How to Get Home and Community Based Waiver Services

 

In-Home Operations (IHO) is the unit within the California Department of Health Services (DHS) responsible for implementing the In-Home Medical Care, Subacute, and Nursing Facility waivers. “Waivers” allow states to waive certain federal Medicaid rules in order to make an array of home and community-based services available to targeted groups of people who would otherwise require long term care in a nursing facility, including a subacute facility or a hospital.  Waivers help people get services in the community that might not otherwise be available to them under the regular Medi-Cal program.  These services include:

 

·       Habilitation (Independent Living Skills Training)

·       Nursing Services

·       Home Health Aide Services

·       Attendant Care/Personal Care Services

·       Home Modifications

·       Emergency Response Systems

·       Case Management (including for up to 180 days before discharge)

·       Family Training

·       Medical Equipment Operating Expenses

·       Waiver Service Coordination

·       Community Transition Services (up to $5,000)

·       Home and facility respite

 

You can apply for waiver services by calling IHO Intake at: 

 

1-916-552-9105 in Sacramento or 1-213-897-6774 in Los Angeles 

 

You will be asked for information such as your name, address, date of birth, and information about your disability.  IHO will then send you out a packet of materials including a questionnaire and a brochure about waiver services.  The nursing facility A/B Waiver has a waitlist, but make sure to be put on the wait list, so when more spaces become available, you will be able to get services sooner.  Having a wait list also helps advocates argue that the state needs to make the waiver larger.

 

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