People with Disabilities

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Community Alternative Care Waiver

The Community Alternative Care (CAC) Waiver provides funding for home and community-based services for children and adults who are chronically ill. The CAC Waiver is designed to serve persons with disabilities who would otherwise require the level of care provided in a hospital.

CAC Waiver services may be provided in your home, biological or adoptive family's home, relative's home (e.g. sibling, aunt, grandparent etc.), or a family foster care home or corporate foster care home. If you are married, you may receive CAC Waiver services while living at home with your spouse.

Who is eligible for the CAC Waiver?

A screening process determines your eligibility for the CAC Waiver. You are eligible for the CAC Waiver if you meet the following criteria:

  • Certified as disabled by the Social Security Administration or the State Medical Review Team
  • Choose care in the community instead of a hospital
  • Eligible for Medical Assistance
  • Have a Community Support Plan, which includes assurances of the health and safety for the person
  • Require the level of care provided in a hospital
  • Under the age of 65 years when the waiver is opened

What else is important for participation in the CAC Waiver?

Once you are determined eligible to participate in the CAC Waiver, certain questions are asked about services including:

  • Are the services necessary to ensure your health, welfare and safety?
  • Have all options been assessed and does this option meet your needs and preferences?
  • Is the cost of the service considered reasonable and customary?
  • Is the service covered by any other funding source, for example, Medical Assistance state plan services, private health care coverage, Medicare, education or Vocational Rehabilitation Service?

How can persons apply for the CAC Waiver?

You can apply for the CAC Waiver at your local county agency or tribe (PDF). For more information, view the Community Alternative Care Waiver fact sheet (PDF).


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