Care at Home Medicaid Waiver

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The Care at Home Waiver provides medical and related services to children who live at home and have both intellectual disabilities and complex medical conditions – and who don’t qualify for Medicaid because of family income.

As part of the Care at Home program, families work with a case manager who helps the family identify and qualify for the services they need. These services may include:

  • Nursing Oversight and Services
  • Durable medical equipment
  • Home and vehicle modifications
  • Adaptive Technologies
  • Respite Care and CDPAS
  • Ongoing Case Management and Advocacy
  • Coordination with schools, extracurricular programs and summer camps
  • Crisis Intervention resources
  • Medicaid coverage of medical equipment, provider costs, copays, prior approvals, transportation to medical appointments, etc.

Eligibility for Care at Home

To be eligible, a child must meet all of the following requirements:

  • Be under 18 years of age
  • Have a developmental disability as defined by NYS’s Mental Hygiene Law
  • Demonstrate complex healthcare needs that are expected to last longer than 12 months
  • Be eligible for the level of care provided by an ICF or certified nursing home for persons with Developmental Disabilities
  • Not be in a hospital or other nursing facility
  • Be ineligible for Medicaid because of parental income and resources
  • Be able to be cared for at less cost in the family home than in an ICF facility

By enrolling in the Care at Home waiver program, the child will be eligible for Medicaid, and may qualify for certain other state and federal services.

Heritage Christian currently offers this program in Monroe, Livingston, Wyoming and Ontario counties. To send us your information, please fill out this form. 

  • Are you a legal guardian/custodian of the child? * Required
  • Do you have consent from the child (if they are over 18; married, pregnant or a parent) or are you a legal guardian/custodian (under 18) to make a referral? * Required
  • What is the best way to contact you