Medicaid Waiver Guide – Minnesota

Understanding Minnesota Medicaid

Minnesota currently has a TEFRA program and four HCBS 1915(c) waivers that serve children. All programs waive parent income. See this Home and Community-Based Service Waivers overview for general information. Minnesota also has a 1915(k) Community First Services and Supports (CFSS) program that provides in-home services and state-plan home and community based services.

Types of Waivers

TEFRA

• Description: Provides Medicaid coverage only.
• Online State Information: MN TEFRA
• How to Apply: Apply online at MNSure or follow the directions on this page.

Community Alternative Care (CAC) Waiver

• Description from medicaid.gov: Provides adult day service, caregiver living expenses, case management, homemaker, prevocational services, respite, extended home care nursing, extended home health care, extended personal care assistance, 24-hour emergency assistance, chore services, community residential services, consumer directed community supports (CDCS): environmental modifications & provisions, CDCS: personal assistance, CDCS: self-direction support activities, CDCS: treatment and training, CDCS: integration and support, CDCS: individual-directed goods and services, CDCS: support planning, CDCS: financial management services, CDCS: environmental modifications – home modifications, CDCS: environmental modifications – vehicle modifications, crisis respite services, day support services, employment development services, employment exploration services, employment support services, environmental accessibility adaptations – home modifications, environmental accessibility adaptations – vehicle modifications, family residential services, family training and counseling, home delivered meals, independent living skills (ILS) therapies, individualized home supports, integrated community supports, night supervision services, positive support services, specialist services, specialized equipment and supplies, transitional services, and transportation services to individuals with other disabilities ages 0-64 years who meet a hospital level of care.  This waiver operates with a concurrent 1915(b)(4) authority.
• Online State Information: Community Alternative Care Waiver
• Official Federal Information
• How to Apply: Apply at your local Human Services agency.

Community Access for Disability Inclusion (CADI) Waiver

• Description from medicaid.gov: Provides adult day service, caregiver living expenses, case management, homemaker, prevocational services, respite, extended home care nursing, extended home health care services, extended personal care assistance services, 24-hour emergency assistance, adult companion services, adult day service bath, adult foster care, child foster care, chore services, community residential services, consumer-directed community supports (CDCS): community integration and support, CDCS: individual-directed goods and services, CDCS: personal assistance, CDCS: support planning, CDCS: financial management services, CDCS: self-direction support activities, CDCS: environmental modifications – vehicle modifications, CDCS: environmental modifications and provisions, CDCS: environmental modifications – home modifications, CDCS: treatment and training, crisis respite, customized living, day support services, employment development services, employment exploration services, employment support services, environmental accessibility adaptations – home modifications, environmental accessibility adaptations – vehicle modifications, family residential services, family training and counseling, home delivered meals, housing access coordination, in-home family supports, independent living skills (ILS) therapies, ILS training services, individualized home supports, integrated community supports, night supervision services, personal support services, positive support services, specialist services, specialized equipment and supplies, transitional services, and transportation services to individuals with physical or other disabilities ages 0-64 years who meet a nursing facility level of care.  This waiver operates with a concurrent 1915(b)(4) authority.
• Online State Information: CADI
• Official Federal Information
• How to Apply: Apply at your local Human Services agency.

Developmental Disabilities (DD) Waiver

• Description from medicaid.gov: Provides 24-hour emergency assistance, adult day service bath, adult day service, assistive technology, caregiver living expenses, case management, consumer directed community supports (CDCS): community integration and support, CDCS environmental modifications (home modifications), CDCS environmental modifications (vehicle modifications), CDCS environmental modifications and provisions, CDCS financial management services, CDCS individual-directed goods and services, CDCS personal assistance, CDCS self-direction support activities, CDCS support planning, CDCS treatment and training, chore, community residential services, crisis respite, day support services, day training and habilitation, employment development services, employment exploration services, employment support services, environmental accessibility adaptations (home modifications), environmental accessibility adaptations (vehicle modifications), extended personal care assistance services, family residential services, family training and counseling, home delivered meals, homemaker, independent living skills therapies, individualized home supports, integrated community supports, night supervision services, positive support services, prevocational services, respite, specialist services, specialized equipment and supplies, transitional, and transportation services to individuals with intellectual disabilities or developmental disabilities ages 0 or older who meet an ICF/IID level of care.  This waiver operates with a concurrent 1915(b)(4) authority.
• Online State Information: DD Waiver
• Official Federal Information
• How to Apply: Apply at your local Human Services agency.

Brain Injury (BI) Waiver

• Description from medicaid.gov: Provides adult day service, caregiver living expenses, case management, homemaker, prevocational services, respite, extended home care nursing services, extended state plan service, extended home health care services, extended personal care assistance services, 24-hour emergency assistance, adult companion services, adult day service bath, adult foster care, child foster care, chore services, community residential services, consumer directed community supports (CDCS): self-direction support activities, CDCS: environmental modifications and provisions, CDCS: personal assistance, CDCS: treatment and training, crisis respite, customized living, day support services, employment development services, employment exploration services, employment support services, environmental accessibility adaptations, family residential services, family training and counseling, home-delivered meals, housing access coordination, in-home family supports, independent living skills (ILS) therapies, ILS training services, individualized home supports, integrated community supports, night supervision services, personal support services, positive support services, specialist services, specialized equipment and supplies, structured day program, transitional services, transportation for individuals with brain injury, ages 0-64.
• Online State Information: Brain Injury Waiver
• Official Federal Information
• How to Apply: Apply at your local Human Services agency.

Telephone Resources

• Relevant Human Services contact by county
• Disability Services Division, 651-431-4300 or toll-free line, 866-267-7655

Ordering Goally with a Medicaid Waiver

Talk with your case manager to see if the waiver program you have will cover Goally. If so, have your case manager email us at: [email protected] to place an order on your behalf.

You can also reach out to our partner Mercarik who can work with any MN HCBS waiver. Get started by submitting a referral here. You can also contact Mercarik with any questions.