Navigating Minnesota's waiver programs can feel overwhelming, but understanding your options is the first step toward accessing the support you need. This comprehensive guide breaks down the four main waiver programs—CADI, DD, BI, and CAC—to help you determine which one might be right for you or your loved one.
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 (CADI) is designed for adults 18 and older with disabilities who need assistance to live in the community.
Eligibility
Adults 18+ with disabilities who need community-based services and meet institutional level of care requirements.
Services Covered
- Personal care assistance
- Homemaker services
- Adult day services
- Respite care
- Supported employment
Developmental Disabilities (DD) Waiver
The Developmental Disabilities Waiver provides comprehensive services for individuals with developmental disabilities who need intensive support to live in the community.
Eligibility
Individuals with developmental disabilities diagnosed before age 22 who need intensive support services.
Services Covered
- Residential services
- Day programs and services
- Supported employment
- Respite care
- Specialized services and therapies
Brain Injury (BI) Waiver
The Brain Injury Waiver offers specialized services for individuals with traumatic or acquired brain injuries who require intensive rehabilitation and support.
Eligibility
Individuals with documented traumatic or acquired brain injuries sustained after age 18.
Services Covered
- Cognitive rehabilitation therapy
- Behavioral support services
- Residential services
- Day programs and therapies
- Respite care
Community Alternative Care (CAC) Waiver
The Community Alternative Care Waiver serves individuals who would otherwise need nursing home care but want to remain in their community or home setting.
Eligibility
Individuals who need nursing home level of care but prefer to live in the community. Must be 65+ or meet disability criteria.
Services Covered
- Personal care assistance
- Homemaker services
- Adult day services
- Respite care
- Medical equipment and supplies
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
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.
Getting Started
If you think a waiver program might be right for you or someone you care for, the first step is to contact your county's human services department to speak with a case manager. They can help you:
- Understand which waiver program best fits your needs
- Navigate the application process
- Complete required assessments
- Connect with service providers in your area
- Develop a person-centered care plan
Remember, the goal of all waiver programs is to help individuals live as independently as possible in their communities. With the right support and services, you or your loved one can achieve greater independence and quality of life.