Medicaid HCBS Waiver in Washington, District of Columbia

What is Medicaid HCBS Waiver?

Home and Community-Based Services (HCBS) waivers allow Medicaid to pay for home care, personal assistance, and support services instead of nursing home care. These waivers enable elderly and disabled individuals to remain in their homes and communities while receiving the care they need. Each state administers its own HCBS waiver programs with different names and eligibility requirements, but all share the common goal of supporting aging in place.

In District of Columbia, this program is known as District of Columbia Medicaid HCBS Waiver. Contact your state agency for details about Medicaid HCBS Waiver in District of Columbia.

Eligibility Requirements in District of Columbia

How to Apply in Washington, District of Columbia

1. Contact DC Department of Health Care Finance at (202) 442-5988 to begin the application process
2. Request a functional eligibility assessment
3. Gather financial documentation (tax returns, bank statements, Social Security award letter)
4. Complete the Medicaid application through your state's portal or in person
5. If approved, work with a care coordinator to develop your care plan

Your local Area Agency on Aging - the DC Office on Aging at (202) 724-5622 - can also help you navigate the application process at no charge.

Frequently Asked Questions About Medicaid HCBS Waiver in Washington

• What is the income limit for District of Columbia Medicaid HCBS Waiver in District of Columbia?
  In District of Columbia, the income limit for District of Columbia Medicaid HCBS Waiver is typically $3,715/month for a single person and $7,430/month for a married couple. Some income may be disregarded in calculations.
• How long is the waitlist for District of Columbia Medicaid HCBS Waiver in District of Columbia?
  Waitlist times vary significantly. Contact DC Department of Health Care Finance at (202) 442-5988 for current waitlist status. Some states have open enrollment while others have waitlists of several months to years.
• What services does District of Columbia Medicaid HCBS Waiver cover in District of Columbia?
  Covered services typically include personal care assistance, homemaker services, adult day health services, respite care, home health aide services, and skilled nursing visits. Specific services vary by program.
• Can I keep my Medicare coverage while on District of Columbia Medicaid HCBS Waiver?
  Yes. Medicaid HCBS waivers supplement but do not replace Medicare coverage. You may qualify for both programs simultaneously if you meet eligibility requirements for each.
• How are Medicaid assets calculated in District of Columbia?
  In District of Columbia, asset limits for Medicaid are typically $2,000 for an individual. Your primary home, one vehicle, personal belongings, and certain other assets may be exempt from this calculation.

Other Subsidies Available in Washington