---
title: "Medicaid Home & Community Based Services (HCBS): Programs & Waivers by State"
url: "https://www.medicaidplanningassistance.org/home-community-based-services/"
last_updated: "May 28, 2026"
---

# Medicaid Home & Community Based Services (HCBS): Programs & Waivers by State

#### What are Home & Community Based Services (HCBS)?

Home & Community Based Services are services and supports paid for by Medicaid that provide assistance to individuals in their homes or in the community instead of in a nursing home.

HCBS provided are not limited to health care. They might include non-medical personal care, assistance with activities of daily living, home modifications to support aging in place, personal emergency response systems, home delivered meals, and many other types of assistance.

While individuals can receive these services and supports in their homes, they can also be provided in the “community”, such as at an adult day care center, or in senior living, like assisted living residences or memory care communities. Adult foster care homes, as well as homes of family members and friends, are also options. It is perhaps easier to define the one location in which one cannot receive HCBS, and that is in a nursing home.

#### State-by-State List of HCBS Programs & Waivers

The table below contains the state and program names. Each program links to program-specific pages with complete details about that program’s benefits, eligibility requirements, and application process. One can check their financial eligibility [here](https://www.medicaidplanningassistance.org/find-a-medicaid-planner/) and medical eligibility [here](https://www.eldercareresourceplanning.org/medicaid-faq/clinical-eligibility/test-begin/?afid=mpa).

Note: This list is intended to be comprehensive. However, states do add new programs, and it is possible all are not included.

| **Medicaid Programs & Waivers that Provide Home & Community Based Services (Updated May 2026)** |  |
| --- | --- |
| **State** | **Program / Waiver Name** |
| [Alabama](https://www.medicaidplanningassistance.org/medicaid-eligibility-alabama/) | [Elderly and Disabled (E&D) Waiver / Personal Choices Program](https://www.medicaidplanningassistance.org/alabama-elderly-disabled-waiver/) [Alabama’s Community Transition (ACT) Waiver / Personal Choices Program](https://www.medicaidplanningassistance.org/alabama-community-transition-waiver/) |
| [Alaska](https://www.medicaidplanningassistance.org/medicaid-eligibility-alaska/) | [Alaskans Living Independently (ALI) Waiver](https://www.medicaidplanningassistance.org/alaskans-living-independently-waiver/) [Community First Choice (CFC) Program](https://www.medicaidplanningassistance.org/alaska-community-first-choice/) [Personal Care Services (PCS) Program](https://www.medicaidplanningassistance.org/alaska-personal-care-services-program/) |
| [Arizona](https://www.medicaidplanningassistance.org/medicaid-eligibility-arizona/) | [Arizona Long Term Care System (ALTCS) Agency with Choice / Self-Directed Attendant Care](https://www.medicaidplanningassistance.org/arizona-long-term-care-system/) |
| [Arkansas](https://www.medicaidplanningassistance.org/medicaid-eligibility-arkansas/) | [ARChoices in Homecare Waiver / Independent Choices](https://www.medicaidplanningassistance.org/arkansas-archoices-in-homecare/) [Living Choices Assisted Living Waiver](https://www.medicaidplanningassistance.org/arkansas-living-choices/) [Personal Care Program / Independent Choices](https://www.medicaidplanningassistance.org/arkansas-state-plan-personal-care/) |
| [California](https://www.medicaidplanningassistance.org/medicaid-eligibility-california/) | [In-Home Supportive Services (IHSS) Program](https://www.medicaidplanningassistance.org/medi-cal-in-home-supportive-services/) [Assisted Living Waiver (ALW)](https://www.medicaidplanningassistance.org/medi-cal-assisted-living-waiver/) [Multipurpose Senior Services Program (MSSP)](https://www.medicaidplanningassistance.org/medi-cal-multipurpose-senior-services/) [Home and Community Based Alternatives (HCBA) Waiver](https://www.medicaidplanningassistance.org/medi-cal-home-community-based-alternatives/) [Community-Based Adult Services (CBAS) Program](https://www.medicaidplanningassistance.org/medi-cal-cbas-program/) [Enhanced Care Management & Community Supports Benefit](https://www.medicaidplanningassistance.org/medi-cal-enhanced-care-management/) |
| [Colorado](https://www.medicaidplanningassistance.org/medicaid-eligibility-colorado/) | [Elderly, Blind & Disabled Waiver CDASS & IHSS](https://www.medicaidplanningassistance.org/colorado-elderly-blind-disabled-waiver/) [Community First Choice](https://www.medicaidplanningassistance.org/colorado-community-first-choice/) |
| [Connecticut](https://www.medicaidplanningassistance.org/medicaid-eligibility-connecticut/) | [Community First Choice (CFC) Program](https://www.medicaidplanningassistance.org/connecticut-community-first-choice/) [Connecticut Home Care Program for Elders (CHCPE)](https://www.medicaidplanningassistance.org/connecticut-home-care-program-for-elders/) |
| [District of Columbia](https://www.medicaidplanningassistance.org/medicaid-eligibility-washington-dc/) | [Elderly and Persons with Physical Disabilities (EPD) Waiver / Services my Way](https://www.medicaidplanningassistance.org/washington-dc-epd-waiver/) [State Plan Personal Care Aide Services Program](https://www.medicaidplanningassistance.org/washington-dc-personal-care-aide-services/) [Adult Day Health Program (ADHP) Services](https://www.medicaidplanningassistance.org/washington-dc-adult-day-health-program/) |
| [Delaware](https://www.medicaidplanningassistance.org/medicaid-eligibility-delaware/) | [Diamond State Health Plan Plus (DSHP-Plus) Program](https://www.medicaidplanningassistance.org/delaware-diamond-state-health-plan/) |
| [Florida](https://www.medicaidplanningassistance.org/medicaid-eligibility-florida/) | [Statewide Medicaid Managed Care Long-Term Care (SMMC-LTC) Program](https://www.medicaidplanningassistance.org/florida-medicaid-smmc-ltc/) |
| [Georgia](https://www.medicaidplanningassistance.org/medicaid-eligibility-georgia/) | [Community Care Services Program (CCSP)](https://www.medicaidplanningassistance.org/georgia-medicaid-ccsp/) [Services Options Using Resources in Community Environments (SOURCE)](https://www.medicaidplanningassistance.org/georgia-medicaid-source-program/) |
| [Hawaii](https://www.medicaidplanningassistance.org/medicaid-eligibility-hawaii/) | [QUEST Integration (QI) Program](https://www.medicaidplanningassistance.org/hawaii-quest-integration-program/) |
| [Idaho](https://www.medicaidplanningassistance.org/medicaid-eligibility-idaho/) | [Medicare Medicaid Coordinated Plan (MMCP)](https://www.medicaidplanningassistance.org/idaho-medicare-medicaid-coordinated-plan/) [Idaho Medicaid Plus (IMPlus)](https://www.medicaidplanningassistance.org/idaho-implus-program/) [Aged & Disabled (A&D) Waiver](https://www.medicaidplanningassistance.org/idaho-aged-and-disabled-waiver/) [Personal Care Services (PCS) Program](https://www.medicaidplanningassistance.org/idaho-personal-care-services/) |
| [Illinois](https://www.medicaidplanningassistance.org/medicaid-eligibility-illinois/) | [Supportive Living Program (SLP)](https://www.medicaidplanningassistance.org/illinois-supportive-living-program/) [HCBS Waiver for Persons who are Elderly](https://www.medicaidplanningassistance.org/illinois-persons-who-are-elderly-waiver/) [HealthChoice Illinois / Managed Long Term Services and Supports (MLTSS)](https://www.medicaidplanningassistance.org/illinois-medicaid-mltss-program/) |
| [Indiana](https://www.medicaidplanningassistance.org/medicaid-eligibility-indiana/) | [Aged and Disabled (A&D) Waiver / Consumer Directed Attendant Care (CDAC) Program](https://www.medicaidplanningassistance.org/indiana-aged-disabled-waiver/) [Pathways for Aging](https://www.medicaidplanningassistance.org/indiana-pathways-for-aging/) |
| [Iowa](https://www.medicaidplanningassistance.org/medicaid-eligibility-iowa/) | [HCBS Elderly Waiver](https://www.medicaidplanningassistance.org/iowa-elderly-waiver/) |
| [Kansas](https://www.medicaidplanningassistance.org/medicaid-eligibility-kansas/) | [Frail Elderly (FE) Waiver](https://www.medicaidplanningassistance.org/kansas-frail-elderly-waiver/) |
| [Kentucky](https://www.medicaidplanningassistance.org/medicaid-eligibility-kentucky/) | [Home and Community Based (HCB) Waiver](https://www.medicaidplanningassistance.org/kentucky-home-community-waiver/) |
| [Louisiana](https://www.medicaidplanningassistance.org/medicaid-eligibility-louisiana/) | [Adult Day Health Care (ADHC) Waiver](https://www.medicaidplanningassistance.org/louisiana-adult-day-health-waiver/) [Long-Term Personal Care Services (LT-PCS) Program](https://www.medicaidplanningassistance.org/louisiana-long-term-personal-care/) [Community Choices Waiver (CCW)](https://www.medicaidplanningassistance.org/louisiana-community-choices-waiver/) |
| [Maine](https://www.medicaidplanningassistance.org/medicaid-eligibility-maine/) | [Elderly and Adults with Disabilities Waiver](https://www.medicaidplanningassistance.org/maine-elderly-adults-disabilities-waiver/) [Consumer Directed Attendant Care Services (CDAS) Program](https://www.medicaidplanningassistance.org/maine-consumer-directed-attendant-services/) |
| [Maryland](https://www.medicaidplanningassistance.org/medicaid-eligibility-maryland/) | [Home and Community Based Options Waiver (HCBOW)](https://www.medicaidplanningassistance.org/maryland-community-options-waiver/) [Community Personal Assistance Services (CPAS) Program](https://www.medicaidplanningassistance.org/maryland-cpas-program/) [Community First Choice (CFC) Program](https://www.medicaidplanningassistance.org/maryland-community-first-choice/) [Medical Day Care Services Waiver (MDCSW)](https://www.medicaidplanningassistance.org/maryland-medical-day-care-services/) [Maryland HealthChoice Demonstration Waiver – Increased Community Services Program](https://www.medicaidplanningassistance.org/marylands-increased-community-services-ics-program/) |
| [Massachusetts](https://www.medicaidplanningassistance.org/medicaid-eligibility-massachusetts/) | [Senior Care Options (SCO) Program](https://www.medicaidplanningassistance.org/masshealth-senior-care-options-program/) [Frail Elder Waiver (FEW)](https://www.medicaidplanningassistance.org/masshealth-frail-elder-waiver/) [Adult Day Health (ADH) Program](https://www.medicaidplanningassistance.org/masshealth-adult-day-health-program/) [Personal Care Attendant (PCA) Program](https://www.medicaidplanningassistance.org/masshealth-personal-care-attendant-program/) [Adult Foster Care (AFC) Program](https://www.medicaidplanningassistance.org/masshealth-adult-foster-care-program/) [Group Adult Foster Care (GAFC) Program](https://www.medicaidplanningassistance.org/masshealth-group-adult-foster-care/) [Moving Forward Plan – Community Living (MFP-CL) Waiver](https://www.medicaidplanningassistance.org/masshealth-community-living-waiver/) [Moving Forward Plan – Residential Supports (MFP-RS) Waiver](https://www.medicaidplanningassistance.org/masshealth-residential-supports-waiver/) |
| [Michigan](https://www.medicaidplanningassistance.org/medicaid-eligibility-michigan/) | [MI Choice Waiver](https://www.medicaidplanningassistance.org/michigan-choice-waiver/) [MI Coordinated Health (MICH) Waiver](https://www.medicaidplanningassistance.org/michigan-coordinated-help-waiver/) [Home Help Services Program](https://www.medicaidplanningassistance.org/michigan-home-help-program/) [Community Transition Services](https://www.medicaidplanningassistance.org/michigan-community-transition-services/) |
| [Minnesota](https://www.medicaidplanningassistance.org/medicaid-eligibility-minnesota/) | [Personal Care Assistance (PCA) Program / Community First Services and Supports (CFSS) Program](https://www.medicaidplanningassistance.org/minnesota-personal-care-assistance/) [Elderly Waiver](https://www.medicaidplanningassistance.org/minnesota-elderly-waiver/) [Minnesota Senior Care Plus (MSC+) Program / Minnesota Senior Health Options (MSHO) Program](https://www.medicaidplanningassistance.org/minnesota-senior-health-care-plus/) |
| [Mississippi](https://www.medicaidplanningassistance.org/medicaid-eligibility-mississippi/) | [Assisted Living (AL) Waiver](https://www.medicaidplanningassistance.org/mississippi-assisted-living-waiver/) [Elderly and Disabled (E&D) Waiver](https://www.medicaidplanningassistance.org/mississippi-elderly-disabled-waiver/) [Independent Living (IL) Waiver](https://www.medicaidplanningassistance.org/mississippi-independent-living-waiver/) |
| [Missouri](https://www.medicaidplanningassistance.org/medicaid-eligibility-missouri/) | [Aged and Disabled Waiver (ADW)](https://www.medicaidplanningassistance.org/missouri-aged-disabled-waiver/) [Structured Family Caregiving Waiver (SFCW)](https://www.medicaidplanningassistance.org/missouri-structured-family-caregiving/) [Supplemental Nursing Care (SNC) Program](https://www.medicaidplanningassistance.org/missouri-supplemental-nursing-care/) [Personal Care Program / Consumer Directed Personal Care Assistance](https://www.medicaidplanningassistance.org/missouri-personal-care-program/) |
| [Montana](https://www.medicaidplanningassistance.org/medicaid-eligibility-montana/) | [Big Sky Waiver (BSW)](https://www.medicaidplanningassistance.org/montana-big-sky-waiver/) [Community First Choice Services / Personal Care Services Programs](https://www.medicaidplanningassistance.org/montana-community-first-choice/) |
| [Nebraska](https://www.medicaidplanningassistance.org/medicaid-eligibility-nebraska/) | [Aged & Disabled (AD) Waiver](https://www.medicaidplanningassistance.org/nebraska-aged-disabled-waiver/) [Personal Assistance Services (PAS)](https://www.medicaidplanningassistance.org/nebraska-personal-assistance-services/) |
| [Nevada](https://www.medicaidplanningassistance.org/medicaid-eligibility-nevada/) | [Waiver for the Frail Elderly (FE)](https://www.medicaidplanningassistance.org/nevada-waiver-for-the-frail-elderly/) [Personal Care Services (PCS) Program](https://www.medicaidplanningassistance.org/nevada-personal-care-services-program/) [Adult Day Health Care (ADHC)](https://www.medicaidplanningassistance.org/nevada-adult-day-health-care/) [Structured Family Caregiving](https://www.medicaidplanningassistance.org/nevada-structured-family-caregiving/) |
| [New Hampshire](https://www.medicaidplanningassistance.org/medicaid-eligibility-new-hampshire/) | [Choices for Independence (CFI) Waiver](https://www.medicaidplanningassistance.org/new-hampshire-choices-for-independence/) [Personal Care Attendant Services (PCAS) Program](https://www.medicaidplanningassistance.org/new-hampshire-pcas-program/) |
| [New Jersey](https://www.medicaidplanningassistance.org/medicaid-eligibility-new-jersey/) | [Personal Preference Program (PPP) / Personal Care Assistant Services](https://www.medicaidplanningassistance.org/nj-familycare-personal-preference-program/) [Medicaid Managed Long Term Services and Supports (MLTSS) Program](https://www.medicaidplanningassistance.org/new-jersey-familycare-mltss/) |
| [New Mexico](https://www.medicaidplanningassistance.org/medicaid-eligibility-new-mexico/) | [Community Benefit (CB) Program](https://www.medicaidplanningassistance.org/mexico-centennial-care/) |
| [New York](https://www.medicaidplanningassistance.org/medicaid-eligibility-new-york/) | [Managed Long Term Care / Consumer Directed Personal Assistance Program (CDPAP)](https://www.medicaidplanningassistance.org/new-york-managed-long-term-care/) [Community First Choice Option (CFCO) / Consumer Directed Personal Assistance Program (CDPAP)](https://www.medicaidplanningassistance.org/new-york-cfco-cdpap/) [Assisted Living Program (ALP)](https://www.medicaidplanningassistance.org/new-york-assisted-living-program/) [Nursing Home Transition and Diversion Waiver](https://www.medicaidplanningassistance.org/new-york-nursing-home-transition-diversion-waiver/) [State Plan Personal Care Services Program](https://www.medicaidplanningassistance.org/new-york-personal-care-services/) |
| [North Carolina](https://www.medicaidplanningassistance.org/medicaid-eligibility-north-carolina/) | [Personal Care Services (PCS) Program](https://www.medicaidplanningassistance.org/nc-personal-care-services-program/) [Community Alternatives Program for Disabled Adults (CAP/DA)](https://www.medicaidplanningassistance.org/north-carolina-cap-da/) |
| [North Dakota](https://www.medicaidplanningassistance.org/medicaid-eligibility-north-dakota/) | [Home and Community Based Services (HCBS) Waiver](https://www.medicaidplanningassistance.org/north-dakota-hcbs-medicaid-waiver/) [Medicaid State Plan Personal Care (MSP-PC)](https://www.medicaidplanningassistance.org/north-dakota-msp-personal-care/) |
| [Ohio](https://www.medicaidplanningassistance.org/medicaid-eligibility-ohio/) | [PASSPORT Waiver](https://www.medicaidplanningassistance.org/ohio-passport-waiver/) [Assisted Living Waiver](https://www.medicaidplanningassistance.org/ohio-assisted-living-waiver/) [MyCare Ohio Plan](https://www.medicaidplanningassistance.org/mycare-ohio-program/) / Next Generation MyCare |
| [Oklahoma](https://www.medicaidplanningassistance.org/medicaid-eligibility-oklahoma/) | [ADvantage Waiver Program](https://www.medicaidplanningassistance.org/oklahoma-advantage-waiver/) [State Plan Personal Care (SPPC) Program](https://www.medicaidplanningassistance.org/oklahoma-state-plan-personal-care/) |
| [Oregon](https://www.medicaidplanningassistance.org/medicaid-eligibility-oregon/) | [Aged and Physically Disabled (APD)Waiver](https://www.medicaidplanningassistance.org/oregon-aged-physically-disabled-waiver/) [Independent Choices Program (ICP)](https://www.medicaidplanningassistance.org/oregon-independent-choices-program/) [Consumer-Employed Provider Program](https://www.medicaidplanningassistance.org/oregon-consumer-employed-provider/) [Spousal Pay Program](https://www.medicaidplanningassistance.org/oregon-spousal-pay-program/) [Oregon K Plan (Community First Choice)](https://www.medicaidplanningassistance.org/oregon-community-first-choice-option/) [State Plan Personal Care (SPPC) Program](https://www.medicaidplanningassistance.org/oregon-state-plan-personal-care/) [Oregon Project Independence (OPI)](https://www.medicaidplanningassistance.org/oregon-project-independence/) |
| [Pennsylvania](https://www.medicaidplanningassistance.org/medicaid-eligibility-pennsylvania/) | [Community HealthChoices (CHC) Program / Services My Way (SMW) Program](https://www.medicaidplanningassistance.org/pennsylvania-community-healthchoices-program/) |
| [Rhode Island](https://www.medicaidplanningassistance.org/medicaid-eligibility-rhode-island/) | [Medicaid Long Term Services and Supports (LTSS)](https://www.medicaidplanningassistance.org/rhode-island-long-term-services-supports/) [Medicaid Preventive Services](https://www.medicaidplanningassistance.org/rhode-island-medicaid-preventive-services/) [RIte at Home (Shared Living)](https://www.medicaidplanningassistance.org/rhode-island-rite-at-home/) |
| [South Carolina](https://www.medicaidplanningassistance.org/medicaid-eligibility-southcarolina/) | [Community Choices Waiver](https://www.medicaidplanningassistance.org/south-carolina-community-choices-waiver/) |
| [South Dakota](https://www.medicaidplanningassistance.org/medicaid-eligibility-south-dakota/) | [Home and Community-Based Options and Person Centered Excellence (HOPE) Waiver](https://www.medicaidplanningassistance.org/south-dakota-hope-waiver/) [State Plan Personal Care Services (PCS)](https://www.medicaidplanningassistance.org/south-dakota-personal-care-services/) |
| [Tennessee](https://www.medicaidplanningassistance.org/medicaid-eligibility-tennessee/) | [TennCare CHOICES](https://www.medicaidplanningassistance.org/tenncare-choices-program/) |
| [Texas](https://www.medicaidplanningassistance.org/medicaid-eligibility-texas/) | [STAR+PLUS](https://www.medicaidplanningassistance.org/texas-medicaid-starplus/) [Home and Community Based Services (HCBS) Program](https://www.medicaidplanningassistance.org/texas-medicaid-starplus/) [Community First Choice (CFC)](https://www.medicaidplanningassistance.org/texas-community-first-choice/) [Primary Home Care (PHC) Program](https://www.medicaidplanningassistance.org/texas-primary-home-care/) [Day Activity and Health Services (DAHS)](https://www.medicaidplanningassistance.org/texas-day-activity-health-services/) [Community Attendant Services (CAS)](https://www.medicaidplanningassistance.org/texas-community-attendant-services/) |
| [Utah](https://www.medicaidplanningassistance.org/medicaid-eligibility-utah/) | [Aging Waiver (formerly Utah Waiver for Individuals Age 65 or Older)](https://www.medicaidplanningassistance.org/utah-aging-waiver/) [New Choices Waiver (NCW)](https://www.medicaidplanningassistance.org/utah-new-choices-waiver/) [State Plan Personal Care Services](https://www.medicaidplanningassistance.org/utah-state-plan-personal-care/) |
| [Vermont](https://www.medicaidplanningassistance.org/medicaid-eligibility-vermont/) | [Choices for Care](https://www.medicaidplanningassistance.org/vermont-choices-for-care-high-need/) [Choices for Care Moderate Needs Group (CFC MNG)](https://www.medicaidplanningassistance.org/vermont-choices-for-care-mod-need/) [Attendant Services Program (ASP)](https://www.medicaidplanningassistance.org/vermont-attendant-services-program/) [Adult Day Services Program / Day Health Rehabilitation Services](https://www.medicaidplanningassistance.org/vermont-adult-day-health/) [Assistive Community Care Services (ACCS)](https://www.medicaidplanningassistance.org/vermont-assistive-community-cares-services/) |
| [Virginia](https://www.medicaidplanningassistance.org/medicaid-eligibility-virginia/) | [Commonwealth Coordinated Care Plus (CCC Plus) Waiver Program](https://www.medicaidplanningassistance.org/virginia-medicaid-ccc-plus/) |
| [Washington](https://www.medicaidplanningassistance.org/medicaid-eligibility-washington/) | [Specialized Dementia Care Program (SDCP)](https://www.medicaidplanningassistance.org/washington-specialized-dementia-care/) [Community Options Program Entry System (COPES) Waiver](https://www.medicaidplanningassistance.org/washington-medicaid-copes-waiver/) [Community First Choice (CFC) Program](https://www.medicaidplanningassistance.org/wa-medicaid-community-first-choice/) [Medicaid Alternative Care (MAC) Program](https://www.medicaidplanningassistance.org/washington-medicaid-alternative-care/) [New Freedom (NF) Waiver](https://www.medicaidplanningassistance.org/washington-new-freedom-waiver/) [Medicaid Personal Care (MPC) Program](https://www.medicaidplanningassistance.org/washington-medicaid-personal-care/) [Tailored Supports for Older Adults (TSOA) Program](https://www.medicaidplanningassistance.org/washington-tailored-supports-older-adults/) |
| [West Virginia](https://www.medicaidplanningassistance.org/medicaid-eligibility-west-virginia/) | [Medicaid Personal Care Program](https://www.medicaidplanningassistance.org/west-virginia-personal-care-services/) [Aged & Disabled Waiver (ADW)](https://www.medicaidplanningassistance.org/west-viriginia-aged-disabled-waiver/) |
| [Wisconsin](https://www.medicaidplanningassistance.org/medicaid-eligibility-wisconsin/) | [Family Care & Family Care Partnership Programs](https://www.medicaidplanningassistance.org/wisconsin-family-care-partnership-programs/) [Include, Respect, I Self Direct (IRIS) Waiver Program](https://www.medicaidplanningassistance.org/wisconsin-iris-program/) [Medicaid Assistance Personal Care (MAPC)](https://www.medicaidplanningassistance.org/wisconsin-medical-assistance-personal-care/) |
| [Wyoming](https://www.medicaidplanningassistance.org/medicaid-eligibility-wyoming/) | [Community Choices Waiver (CWW)](https://www.medicaidplanningassistance.org/wyoming-community-choices-waiver/) |

#### Types of Medicaid that Pay for HCBS

There are multiple types of Medicaid programs that pay for Home and Community Based Services for the elderly.

**Medicaid HCBS Waivers**  
[Waivers](https://www.medicaidplanningassistance.org/medicaid-hcbs-waivers/) are state-specific programs that are intended to prevent or delay the placement of elderly, frail, or disabled persons in nursing homes. To that end, waivers provide many long-term services and supports to beneficiaries in their homes, or places of residence, including the home of a family member, an adult foster care home, or an assisted living facility.

Medicaid waivers typically have the same eligibility requirements as [Nursing Home Medicaid](https://www.medicaidplanningassistance.org/medicaid-and-nursing-homes/). States apply for waivers to the Centers for Medicare & Medicaid Services and receive approval typically for a 5-year period. Each waiver is approved for a specific target group (such as the elderly) and with a specific number of available slots. Consequently, there are often more applicants than there are available slots and wait-lists are common.

**Aged, Blind and Disabled Medicaid**  
ABD Medicaid (this name varies by state) can be thought of as Regular Medicaid. There are financial eligibility criteria, but not medical criteria to be eligible for the program. Specific benefits, however, like personal care services, require one have a medical need for such care. Regular Medicaid is an entitlement. Therefore, persons who are eligible for HCBS under Regular / ABD Medicaid are guaranteed to receive those services, while in comparison to HCBS under Medicaid Waivers, persons can be wait-listed.

#### Services Provided under HCBS

The types of services and supports that can be provided under Home and Community Based Service is quite broad. From care to home modifications to assistive technology, anything that a state determines can help an individual to live independently can be included as a possible benefit. One cost that cannot be paid for under HCBS is [room and board in assisted living](https://www.medicaidplanningassistance.org/room-board-in-assisted-living/). A list of typical services and supports follow, but this is by no means a comprehensive list. Note: Services and supports vary by state and the names of the benefits also vary. For example, what may be called a “home modification” in one state may be called an “environmental adaption” in another state.

- Assistive Technology and Devices
- Attendant Care / Personal Care
- Care / Case Management
- Caregiver Training
- Chore Services
- Community Transition Services
- Companion Services
- Durable and Home Medical Equipment
- Environmental Accessibility Adaptations (Home Modifications)
- Financial Management Services
- Home Delivered Meals
- Home Health Care
- Homemaker Services
- Non-Medical Transportation
- Nursing Services
- Personal Emergency Response Systems (PERS)
- Respite Care
- Transportation
- Structured Family Caregiving
- Adult Day Care
- Vehicle Modifications