Services /  Waiver Program

Mental Health Waiver (MHW)

The waiver program, authorized in §1915(c) of the Social Security Act, permits the State to furnish an array of home and community-based services to assist Medicaid beneficiaries to live in the community and to avoid institutional care.

The State has broad discretion in designing its waiver program to address the needs of the waiver's target population. Waiver services complement and/or supplement services available to participants through the Medicaid State plan and other federal, state and local public programs as well as natural supports that families and communities provide. Connecticut Department of Mental Health and Addiction Services (DMHAS) with oversight by the Department of Social Services (DSS), Connecticut's Single State Agency for Medicaid will administer the Mental Health Waiver (MH Waiver) program and the Money Follows the Person (MFP) program.

The Mental Health Waiver (MHW) authorized in Section 1915(c) of the Social Security Act permits the Secretary of the U.S. Department of Health and Human Services to set aside Medicaid regulations and to allow funding to provide a variety of home and community based services (excluding room and board) to individuals with serious mental illness who would otherwise require nursing home care. This Mental Health Waiver enables Medicaid to cover the cost of services designed to assist Participants in acquiring, retaining and improving the self-help, socialization, and adaptive skills necessary to reside successfully in home and community based settings. MFP/MH Waiver Services are available to adults with serious mental illness that are being discharged or diverted from nursing home care and are receiving Connecticut Medicaid benefits.
– Per Mental Health Waiver Manual.

More Information

Download DMHAS Mental Health Waiver Request Form

Elder Care Waiver

To be eligible, applicants must be 65 years of age or older, be a Connecticut resident, be at risk of nursing home placement and meet the program’s financial eligibility criteria. To be at risk of nursing home placement means that the applicant needs assistance with critical needs such as bathing, dressing, eating, taking medications, toileting. The CHCPE helps eligible clients continue living at home instead of going to a nursing home. Each applicant’s needs are reviewed to determine if the applicant may remain at home with the help of home care services. For more information on eligibility criteria, please see the link below.

More Information

Download Connecticut Homecare Program for Elders (CHCPE) Request for Referral

Personal Care Attendant (PCA) Waiver Program

Administered by the Connecticut Department of Social Services (DSS), PCA Waiver enables people with disabilities to employ personal care attendants to help with daily activities such as bathing, dressing, transfer, and toileting, as well as home chores, shopping, laundry, and other activities that are essential for independence. The Medicaid Waiver program allows a person with limitations in at least two activities of daily living, and with a monthly income restriction, to be eligible for Medicaid.

Under the PCA waiver, the consumer hires and trains the PCA. The consumer fills out a time sheet for his/her PCA and submits it to the state. The state will issue a check made out to the PCA and will mail it to the consumer. Under the PCA waiver, a fiscal contractor will handle the employer tax responsibilities, relieving the consumer of the responsibility of filing employer related tax forms.

Adults, ages 18 through 64, with disabilities who are institutionalized or who would be institutionalized without PCA services, and who have deficits in at least two activities of daily living, and who do not have community supports available to live independently are eligible for a PCA waiver. Income must be at or below 300% of the maximum SSI benefit and there are asset restrictions. Applicants must have Medicaid, or must apply for Medicaid and be pending or have a start date, or must spenddown to the Medicaid limit.

(People with disabilities who are eligible for Medicaid for the Employed Disabled are NOT subject to income and asset restrictions that are otherwise applicable to individuals receiving home and community-based services under the waiver.)

More Information

View PCA Waiver source information at
Apply here


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