Medical Assistance for Long-Term Care Services Home and Community-Based Services Waivers for People with Disabilities

Home and Community-Based Services (HCBS) waivers for people with disabilities include the following HCBS waivers:

  • Brain Injury (BI)

  • Community Alternative Care (CAC)

  • Community Access for Disability Inclusion (CADI)

  • Developmental Disabilities (DD)

This section discusses rules for determining a person’s household composition and family size. It also discusses the income limits and methodology used to determine income eligibility for HCBS waivers for people with disabilities.

Children in foster care, children who receive Northstar Adoption Assistance, and children who receive Northstar Kinship Assistance continue to use the MA-FC, MA-NAA, or MA-NKA basis of eligibility when receiving HCBS waivers.

Household Composition and Family Size

Household composition means the people included in a person’s household. Household composition determines the family size. Household composition and family size are factors used to determine financial eligibility.

Household composition and family size are determined for each person separately and may be different for each person on an application or in a household.

The HCBS waiver programs allow a child or a married person to be treated as a household of one, and have only their own income and assets count in their Medical Assistance (MA) eligibility determination, when they are otherwise not eligible using the regular household composition, income and asset deeming rules for  MA for People Who Are Age 65 or Older and People Who Are Blind or Have a Disability (MA-ABD).

If a person enrolled in MA for Employed Persons with Disabilities (MA-EPD) requests HCBS waivers, the MA-EPD family size rules are used.

Income Limits and Methodology

The MA-ABD income limits and methodology are used to determine eligibility for MA for Long-Term Care Services (MA-LTC) through the HCBS waivers for people with disabilities. However, if the person is enrolled in MA-EPD, the MA-EPD income limits and methodology rules are used.

Legal Citations

Minnesota Statutes, section 256B.056

Minnesota Statutes, section 256B.0913

Minnesota Statutes, section 256B.092

Minnesota Statutes, section 256B.093

Minnesota Statutes, section 256B.49