Community Integration and Habilitation (CIH) Waiver

The Medicaid Home and Community Based Services Waiver program provides person-centered individualized supports that assist children and adults to live successfully in their home and community. The Community Integration and Habilitation Waiver is one of two of the Indiana Medicaid Home and Community-Based Services provided by the Bureau of Developmental Disabilities Services to children and adults with an intellectual disability, developmental disability or related condition.

Bona Vista clients are enjoying the warm weather

Am I elegible?

To qualify for the Community Integration and Habilitation Waiver, you must have been diagnosed with an intellectual disability, developmental disability or related condition with an onset prior to the age of 22 years and the condition must be expected to continue indefinitely.


You must meet Level of Care. Level of Care is determined by assessing six major life areas: self-care, learning, self-direction, capacity for independent living, understanding and use of language, and mobility. You must exhibit substantial functional limitations in at least three of the six major life areas.


You must also meet the requirements of eligibility for a compatible Medicaid category.
If you are under the age of 18 years, household income eligibility requirements for Medicaid are disregarded and only the income/assets of the child are taken into consideration. If the individual/family is requesting coverage for the 90 days prior to the application date, then household income eligibility requirements are taken into consideration.

You must also meet at least one of the following priority criteria:

  • Individuals transitioning to the community from a nursing facility, extensive support needs facility and state-operated facility
  • Individuals determined to no longer need/receive active treatment in Supervised Group Living
  • Individuals transitioning from 100% state-funded services
  • Individuals aging out of Department of Education, Department of Child Services or Supervised Group Living
  • Individuals requesting to leave a large private Intermediate Care Facility for Individuals with Intellectual Disabilities
  • Death of a primary caregiver where there is no other caregiver available
  • Caregiver over the age of 80 years when there is no other caregiver available
  • Evidence of abuse or neglect in current institutional or Supervised Group Living placement
  • Extraordinary health and safety risk as reviewed and approved by the Division Director

It is important to note that there must be a funded slot available and that the Bureau of Developmental Disabilities Services has determined that other service options are neither appropriate nor available.

Services Provided

The Community Integration and Habilitation Waiver offers a range of services that are chosen based upon person-centered principles and are to be delivered in the home and community settings by an approved Medicaid provider. Current services include:

  • Adult Day Services
  • Behavioral Support Services
  • Case Management
  • Community-Based Habilitation – Group
  • Community-Based Habilitation – Individual
  • Community Transitions
  • Electronic Monitoring
  • Environmental Modifications
  • Extended Services
  • Facility-Based Habilitation – Group
  • Facility-Based Habilitation – Individual
  • Facility-Based Support Services
  • Family and Caregiver Training
  • Intensive Behavioral Intervention
  • Music Therapy
  • Occupational Therapy
  • Personal Emergency Response System
  • Physical Therapy
  • Psychological Therapy
  • Prevocational Services
  • Recreational Therapy
  • Rent and Food for Unrelated Live-in Caregiver
  • Residential Habilitation and Support
  • Respite
  • Specialized Medical Equipment and Supplies
  • Speech/Language Therapy
  • Structured Family Caregiving
  • Transportation
  • Wellness Coordination
  • Workplace Assistance

How Do I Apply?

To find your local office, call 800-545-7763 or click here. The Bureau of Developmental Disabilities Services staff are available to answer your questions.

IN PERSON

Contact your local BDDS District office and request an application. It is important to tell the BDDS office that you are applying for the Community Integration and Habilitation Waiver.