Independent Living Waiver
Independent Living Waiver (ILW) is a program available to participants receiving Consumer Directed Services (CDS), with a need for additional assistance to remain in the least restrictive environment. The ILW offers several services, including additional CDS Personal Care, Case Management (CM), Environmental Accessibility Adaptations (EAA), Specialized Medical Equipment (SME), Specialized Medical Supplies (SMS), and Financial Management Services (FMS)
All ILW participants must meet the following eligibility criteria:
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• Initial entry into the ILW is limited to;
individuals 18 years of age to 64 years of age;
o Individuals who are enrolled in the ILW when they turn sixty-five (65) may remain enrolled in the ILW for as long as they maintain the ability and the desire to self- direct their personal care attendant services.
• Be physically disabled, as defined by 19 CSR 15-8:
• Loss of, or loss of use of, all or part of the neurological, muscular, or skeletal functions of the body to the extent that the person requires the assistance of another person to accomplish routine tasks.
• Individuals with a cognitive impairment must have had onset of the cognitive impairment on or after age twenty-two (22);
• Be able to self-direct their own CDS;
• Be in active Medicaid status (Medicaid Eligibility);
o Participants eligible for Medicaid on a spenddown basis may be authorized to receive ILW during periods when spenddown liability is met.  When the participant has not met their monthly spenddown liability amount, the participant and provider may make a private arrangement for the continued delivery of services. In these instances, the participant is responsible for the cost of services received.
o Authorization of ILW does not meet the requirements for an individual to be eligible for Home and Community Based (HCB) Medicaid.
• Have an appropriate Medicaid Eligibility (ME) code;
• Meet nursing facility level of care; and
• Must not be enrolled in any other waiver program
1
Personal Care
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Personal Care: Bathing, dressing, grooming, and toileting.
2
Mobility Assistance:
Help with walking, transferring to and from bed or chair, and using assistive devices.
3
Meal Assistance
Assisting with planning, preparation, and clean-up of meals.
4
Household Task
Light housework, laundry, shopping, and meal preparation.
5
Transportation
Assistance with transportation to appointments or errands.
6
Money Management
Assistance with managing finances and paying bills
7
Medication Management
Reminders and assistance with taking medication.
8
Communication Assistance
Assistance with phone calls or communication
9
Respite Care
Providing relief for family caregivers.
10
Case Management
Coordinating care and services.
11
Caregiver Training
Providing education and support to family caregivers
