What is an HCBS Medicaid Waiver?

A waiver is a program that provides services that allow individuals to remain in their own home or live in a community setting. Illinois has nine HCBS waivers. Each waiver is designed for individuals with similar needs and offers a different set of services.

Who is eligible for a HCBS Waiver?

  • Individuals must be U.S. citizens or legal aliens and residents of the state of Illinois.
  • Individuals must meet Medicaid financial eligibility criteria.
  • Individuals must require an institutional level of care as specified by each waiver.
  • Individuals' service needs must be able to be provided cost-effectively.

What do you mean by cost effective?

Cost effective means states cannot spend more on waiver services than it would cost to provide care in a hospital, nursing facility, or intermediate care facility for the developmentally disabled. Each waiver uses one or more of these institutions as a cost comparison for services.

Note:  Approved capacity is based on State of Illinois appropriations.


Medicaid Waiver Performance Management Reports 


Children's Waivers, Residential and In-Home Support

Currently Approved Children's Waivers

The Two Children's Waivers are due for renewal. They are posted below for public comment:


Waiver for Adults with DD

The State submitted an amendment to the Adult Waiver on 3-11-14.  The Adult Waiver amendment increases the total capacity for the waiver.  In addition, the adult waiver amendment includes:

  1. an increase in the maximum number of behavior therapy hours;
  2. the addition of a self-directed option for individuals to live in their own homes with intermittent support; and
  3. the addition of 24-hour stabilization services.