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
- Individuals transitioning from 100%
- 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
- 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
C ommunity-Based Habilitation – Group
C ommunity-Based Habilitation – Individual
Facility-Based Habilitation – Group
F acility-Based Habilitation – Individual
Facility-Based Support Services
Family and Caregiver Training
Intensive Behavioral Intervention
P ersonal Emergency Response System
R ent and Food for Unrelated Live-in Caregiver
R esidential Habilitation and Support
S pecialized Medical Equipment and Supplies
Structured Family Caregiving
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.