Missouri's Guide to Home and Community Based Services

AGED AND DISABLED WAIVER

63 years old or older

FINANCIAL ELIGIBILITY:

• Medicaid Eligible
• Special Income Limit available
• Special Asset Limit for couples

FUNCTIONAL ABILITY:

• Meet nursing facility level of care

SERVICES:

• Homemaker/chore services
• Respite Care
• Advanced Respite Care
• Nurse Respite Care
• Institutional Respite Care
• Adult Day Health Care
• Home Delivered Meals

The Aged and Disabled Waiver provides services to individuals age 63 and older who are determined Medicaid eligible for home and community based services. The recipient must be assessed by a DHSS/DSSR social worker to have certain impairments and unmet needs, such that the recipient would be eligible for admission to a nursing facility if Aged and Disabled Waiver services are not provided.

In addition, the recipient must be willing to receive comprehensive assessment and case management services from the DHSS. Eligible recipients must reside in their home or the home of a caregiver to receive Aged and Disabled Waiver services.

To prove cost effectiveness, social workers must demonstrate periodically that the cost of home and community based service for each recipient does not exceed the cost of the institutional care that the recipient would require in the absence of the Waiver.

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