A person holding onto a cane with their hands.

What is the Elderly and Disabled Waiver?

The Elderly and Disabled Waiver is a statewide program administered and operated by the Mississippi Division of Medicaid (DOM). It is designed to offer assistance and services in a home or community-based setting if you qualify for Medicaid.

The program allows you to remain in a home or community-based setting as an alternative to nursing facility care or other institutional care.

Who is Qualified?

You must be age 21 or older.

You may qualify by either Supplemental Security Income (SSI) or 300 percent of SSI. If income exceeds the 300 percent limit, you must pay the amount

that is over the limit each month to the Division of Medicaid under an income trust, provided you are otherwise eligible.

You must be determined clinically eligible through the use of a comprehensive Long Term Services and Supports (LTSS) assessment tool.
You must require a nursing facility level of care if assistance is not provided.
Your nursing facility level of care must be certified by a physician and re-certified every 12 months at a minimum.

All persons who are eligible to receive Home and Community-Based Services under this waiver must first be approved through the Division of Medicaid.

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What Services Are Offered Under This Waiver?

CASE MANAGEMENT

Case management is a required service, and you are assigned to a local case management team. The team consists of a registered nurse and a licensed social worker. They are responsible for assessing your health, welfare, and social needs, developing a plan of services and supports, and managing and coordinating services on the plan of services and supports.

PERSONAL CARE SERVICES

Personal care services are non-medical support services to assist you in meeting daily living needs and ensuring optimal functioning at home and/or in the community. Services include assistance with eating, bathing, dressing, personal hygiene, and activities of daily living. Meal preparation and housekeeping chores may be provided if the care is essential to your health and welfare rather than your family. These services may also involve accompanying and assisting you in accessing community resources and participating in community activities, supervision, and monitoring in your home, during transportation, and in the community setting.

ADULT DAY SERVICES

Adult day services are for aged and disabled persons and consist of the provision of services for part of a day at a daycare program site. Adult daycare is the arrangement of a structured, comprehensive program that provides a variety of health, social, and related supportive services in a protective setting during the daytime and early evening. This community-based service is designed to meet the needs of aged and disabled people through an individualized care plan, including personal care and supervision, provision of meals, as long as meals do not constitute a full nutritional regimen, medical care, transportation to and from the site, social, health and recreational activities.

Expanded Home Health Services

Extended home health services are when home health benefits under the State Plan have been exhausted. People in the Elderly and Disabled Waiver program are eligible for extended home health services. These services include skilled nursing, nurse aide, physical therapy, and speech therapy.

Home Delivered Meals

Home-delivered meals are well-balanced meals delivered to your home if you are unable to leave without assistance, unable to prepare your own meals, and/or have no responsible caregiver in the home.

Institutional Respite and/or In-Home Respite

Institutional respite services are provided if you cannot be left alone or unattended. It provides non-medical care and supervision/assistance if you are unable to care for yourself in the absence of your primary full-time, live-in caregiver(s) on a short-term basis. Services are rendered to provide assistance to the caregiver(s) during a crisis situation and/ or scheduled relief to the primary caregiver(s) to prevent, delay, or avoid premature institutionalization of the participant. Institutional respite services are provided in a hospital, nursing facility, or licensed swing-bed facility by the facility staff.

Community Transition Services

Community Transition Services are provided if you currently reside in a nursing facility and wish to transition from the nursing facility to the Elderly and Disabled Waiver.

In-Home Respite Services

In-home respite services are provided if you cannot be left alone or unattended. It provides non-medical care and supervision/assistance if you are unable to care for yourself in the absence of your primary full-time, live-in caregiver(s) on a short-term basis. Services are rendered to provide assistance to the caregiver(s) during a crisis situation and/or scheduled relief to the primary caregiver(s) to prevent, delay, or avoid premature institutionalization.

Environmental Safety Services

Environmental safety services are services provided for the purpose of supporting members in maintaining a healthy and safe living environment through the performance of tasks in and around the individual's home that are beyond the individual's capability."

Medication Management

Medication Management services are services in which enrolled individuals with one or more chronic health conditions who are prescribed a daily regimen of at least five (5) prescription medications can receive consultations and follow-up visits with a licensed pharmacist.

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Apply or Refer for Services

To apply for services or to refer another individual to receive services, call our office at (662) 283-2675 or the Division of Medicaid at (800) 421-2408. Or, download the Medicaid Waiver Client Intake Form.