Date

1915(c) HCBS waiver services are included in the Missouri Medicaid Program under the authority of a Home and Community-Based Waiver granted by the Centers for Medicare & Medicaid Services (CMS). Under a waiver, certain services that could not otherwise be reimbursed under Title XIX may be provided to a select group of participants, in order to provide an alternative to institutional care.

The below waivers are administered by the Department of Health and Senior Services (DHSS), the operating agency; and MO HealthNet Division (MHD) provides the oversight as the single-state Medicaid agency. The chart below shows the operating agencies for each waiver, as well as the agencies’ waiver information and referral/intake websites.

 

Bureau Waiver Operating Agency Referrals and Informational Websites
Bureau of Long Term Services and Supports (BLTSS)
  • Adult Day Care Waiver
  • Aged and Disabled Waiver
  • Independent Living Waiver
  • Sructured Family Caregiving Waiver
https://health.mo.gov/seniors/hcbs/hcbsmanual/index.php

https://redcaphcbs.azurewebsites.net/redcap/surveys/?s=TNA8HLY49K
Bureau of HIV, STD, and Hepatitis (BHSH)
  • AIDS Waiver
https://health.mo.gov/living/healthcondiseases/communicable/hivaids/casemgmt.php

https://health.mo.gov/hivcasemanagement
Bureau of Special Health Care Needs (BSHCN)
  • Medically Fragile Adult Waiver
  • Brain Injury Waiver
https://health.mo.gov/living/families/shcn/
or
https://health.mo.gov/living/families/shcn/mfaweligibility.php
or
https://health.mo.gov/living/families/shcn/bi.php