Home and Community Based Waivers (HCBS)

The Developmental Disabilities Administration (DDA) offers five Home and Community Based Services (HCBS) Waivers:

Each of the five waivers provides an array of services tailored to the specific populations they serve. Waiver services provide additional support when Medicaid state plan services and other supports are not sufficient.  For more information about the waiver program, go to the Services and Information Request form, contact your Case Resource Manager, Social Worker, or regional DDA office.

For detailed information about all DDA services, please visit the Informing Families Website. 

Current Approved Waivers

The Centers for Medicare and Medicaid Services have approved DDA’s five HCBS Waiver Appendix K applications.  Appendix K provide the state flexibility in existing waiver programs.

  • DDA Appendix K (06/10/2020)

Waiver Amendments

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Proposed changes to the Individual and Family Services, Basic Plus, Core, Community Protection and Children’s Intensive In-Home Behavioral Support effective January 1, 2025, include:

  • Add Foster Care group to waiver eligibility.
  • Add point-in-time capacity to Basic Plus waiver from 13,000 to 13,400 for WYs 3-5.
  • Update assessment tool Supports Intensity Scale (SIS-A) to SIS-A 2nd Edition.
  • Add Sexual Health Therapy as a new waiver service.

The proposed changes for the amendments will have no negative impacts on participants on the IFS, Basic Plus, Core, Community Protection and Children’s Intensive In-Home Behavioral Support waivers.

To view a draft waiver application, click on the bolded name of the waiver above.

Send your comments to DDAWaiverAmendments@dshs.wa.gov during the comment period.

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