Appendix B

 

GENERAL SUMMARY OF WAIVER PROGRAMS UNDER DHS

Waiver programs, part of Social Security Amendment 1915C, allow Medicaid to offer waiver funds to expand Medicaid State Plan services through home- and community-based services to those who would traditionally have been institutionalized. Waiver is not an entitlement. Services are based on funds available. The waiver program targets specific groups so there is a limitation on the number of clients accepted into the program. The focus is on alternatives to institutionalization. (The following information is from <http://www.hawaii.gov/hrd> under the heading “Social Services Division/Adult Services”).

Waiver Program: Nursing Home Without Walls (NHWW)

Aged and Disabled Waiver

The NHWW waiver program is designed for children and adults who have significant functional/medical needs and require a variety of in-home support and services.

Eligibility Requirements

The person must:

This program serves all ages.

Services

People in the NHWW and their families can choose from the services below to design a package that meets their specific needs. They can also choose the case managers and other providers with whom they wish to work.

Contact Information

For more information and to apply for services, unless indicated otherwise, call the Department of Human Services, Adult and Community Care Services Branch (ACCSB) on your island, Monday through Friday, between 7:45 a.m. and 4:30 p.m.

 

Waiver Program: Developmentally Disabled/Mentally Retarded Program (DD/MR)

The DD/MR waiver program provides home- and community-based care for persons with developmental disabilities and mental retardation who would otherwise receive such services in an Intermediate Care Facility for persons with mental retardation (ICF/MR). The goal of this program is to reduce and prevent unnecessary institutionalization by providing home- and community-based services at a cost less than or equal to institutionalization.

Eligibility Requirements

The person must:

This program serves all ages.

Services

Persons in the DD/MR Waiver and their families can choose from the services below to design a package that meets their specific needs. They can also choose the case managers and other providers with whom they wish to work.

Contact Information

Admission to the program requires a referral from a Department of Health - Developmental Disabilities Division (DOH-DDD) case manager.

All individuals interested in these services but not known to DOH-DDD should contact the DOH-DDD intake office on their island as follows: (Area Code 808)

 

 

OAHU: Case Management Geographic Boundaries
(As of 1/02/02)
CMU 1 Hawaii Kai, Kahala, Kaimuki through Kalihi/Kapalama/airport; this includes zipcodes: 96814, 96815, 96816, 96821, 96825, and 96826
CMU 2 Ewa Beach (below Hanakahi Street/Ft. Weaver Road is the dividing line) to Waianae
CMU 3 Ewa Beach (Pahkapuna area below Ft. Weaver Road, Soda Creek/entry, West Loch Estates, old Ewa), Waipahu (excluding CT 87.01, 88,and 89.12) including Kunia/Village Park, Waikele Sea View/CrestView, Mililani, Wahiawa, Waialua to Turtle Bay
CMU 4 (a.k.a. Support Unit) Windward Oahu (Kahuku to Waimanalo); this includes zipcodes: 96717 (Hauula), 96730, 96731, 96734, 96744, 96762, and 96795
CMU 5 (a.k.a. Specialized Case Management Unit) Waipahu (Census Tracts [CT] 87.01, 88 and 89.12)
CMU 6 Not applicable at this time
CMU 7 Aiea, Pearl City, Salt Lake. This includes 96701, 96782 and 96818
CMU 8 Zip codes: 96813, 96817 and 96819

Waiver Program: Residential Alternatives Community Care Program (RACCP)

Aged and Disabled Waiver

The RACCP Medicaid Waiver is designed for adults [may include 18-21 year old DOE students] who have significant functional/medical needs and choose to live in an alternative communitybased home because they can no longer live safely in their own home.

Eligibility Requirements

The person must:

Services

People in the RACCP and their families can choose the type of living environment that meets their specific needs. They can also choose the case managers and other providers with whom they wish to work.

Contact Information

For more information and to apply for services, unless indicated otherwise, call the licensed waiver contracted RACCP Case Manager(s) serving your island, Monday through Friday, between 7:45 a.m. and 4:30 p.m. (Click on the Residential Alternatives Community Care Program (RACCP)-Licensed Case Management Agency List.)

 

Waiver Program: Medically Fragile Community Care Program (MFCCP)

The Medically Fragile Children’s Waiver is designed for children who are born with or develop complex medical problems and whose families need support to keep them in the home or in a licensed child foster home.

Eligibility Requirements

The child must:

Services

MFCCP waiver services are provided in addition to authorized Medicaid State Plan program benefits such as private duty nursing, personal care, pharmaceuticals, medical equipment and supplies.

Children on the Medically Fragile Children’s Waiver and their families can choose from the services below to design a package that meets their specific needs. They can also choose the case managers and other providers with whom they wish to work.

Contact Information

For more information and to apply for services, unless indicated otherwise, call the waiver contracted Case Manager(s) serving your island, Monday through Friday, between 7:45 a.m. and 4:30 p.m.

 

Waiver Program: HIV Community Care Program (HCCP)

Aged and Disabled Waiver

The HCCP waiver program is designed for children and adults who have significant functional/medical needs and require a variety of in-home support and services.

Eligibility Requirements

The person must:

This program serves all ages.

Services

People in the HCCP and their families can choose from the services below to design a package that meets their specific needs. They can also choose the case managers and other providers with whom they wish to work.

Contact Information

For more information and to apply for services, unless indicated otherwise, call the Case Managers on your island, Monday through Friday, between 7:45 a.m. and 4:30 p.m.