Home and community based services in every state

Medicaid waiver care that keeps someone in their own home instead of a nursing home — aides, adult day care, home changes, and in many states a paycheck for a family member who is already doing the caring.

Waiver names, waiting lists and financial rules differ in every state, and several states run more than one waiver. We name the waiver only where the state's own page confirmed it.

Written and checked by Jason Burns, Editorial Steward

How home and community based services works nationally

Pick your state

• Alabama

  Alabama Medicaid home care waivers, including paying a family caregiver

  Alabama Medicaid Agency (operated with Alabama Dept. of Senior Services)

• Alaska

  Alaska Medicaid home care waivers, including paying a family caregiver

  Alaska Department of Health, Division of Senior and Disabilities Services

• Arizona

  Arizona Medicaid home care waivers, including paying a family caregiver

  Arizona Health Care Cost Containment System (AHCCCS)

• Arkansas

  Arkansas Medicaid home care waivers, including paying a family caregiver

  Arkansas Department of Human Services, Division of Aging, Adult, and Behavioral Health Services

• California

  California Medicaid home care waivers, including paying a family caregiver

  California Department of Health Care Services (DHCS)

• Colorado

  Colorado Medicaid home care waivers, including paying a family caregiver

  Colorado Department of Health Care Policy & Financing (HCPF)

• Connecticut

  Connecticut Medicaid home care waivers, including paying a family caregiver

  Connecticut Department of Social Services (DSS)

• Delaware

  Delaware Medicaid home care waivers, including paying a family caregiver

  Delaware Health and Social Services, Division of Medicaid & Medical Assistance (DMMA)

• District of Columbia

  District of Columbia Medicaid home care waivers, including paying a family caregiver

  DC Department of Health Care Finance (DHCF)

• Florida

  Florida Medicaid home care waivers, including paying a family caregiver

  Florida Agency for Health Care Administration (AHCA)

• Georgia

  Georgia Medicaid home care waivers, including paying a family caregiver

  Georgia Department of Community Health, Georgia Medicaid

• Hawaii

  Hawaii Medicaid home care waivers, including paying a family caregiver

  Hawaii Department of Human Services, Med-QUEST Division / Department of Health

• Idaho

  Idaho Medicaid home care waivers, including paying a family caregiver

  Idaho Department of Health and Welfare

• Illinois

  Illinois Medicaid home care waivers, including paying a family caregiver

  Illinois Department of Healthcare and Family Services (HFS) / Department on Aging

• Indiana

  Indiana Medicaid home care waivers, including paying a family caregiver

  Indiana Family and Social Services Administration (FSSA)

• Iowa

  Iowa Medicaid home care waivers, including paying a family caregiver

  Iowa Health and Human Services (HHS)

• Kansas

  Kansas Medicaid home care waivers, including paying a family caregiver

  Kansas Department for Aging and Disability Services (KDADS)

• Kentucky

  Kentucky Medicaid home care waivers, including paying a family caregiver

  Kentucky Cabinet for Health and Family Services (CHFS), Dept. for Medicaid Services

• Louisiana

  Louisiana Medicaid home care waivers, including paying a family caregiver

  Louisiana Department of Health (LDH), Office of Aging and Adult Services

• Maine

  Maine Medicaid home care waivers, including paying a family caregiver

  Maine Department of Health and Human Services (DHHS), Office of Aging and Disability Services

• Maryland

  Maryland Medicaid home care waivers, including paying a family caregiver

  Maryland Department of Health, Medicaid Program

• Massachusetts

  Massachusetts Medicaid home care waivers, including paying a family caregiver

  MassHealth, Executive Office of Health and Human Services

• Michigan

  Michigan Medicaid home care waivers, including paying a family caregiver

  Michigan Department of Health and Human Services (MDHHS)

• Minnesota

  Minnesota Medicaid home care waivers, including paying a family caregiver

  Minnesota Department of Human Services (DHS)

• Mississippi

  Mississippi Medicaid home care waivers, including paying a family caregiver

  Mississippi Division of Medicaid, Office of Long Term Care

• Missouri

  Missouri Medicaid home care waivers, including paying a family caregiver

  Missouri Department of Health and Senior Services / Department of Social Services (MO HealthNet)

• Montana

  Montana Medicaid home care waivers, including paying a family caregiver

  Montana Department of Public Health and Human Services (DPHHS)

• Nebraska

  Nebraska Medicaid home care waivers, including paying a family caregiver

  Nebraska Department of Health and Human Services (DHHS)

• Nevada

  Nevada Medicaid home care waivers, including paying a family caregiver

  Nevada Division of Health Care Financing and Policy (DHCFP) / Aging and Disability Services Division (ADSD)

• New Hampshire

  New Hampshire Medicaid home care waivers, including paying a family caregiver

  New Hampshire Department of Health and Human Services (DHHS), Bureau of Adult and Aging Services

• New Jersey

  New Jersey Medicaid home care waivers, including paying a family caregiver

  New Jersey Department of Human Services, Division of Medical Assistance and Health Services (DMAHS)

• New Mexico

  New Mexico Medicaid home care waivers, including paying a family caregiver

  New Mexico Health Care Authority, Medical Assistance Division

• New York

  New York Medicaid home care waivers, including paying a family caregiver

  New York State Department of Health / Office for People With Developmental Disabilities (OPWDD)

• North Carolina

  North Carolina Medicaid home care waivers, including paying a family caregiver

  North Carolina Department of Health and Human Services, NC Medicaid

• North Dakota

  North Dakota Medicaid home care waivers, including paying a family caregiver

  North Dakota Health and Human Services

• Ohio

  Ohio Medicaid home care waivers, including paying a family caregiver

  Ohio Department of Medicaid

• Oklahoma

  Oklahoma Medicaid home care waivers, including paying a family caregiver

  Oklahoma Human Services / Oklahoma Health Care Authority · (918) 933-4900

• Oregon

  Oregon Medicaid home care waivers, including paying a family caregiver

  Oregon Department of Human Services, Aging and People with Disabilities

• Pennsylvania

  Pennsylvania Medicaid home care waivers, including paying a family caregiver

  Pennsylvania Department of Human Services, Office of Long-Term Living

• Rhode Island

  Rhode Island Medicaid home care waivers, including paying a family caregiver

  Rhode Island Executive Office of Health and Human Services

• South Carolina

  South Carolina Medicaid home care waivers, including paying a family caregiver

  South Carolina Department of Health and Human Services (SCDHHS)

• South Dakota

  South Dakota Medicaid home care waivers, including paying a family caregiver

  South Dakota Department of Human Services, Division of Long Term Services and Supports

• Tennessee

  Tennessee Medicaid home care waivers, including paying a family caregiver

  TennCare (Tennessee Bureau of TennCare)

• Texas

  Texas Medicaid home care waivers, including paying a family caregiver

  Texas Health and Human Services Commission

• Utah

  Utah Medicaid home care waivers, including paying a family caregiver

  Utah Department of Health and Human Services, Division of Medicaid and Health Financing

• Vermont

  Vermont Medicaid home care waivers, including paying a family caregiver

  Vermont Agency of Human Services, Department of Disabilities, Aging and Independent Living (Adult Services Division)

• Virginia

  Virginia Medicaid home care waivers, including paying a family caregiver

  Virginia Department of Medical Assistance Services (DMAS)

• Washington

  Washington Medicaid home care waivers, including paying a family caregiver

  Washington State Department of Social and Health Services (DSHS), Aging and Long-Term Support Administration

• West Virginia

  West Virginia Medicaid home care waivers, including paying a family caregiver

  West Virginia Department of Human Services, Bureau for Medical Services (BMS)

• Wisconsin

  Wisconsin Medicaid home care waivers, including paying a family caregiver

  Wisconsin Department of Health Services (DHS)

• Wyoming

  Wyoming Medicaid home care waivers, including paying a family caregiver

  Wyoming Department of Health, Division of Healthcare Financing, HCBS Section