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Medicaid Waiver Programs

Deaf-Blind with Multiple Disabilities (DB-MD)

Service Description:

This Medicaid waiver program provides home and community-based services to people who are Deaf-Blind with Multiple Disabilities (DB-MD) as a cost-effective alternative to ICF-MF/RC institutional placement.  The DB-MD program focuses on increasing opportunities for consumers to communicate and interact with their environment.


Covered Services include:
  • Adaptive Aids and Medical Supplies
  • Assisted Living (licensed up to 6 beds)
  • Behavior Communication Services
  • Case Management
  • Chore Provider
  • Consumer Directed Services
  • Environmental Accessibility
  • Habilitation
  • Intervener
  • Nursing Services
  • Occupational Therapy
  • Orientation and Mobility
  • Physical Therapy
  • Prescription Drugs
  • Respite Care
  • Speech Therapy
Client Eligibility:

Age: 18 or older

Income / Resources:
The applicant must be Medicaid eligible in the community under:
  • SSI; or
  • Medical Assistance Only (MAO) protected status; or
  • Meet the income and resource requirements for Medicaid benefits in nursing facilities. ($1,737/month with resources of $2,000 for an individual.  Spousal impoverishment provisions apply.)   Deaf-Blindness:  Have Deaf-Blindness with a third disability resulting in a demonstrated need for daily habilitation services.  Individual Plan of Care: The applicant's individual plan of care cannot exceed 115% of the cost of ICF-MR/RC institutional care.  Informed Choice:  Choose waiver services instead of institutional care based on an informed choice. Level-of-Care:  Meet the institutional LOC criteria for ICF-MR/RC LOC VIII.
Service Catchment Area: Statewide availability.  As this is a low incidence population, there are currently 23 counties in which individuals are currently served.

How to Apply for Services:

Call (877) 438-5658 and ask for the DB-MD Waiver.