Medicaid Waiver Guide – Utah

What is Utah Medicaid?

Utah currently has five Medicaid waivers that can serve children, and all of them are home and community based 1915(c) waivers. The autism waiver was recently terminated, but a new Limited Supports Waiver was added. All waivers are based only on child income without regard to parent income. See Utah’s Medicaid for Long-Term Care page or HCBS Waivers page for general information about programs in Utah.

Types of Programs

Waiver for Technology Dependent, Medically Fragile Individuals

• Description from medicaid.gov: Provides personal attendant services, skilled nursing respite care, extended home health aide, extended private duty nursing, financial management services, family support, and in-home feeding therapy services to individuals who are medically fragile or who are technology dependent ages 0-20 years who meet a nursing facility level of care.
• Online State Information: Technology Dependent Waiver
• Official Federal Information
• How to Apply: Call (800) 662-9651, option 5.

Medically Complex Children’s Waiver

• Description from medicaid.gov: Provides personal attendant services, skilled nursing respite and routine respite, and financial management services to individuals who are medically fragile ages 0-19 years who meet a nursing facility level of care.
• Online State Information: Medically Complex Children’s Waiver
• Official Federal Information
• How to Apply: Call 800-662-9651, option 5 or fill out the online application.

Community Supports Waiver for Individuals with Intellectual Disabilities and Other Related Conditions

• Description from medicaid.gov: Provides center-based prevocational services, day supports, homemaker, personal assistance, residential habilitation, respite care – intensive, supported employment, waiver support coordination, financial management services, behavior consultation I, behavior consultation II, behavior consultation III, chore services, community transition service, companion services, environmental adaptations – home, environmental adaptations – vehicle, extended living supports, family and individual training and preparation service – tier 1, family and individual training and preparation service – tier 2, massage therapy, personal budget assistance, personal emergency response system, professional medication monitoring, respite care – routine group, respite care – routine, respite care – session, specialized medical equipment/supplies/assistive technology – monthly fee, specialized medical equipment/supplies/assistive technology – purchase, supported living, transportation services (non-medical) for individuals with autism, ID, DD, ages 0 – no max age.
• Online State Information: Community Supports Waiver
• Official Federal Information
• How to Apply: Call (801) 538-4200

Limited Supports Waiver

• Description from medicaid.gov: Provides integrated community learning, prevocational services, respite, supported employment, financial management services, individual and family peer support, applied behavioral analysis therapy, attendant care, behavioral services, environmental adaptations – home, environmental adaptations – vehicle, individual goods & services, remote support monitoring and equipment, specialized medical equipment/supplies/assistive technology, and transportation services (non-medical) for individuals with brain injury ages 18-no max age, and individuals with autism, intellectual disabilities, and developmental disabilities, ages 0 – no max age.
• Online State Information: Limited Supports Overview
• Official Federal Information
• How to Apply: Call (801) 538-4200.

Community Transitions Waiver

• Description from medicaid.gov: Provides center-based prevocational services, day supports, homemaker, personal assistance, residential habilitation, respite – routine, supported employment, waiver support coordination, behavior consultation I, behavior consultation II, behavior consultation III, chore services, community transition services, companion services, environmental adaptations – home, environmental adaptations – vehicle, extended living supports, family and individual training and preparation service – tier I, family and individual training and preparation service – tier II, financial management services, massage therapy, personal budget assistance, personal emergency response system, professional medication monitoring, professional nursing services, residential habilitation – DCFS/JJS, respite care – intensive, respite care – session, respite – routine group, specialized medical equipment/supplies/assistive technology—monthly fee, specialized medical equipment/supplies/assistive technology—purchase, supported living, transportation services (non-medical) for individuals with autism, ID, DD, ages 0 – no max age.
• Online State Information: Community Transitions Program
• Official Federal Information
• How to Apply: Call (801) 538-9294 or email [email protected].

Other online resources for Utah:

• An overview of the Community Supports Waiver
• Division of Services for People with Disabilities (DSPD)
• Utah Family Voices connects passionate parents around the state and does great advocacy work for children with special needs.

Telephone Resources

(801) 538-4200 — Division of Services for People with Disabilities

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.