About the Community Integration and Habilitation (CIH) Waiver

The Medicaid Home and Community Based Services Waiver program provides person-centered
individualized supports that assist children and adults to live successfully in their home and community.
The Community Integration and Habilitation Waiver is one of two of the Indiana Medicaid Home- and
Community-Based Services provided by the Bureau of Developmental Disabilities Services to children
and adults with an intellectual disability, developmental disability or related condition.

Am I eligible?

To qualify for the Community Integration and Habilitation Waiver, you must have been diagnosed with
an intellectual disability, developmental disability or related condition with an onset prior to the age of
22 years and the condition must be expected to continue indefinitely.
You must meet Level of Care. Level of Care is determined by assessing six major life areas: self-care,
learning, self-direction, capacity for independent living, understanding and use of language, and
mobility. You must exhibit substantial functional limitations in at least three of the six major life areas.
You must also meet the requirements of eligibility for a compatible Medicaid category.
If you are under the age of 18 years, household income eligibility requirements for Medicaid are
disregarded and only the income/assets of the child are taken into consideration. If the individual/
family is requesting coverage for the 90 days prior to the application date, then household income
eligibility requirements are taken into consideration.

You must also meet at least one of the following priority criteria:

• Individuals transitioning to the community
  from a nursing facility, extensive support needs
  facility and state-operated facility
• Individuals determined to no longer need/
  receive active treatment in Supervised
  Group Living
• Individuals transitioning from 100%
  state-funded services

• Individuals aging out of Department of
  Education, Department of Child Services
  or Supervised Group Living
• Individuals requesting to leave a large private
  Intermediate Care Facility for Individuals with
  Intellectual Disabilities
• Death of a primary caregiver where there is no
  other caregiver available
• Caregiver over the age of 80 years when
  there is no other caregiver available

• Evidence of abuse or neglect in
  current institutional or Supervised
  Group Living placement
• Extraordinary health and safety risk as
  reviewed and approved by the Division Director
• It is important to note that there must be a
  funded slot available and that the Bureau of
  Developmental Disabilities Services has
  determined that other service options are
  neither appropriate nor available

What types of services does the Community Integration and Habilitation Waiver provide?

The Community Integration and Habilitation Waiver offers a range of services that are chosen based
upon person-centered principles and are to be delivered in the home and community settings by an
approved Medicaid provider. Current services include:

Adult Day Services
Behavioral Support Services
Case Management
C ommunity-Based Habilitation – Group
C ommunity-Based Habilitation – Individual
Community Transitions
Electronic Monitoring
Environmental Modifications
Extended Services

Facility-Based Habilitation – Group
F acility-Based Habilitation – Individual
Facility-Based Support Services
Family and Caregiver Training
Intensive Behavioral Intervention
Music Therapy
Occupational Therapy
P ersonal Emergency Response System
Physical Therapy
Psychological Therapy
Prevocational Services

Recreational Therapy
R ent and Food for Unrelated Live-in Caregiver
R esidential Habilitation and Support
Respite
S pecialized Medical Equipment and Supplies
Speech/Language Therapy
Structured Family Caregiving
Transportation
Wellness Coordination
Workplace Assistance

How do I apply?

You may contact your local BDDS office and request an application. It is important to tell the
BDDS office that you are applying for the Community Integration and Habilitation Waiver. To
find your local office, you may call 800-545-7763 or visit http://www.in.gov/fssa/ddrs/4088.htm.
The Bureau of Developmental Disabilities Services staff are available to answer your questions.