The Essential Community Supports program may be available if you need services to live in the community but do not meet eligibility rules for programs available to people who need the level of care provided in a nursing home.
The Alternative Care (AC) program provides home and community-based services to people who need nursing home level of care but choose to live in the community. The Alternative Care program provides many of the same services as the Elderly Waiver program. Alternative Care is for people with low income and assets who are not eligible for Medical Assistance.
The Elderly Waiver (EW) program provides home and community-based services for people who need the level of care provided in a nursing home but who choose to live in the community. You must qualify for Medical Assistance to be eligible for Elderly Waiver services.
People who use direct support services have the option to employ their direct support workers. We refer to this as a participant employer option because the person using the option is both a participant in a direct support services program and the employer of his or her workers.