HCB waiver services are extended to individuals who, in the absence of the services, would:
- Require nursing facility (NF) level of care, AND
- Need in-home services provided through the HCB waiver. Services currently available include:
- A companion to relieve family caregivers (Respite Care)
- Help with housekeeping, laundry, meal preparation and shopping (Homemaker Chore Services)
- Home delivered meals.
The Department of Health and Senior Services, Division of Senior and Disability Services (DHSS/DSDS) determines whether the individual meets these requirements. Individuals who are applying for MHABD and who are considering placement in a long-term care facility, or who appear to be potentially eligible for HCB waiver services, must be referred to DHSS/DSDS for a determination.
Refer individuals to DHSS/DSDS using form IM-54A (Home and Community Based Referral). DHSS/DSDS will use the form to notify FSD of its decision, including the date the individual was authorized for HCB waiver services.