in their own homes and communities instead of institutional settings.

These programs "waive" certain Medicaid requirements to provide more flexible, person-centered services that promote independence and community integration.

Key Principle: Waiver programs are designed to provide services in the least restrictive environment while ensuring health and safety.

CADI Waiver

Community Access for Disability Inclusion

For individuals with disabilities who need assistance to live in the community

Eligibility:

Adults 18+ with disabilities who need community-based services

Services Covered:

Personal care assistance
Homemaker services
Adult day services
Respite care
Supported employment

Developmental Disabilities (DD) Waiver

Developmental Disabilities

Comprehensive services for individuals with developmental disabilities

Eligibility:

Individuals with developmental disabilities who need intensive support

Services Covered:

Residential services
Day programs
Supported employment
Respite care
Specialized services

Brain Injury (BI) Waiver

Brain Injury

Specialized services for individuals with acquired brain injuries

Eligibility:

Individuals with traumatic or acquired brain injuries

Services Covered:

Cognitive rehabilitation
Behavioral support
Residential services
Day programs
Respite care

Community Alternative Care (CAC) Waiver

Community Alternative Care

Services for individuals who would otherwise need nursing home care

Eligibility:

Individuals who need nursing home level of care but want to live in the community

Services Covered:

Personal care assistance
Homemaker services
Adult day services
Respite care
Medical equipment

Eligibility and Application Process

The application process for waiver programs involves several steps and requires coordination with multiple parties:

Application Steps:

1

Contact your county case manager to discuss waiver program options

2

Complete MnCHOICES assessment to determine eligibility and level of need

3

Submit application with required medical documentation and assessments

4

Wait for state review and approval (typically 30-90 days)

5

Develop person-centered plan and begin services

Services Covered by Waivers

While each waiver program offers different services, there are common services available across programs:

Personal Care Services

  • Personal care assistance
  • Homemaker services
  • Respite care
  • Adult day services

Community Services

  • Supported employment
  • Day programs
  • Residential services
  • Specialized therapies

Frequently Asked Questions

Can I be on multiple waiver programs at the same time?

No, individuals can only be enrolled in one waiver program at a time. However, you can switch between waiver programs if your needs change and you meet the eligibility criteria for a different program.

How long does it take to get approved for a waiver program?

The approval process typically takes 30-90 days after all required documentation is submitted. This includes completing assessments, gathering medical documentation, and waiting for the state to review your application.

What happens if I don't qualify for any waiver programs?

If you don't qualify for waiver programs, you may still be eligible for other state-funded services or private pay options. Your case manager can help you explore alternative funding sources and service options.

Can I choose my own service providers?

Yes, waiver programs allow you to choose from approved providers in your area. You have the right to select providers that best meet your needs and preferences, though some services may have limited provider options.

What if my needs change after I'm enrolled?

Your service plan is reviewed regularly and can be updated as your needs change. You can request plan modifications through your case manager, and services can be increased, decreased, or changed based on your current needs.

Need Help with Waiver Programs?

Our experienced team can help you navigate the waiver program application process and find the right services for your needs.