How Do I Enroll in Medicaid HCBS Waiver Disability Services?

Step 1: Become eligible through your local Case Management Agency:

  • Case Management Agencies (or CMAs) provide case management services for those receiving disability services. 
  • All individuals receiving disability services should go through a CMA.
  • CMAs are determined by region and county of residence:
  • Be prepared to complete paperwork and intake assessments.
    • This will involve the individual receiving services directly.
  • The intake process will include:
    • Support Intensity Scale (SIS) assessment
    • Selection of waiver and services
    • Request for Proposal (RFP) process
    • Individual Plan (IP) meeting
    • Service enrollment
  • You will receive confirmation of enrollment typically within 1 to 3 months of beginning the intake process.

Step 2: Enroll in a HCBS Waiver:

Step 3: Choose a Program Approved Service Agency (PASA):

  • Learn about available PASAs
  • Start the request for proposal (RFP) process
    • Individuals in services have the right to make an informed choice on their service providers through the RFP process.
    • Individuals are able to send out a detailed request for the services they are looking for to meet their needs.
    • PASAs will reply with their ability to meet the needs of the proposal.
    • Individuals can then interview providers who responded to make an informed choice about who they would like to work with.
    • Individuals can work with different agencies for different services. There is no requirement to choose only one agency.

Step 4: Start Services:

  • We invite you to choose Sample Supports!