Home and Community Based Waivers

The Home- and Community-Based Services (HCBS) Waivers are for MassHealth-eligible people who would otherwise need facility-based care. The HCBS Waivers provide participants access to the services and supports they need for successful community living. Waiver participants have access to traditional MassHealth services in addition to the services they receive through the waiver in which they are enrolled. An individual may not be enrolled in more than one HCBS Waiver at a time. There are both financial and clinical eligibility requirements for each of MassHealth’s ten HCBS Waivers.

Acquired Brain Injury (ABI) Waivers

An acquired brain injury is an injury to the brain, which is not hereditary, congenital, degenerative, or induced by birth trauma. An acquired brain injury is an injury to the brain that has occurred after birth.

Acquired Brain Injury – Non-Residential Waiver

The Acquired Brain Injury – Non-Residential Waiver program helps people eligible for MassHealth with acquired brain injury (ABI) move from a facility setting to a community setting with the support of community-based services. Services are provided to eligible individuals who can move to their own home or apartment, or to the home of someone else, which can include an Adult Foster Care Program setting. The program is operated by the Massachusetts Rehabilitation Commission.

Acquired Brain Injury- Residential Waiver

The Acquired Brain Injury- Residential Waiver program helps people eligible for MassHealth with acquired brain injury (ABI) move from a facility setting to a community-based residential setting with 24 hour a day, seven day a week staff support and supervision.  Services are provided to eligible individuals who can move to a community-based residential setting which can include a group home with up to 4 individuals, an assisted living residence, or shared living with 24 hour supports.  The program is operated by the Department of Developmental Services.

More information about the Acquired Brain Injury Waivers

Moving Forward Plan (MFP) Community Living Waiver 

The Moving Forward Plan (MFP) Community Living Waiver 

The Moving Forward Plan (MFP) Community Living Waiver  program helps adults eligible for MassHealth move back to the community from a facility setting to live in a qualified residence and receive community-based services. The MFP Community Living Waiver Program is operated by the Massachusetts Rehabilitation Commission. 

Moving Forward Plan (MFP) Residential Supports Waiver 

The Moving Forward Plan (MFP) Residential Supports Waiver program helps adults eligible for MassHealth move from a facility setting to a qualified community residence and receive community-based services.  Qualified community residences include supervision and staffing 24 hours a day, seven days a week in a home with up to 4 residents.  The MFP Residential Supports Program is operated by the Department of Developmental Services. 

HCBS Waivers for Adults with Intellectual Disability

Adult Supports Waiver – This program helps people eligible for MassHealth with an intellectual disability who do not need supervision 24 hours a day, seven days a week.  Eligible individuals who can live in their own home, their family home or in the home of someone else are provided with community support services.  The Adult Supports Waiver is operated by the Department of Developmental Services.

Community Living Waiver – This program helps people eligible for MassHealth with an intellectual disability who do not need supervision 24 hours a day, seven days a week. Eligible individuals who can live in their own, their family home or in the home of someone else, are provided with community support services.  Important note: participants require at least one home- and community-based waiver service per month and are in need of more support than those in the Adult Supports Waiver, but less support than those in the Intensive Supports Waiver. The program is operated by the Department of Developmental Services. 

Intensive Supports Waiver – This program helps people eligible for MassHealth with an intellectual disability who require supervision and access to support 24 hours a day, 7 days per week. Eligible individuals  who may reside in out-of-home residential settings or in their family home are provided with a comprehensive array of supports. The Intensive Supports Waiver is operated by the Department of Developmental Services.

Children’s Autism Spectrum Disorders Waiver - This HCBS Waiver program provides one-to-one behavioral, social and communication based interventions and related support services to MassHealth-eligible children with autism, birth through age eight. The Children’s Autism Waiver is operated by the Department of Developmental Services.

Elder

Frail Elder Waiver - This program helps people age 60 and older   covered by MassHealth who meet the criteria for nursing facility care but prefer to live in the community.  Eligible individuals are provided with services to assist with self-care and certain everyday tasks. The Frail Elder Waiver is operated by the Executive Office of Elder Affairs Home Care Program.

Brain Injury - Traumatic 

Traumatic Brain Injury (TBI) is defined as an alteration in brain function, or other evidence of brain pathology, caused by an external force. 

Traumatic Brain Injury (TBI) Waiver –This program helps people eligible for Mass Health with a traumatic brain injury (TBI) who meet the criteria for nursing facility or hospital care but prefer to live in the community. Eligible individuals are provided with support services to live safely in their homes and in the community. The TBI Waiver is operated by the Massachusetts Rehabilitation Commission.