MO HealthNet for the Aged, Blind, and Disabled (MHABD) Manual – Table of Contents

0820.030.10 Medical Need and Authorization for HCB Waiver Services

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.