Medicaid Waiver Programs

​The Bureau for Medical Services has three Waiver Programs:

The Aged and Disabled Waiver (ADW)  is for people age 18 or older who meet the medical criteria of receiving nursing home care and who meet financial requirements.

The Intellectual/Developmental Disabilities Waiver (IDDW) is for individuals who have intellectual disabilities and/or developmental disabilities who would otherwise be institutionalized. 

The Substance Use Disorder (SUD) Waiver addresses the immediate and long-term physical, mental and social needs of individuals with substance use disorders, and promotes and sustains their long-term recovery.

The Traumatic Brain Injury Waiver (TBIW) is for people age 3 or older who have a traumatic brain injury defined as a non-degenerative, non-congenital insult to the brain caused by an external physical force resulting in total or partial functional disability and/or psychosocial impairment or an injury caused by anoxia due to near drowning and who meets the medical criteria of receiving nursing home care.

2015 extension for the Home and Community Based Services Waivers.

Non-Emergency Medical Transportation
Non-Emergency Medical Transportation (NEMT) is available to Medicaid members who need assistance in order to keep scheduled medical appointments and treatments.
In order to be eligible for NEMT, a person must be a Medicaid member and have an appointment for medical treatment that is approved under Medicaid guidelines.

For more information, to request gas mileage reimbursement, or schedule a trip please call the Medicaid NEMT broker, MTM at 1-844-549-8353, Monday-Friday 7 a.m. to 6 p.m. at least 5 business days before your appointment.

You will need to have the member’s name, Medicaid ID number, home address, phone number, where the member is to be picked up, the name, phone number and address of the health care provider, the date and time of your appointment and general reason for the appointment. Also, please let the operator know if you have any special needs such as a wheelchair accessible vehicle, assistance during the trip or someone to ride with you.

 

 

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