Covered Services
Applicable Authorities
Federal authority to offer LTSS services has expanded significantly in recent years. The table below indicates the range of HCBS services that may be provided under state plan and waiver authorities. In order to offer HCBS services in an MLTSS program, you may invoke any of these authorities and combine them with a managed care authority for purposes of including them in an MLTSS program. (Nursing home, home health, and other state plan services may also be included.)
See the Federal Authorities section for more information.
Table 4.A - Available Service Authorities | ||||
| HCBS Identified in Statute | 1915(c) Waiver, State Plan 1915(i), and State Plan 1915(j) | State Plan 1915(k) | 1915(b) Waiver and State Plan 1915(a) | State Plan 1905(a) |
| Adult Day Health/ Adult | X | |||
| Back-up Systems | Allowed as part of Other Services |
X |
||
| Case Management | X |
X |
||
| Clinic Services | X |
X |
||
| Day Treatment | X |
Allowed as part of Rehabilitative Services |
||
| Habilitation | X |
X* |
||
| Home Health Aide | X |
X |
||
| Home Health Therapies | Allowed as part of Other Services |
X |
||
| Homemaker | X |
|||
| Personal Care | X |
X* |
X |
|
| Private Duty Nursing | Allowed as part of Other Services |
X |
||
| Psychosocial Rehabilitation | X |
Allowed as part of Rehabilitative Services |
||
| Respite | X |
|||
| Skilled Nursing | Allowed as part of Other Services |
X |
||
| Training to Employ Attendants | X |
|||
| Transition Costs | Allowed as part of Other Services |
X |
||
| Other Services** | X |
Allowed if a substitute for human assistance |
X |
|
* Section 1915(k) does not refer to "habilitation" or "personal care" but includes language similar to common definitions of these services.
** Other services are requested by the state which the DHHS Secretary may approve.
