Navigating the system: Medicaid waivers for people with intellectual disabilities or autism

By Courtney Brown

Maneuvering through the processes of finding services and determining eligibility for programs for people with intellectual disabilities or autism can appear daunting. This article aims to provide relevant information for those new to the waiver system, those wanting to learn more, and/or

those who are seeking clarification. This article goes over what waivers are, types of waivers, eligibility, and how to obtain services through a waiver program.

What is a Medicaid Waiver?

This is a program offered through Pennsylvania Medicaid that assists in providing services for individuals with autism or intellectual disabilities (IDD). These programs provide both home and community-based services and are commonly known as “HCBS Waivers”. They allow an individual to live independently.

Medicaid waivers are federally funded programs within the United States. The federal government “waives” Medical Assistance rules, which enable the state to use the funding to provide support for individuals with autism or intellectual disabilities. Supports can include