Made with Xara To be eligible for FREE services under the Waiver Contract, you must qualify for Medicaid and have a developmental disability.How Do I Know If I’m Eligible?The Department of Human Services (DHS) and the Department of Health (DOH) each play a role in determining eligibility. You may start the application and eligibility process by:1. Applying for Medicaid with DHS; and2. Applying for services with DOH, Developmental Disabilities Division (DDD), Case Management and Information Services Branch (CMISB). You do not need to wait for the determination from one department to begin the process with the other. We recommend that you start with the DOH Developmental Disabilities Division (DDD), Case Management and Information Services Branch (CMISB).Contact information for the Case Management offices on the Big Island are below. DHS Eligibility RequirementsAdmission to the program requires a referral from a DOH DDD CMISB Case Manager (CM). This program serves people of all ages.The person must:• Be eligible for Medicaid;• Be assessed as needing Intermediate Care Facility-Mentally Retarded (ICF/MR) Level of Care; and• Choose to receive home and community-based services as an alternative to institutional placement.DOH Eligibility RequirementsThe following must be completed/provided:• Application for DOH DDD services;• Application for waiver services; and• Evaluations to determine ICF/MR Level of Care:◦ Medical (completed by a physician, valid for 90 days); and◦ Psychological, if applicable (completed by a licensed psychologist).This is a brief summary of waiver eligibility requirements. A more detailed explanation of “The Waiver” application process is outlined in the Medicaid Waiver Guide.Please contact Full Life if you have any questions about how to qualify for these services. The Law in Hawaii Lists the Eligibility Criteria for "developmental disability".The Hawai`i Revised Statutes (HRS) §333F-1 provides the following definitions:"Developmental Disabilities" means a severe, chronic disability of a person which:1. Is attributable to a mental or physical impairment or combination of mental and physical impairments;2. Is manifested before the person attains age twenty-two;3. Is likely to continue indefinitely;4. Results in substantial functional limitations in three or more of the following areas of major life activity; self-care, receptive and expressive language, learning, mobility, self-direction, capacity for independent living and economic sufficiency; and5. Reflects the person's need for a combination and sequence of special, interdisciplinary, or generic care, treatment, or other services, which are of lifelong or extended duration and are individually planned and coordinated."Intellectual Disability" means significantly sub-average general intellectual functioning resulting in or associated with concurrent moderate, severe or profound impairments in adaptive behavior and manifested during the developmental period.West Hawai'iKealakekua Business PlazaKealakekua, HI 96743Phone: 322-4880East Hawai‘i46 Keawe StreetHilo, HI 96720Phone: 974-4280North Hawai’i67-5189 Kamamalu St.Kamuela, HI 96743Phone:887-6069
Made with Xara
To be eligible for FREE services under the Waiver Contract, you must qualify for
Medicaid and have a developmental disability.
How Do I Know If I’m Eligible?
The Department of Human Services (DHS) and the Department of Health (DOH) each
play a role in determining eligibility. You may start the application and eligibility process
by:
1. Applying for Medicaid with DHS; and
2. Applying for services with DOH, Developmental Disabilities Division (DDD), Case
Management
and Information Services Branch (CMISB).
You do not need to wait for the determination from one department to begin the process
with the other. We recommend that you start with the DOH Developmental Disabilities
Division (DDD), Case Management
and Information Services Branch (CMISB).Contact
information for the Case Management offices on the Big Island are below.
DHS Eligibility Requirements
Admission to the program requires a referral from a DOH DDD CMISB Case Manager
(CM). This program serves people of all ages.
The person must:
• Be eligible for Medicaid;
• Be assessed as needing Intermediate Care Facility-Mentally Retarded (ICF/MR) Level
of Care; and
• Choose to receive home and community-based services as an alternative to institutional
placement.
DOH Eligibility Requirements
The following must be completed/provided:
• Application for DOH DDD services;
• Application for waiver services; and
• Evaluations to determine ICF/MR Level of Care:
◦ Medical (completed by a physician, valid for 90 days); and
◦ Psychological, if applicable (completed by a licensed psychologist).
This is a brief summary of waiver eligibility requirements. A more detailed explanation of
“The Waiver” application process is outlined in the Medicaid Waiver Guide.
Please contact Full Life if you have any questions about how to qualify for these services.
The Law in Hawaii Lists the Eligibility Criteria for "developmental disability".
The Hawai`i Revised Statutes (HRS) §333F-1 provides the following definitions:
"Developmental Disabilities" means a severe, chronic disability of a person which:
1. Is attributable to a mental or physical impairment or combination of mental and physical
impairments;
2. Is manifested before the person attains age twenty-two;
3. Is likely to continue indefinitely;
4. Results in substantial functional limitations in three or more of the following areas of
major life
activity; self-care, receptive and expressive language, learning, mobility,
self-direction, capacity
for independent living and economic sufficiency; and
5. Reflects the person's need for a combination and sequence of special, interdisciplinary,
or
generic care, treatment, or other services, which are of lifelong or extended
duration and are
individually planned and coordinated.
"Intellectual Disability" means significantly sub-average general intellectual functioning
resulting in or associated with concurrent moderate, severe or profound impairments in
adaptive behavior and manifested during the developmental period.
West Hawai'i
Kealakekua
Business Plaza
Kealakekua, HI
96743
Phone: 322-4880
East Hawai‘i
46 Keawe Street
Hilo, HI 96720
Phone: 974-4280
North Hawai’i
67-5189 Kamamalu St.
Kamuela, HI 96743
Phone: 887-6069
