Missouri HCBS Waiver Finder

Finding the right support for yourself or a loved one can feel overwhelming, but help is available. Missouri offers several Home and Community Based Services (HCBS) Waiver programs designed to help seniors and individuals with physical, intellectual, or developmental disabilities receive long-term care and support in their own homes or communities.

This interactive tool is designed to guide you or someone assisting a loved one through a few simple questions regarding care needs, age, and individual circumstances. In just a few minutes, you will receive tailored information to help you identify which Missouri waiver programs may be the best fit—and discover the exact next steps and local agencies to contact for a formal evaluation.

Notice: The Missouri HCBS Waiver Finder is for informational and screening purposes only. Completing this form is not an official application and does not guarantee eligibility for MO HealthNet (Medicaid) waiver services. Official enrollment requires evaluation by DHSS or DMH. To apply, contact the agency listed at the end of your results.

Does the individual currently reside in the state of Missouri?
Does the individual have active MO HealthNet (Medicaid) coverage?
Is the individual under 18 with a diagnosed Intellectual Disability OR Developmental Disability?
Which option best describes the individual's primary care need or diagnosis?
Intellectual or Developmental Disability (I/DD)
Is the individual under 18 and currently ineligible for MO HealthNet due to parental income?
Does the individual require 24/7 out-of-home or residential supports (e.g., Group Home, Individualized Supported Living, Shared Living)?
Does the individual live in a county where the Partnership for Hope waiver is accessible and have minimal support needs?
Refer to the Counties with Partnership for Hope Waiver Map for more information.
Traumatic Brain Injury (TBI)
What is the age of the applicant?
Alzheimer's / Dementia
Is the individual age 21+ and residing full-time in the same household as a primary family caregiver who provides daily care?
HIV / AIDS
Is the individual age 21+ and currently receiving or at risk of long-term institutional care?
Medically Complex Adult
Is the individual age 21+ requiring a continuous four-hour block of Private Duty Nursing (PDN) services, with the need for PDN having been present prior to age 21?
General Physical Disability or Aging Supports
Is the individual age 18-64 and capable of self-directing their own care assistants (Consumer Directed Services)?
Is the individual age 18-63 and the primary need is daytime group care, nursing, and meals in a structured community center?
Is the individual age 65+ (or 63-64 with physical disabilities) needing in-home homemaker, respite, or delivered meal services?
Based on your responses

You may be interested in the Missouri Children with Developmental Disabilities Waiver (MOCDD).

The Missouri Children with Developmental Disabilities Waiver is for children (birth through age 17) who live at home with their parents. This waiver allows counting only the child's income (not parent income) for eligibility.

Refer to the MO HealthNet Waiver Overview website for information on this waiver.

Managing Agency: Department of Mental Health (DMH) - Division of Developmental Disabilities (DDD).

Contact Information: Contact your local DMH Regional Office; refer to the DMH Map of Regional Offices to find the nearest office and contact information.

Key Services Included: Applied behavior analysis (ABA), personal assistant, respite care, adaptive equipment, and community integration.

For additional information on services, refer to the DDD Waivers Reference Guide.

Next Steps: To apply or find contact information, visit the DMH Map of Regional Offices.

You may be interested in the Comprehensive (COMP) Waiver.

The Comprehensive Waiver provides residential services such as Group Home or Shared Living and Individualized Supported Living to eligible participants of all ages.

Refer to the MO HealthNet Waiver Overview website for information on this waiver.

Managing Agency: Department of Mental Health (DMH) - Division of Developmental Disabilities (DDD).

Contact Information: Contact your local DMH Regional Office; refer to the DMH Map of Regional Offices to find the nearest office and contact information.

Key Services Included: Residential habilitation (Group Home, Individualized Supported Living, Shared Living), day habilitation, personal assistant, and crisis intervention.

For additional information on services, refer to the DDD Waivers Reference Guide.

Next Steps: To apply or find contact information, visit the DMH Map of Regional Offices.

You may be interested in the Partnership for Hope (PfH) Waiver.

The Partnership for Hope Waiver is a county-based waiver open to all ages. Refer to the Counties with Partnership for Hope Waiver Map. 

Refer to the MO HealthNet Waiver Overview website for information on this waiver.

Managing Agency: Department of Mental Health (DMH) - Division of Developmental Disabilities (DDD).

Contact Information: Contact your local DMH Regional Office; refer to the DMH Map of Regional Offices to find the nearest office and contact information.

Key Services Included: Temporary residential respite, personal assistant, dental, day habilitation, and employment supports.

For additional information on services, refer to the DDD Waivers Reference Guide.

Next Steps: Verify residency in a County with a PfH waiver.

To apply or find contact information, visit the DMH Map of Regional Offices.

You may be interested in the Community Support Waiver (CSW).

The Community Support Waiver is for individuals of all ages who have a place to live in the community, usually with family.

Refer to the MO HealthNet Waiver Overview website for information on this waiver.

Managing Agency: Department of Mental Health (DMH) - Division of Developmental Disabilities (DDD).

Contact Information: Contact your local DMH Regional Office; refer to the DMH Map of Regional Offices to find the nearest office and contact information.

Key Services Included: Day habilitation, personal assistant (self-directed option available), supported employment, applied behavior analysis (ABA), and respite care.

For additional information on services, refer to the DDD Waivers Reference Guide.

Next Steps: To apply or find contact information, visit the DMH Map of Regional Offices.

You may be interested in the Brain Injury Waiver (BIW).

The Brain Injury Waiver was developed to provide a community-based alternative for individuals 21 to 65 years of age with traumatic brain injuries who otherwise would be institutionalized in a nursing facility. When the participant turns 65 services under the Brain Injury Waiver will be closed and other services will be explored for the participant.

Refer to the MO HealthNet Waiver Overview website for information on this waiver.

Managing Agency: Department of Health and Senior Services (DHSS) - Bureau of Federal Programs (BFP).

Contact Information:

Phone: 866-835-3505
Email: Waivers.ltss@health.mo.gov

Key Services Included: Cognitive rehabilitation therapy, neuropsychological evaluations, applied behavior analysis (ABA), PT/OT/Speech therapy, assistive technology, and waiver personal care.

Next Steps: Submit medical documentation verifying Traumatic Brain Injury (TBI) to Waivers.ltss@health.mo.gov.

To apply, visit the Online HCBS Referral Form or contact the Department of Health and Senior Services, Division of Senior and Disability Services using the contact information above.

You may be interested in the Aged and Disabled Waiver (ADW).

The Aged and Disabled Waiver was developed to provide community-based alternatives to individuals aged 65 years and older as well as individuals with physical disabilities who are ages 63 and 64 who otherwise would be institutionalized in a nursing facility. 

Refer to the MO HealthNet Waiver Overview website for information on this waiver.

Managing Agency: Department of Health and Senior Services (DHSS) - Bureau of Federal Programs (BFP).

Contact Information: 

Phone: 866-835-3505
Email: HCBSCallCenterReferrals@health.mo.gov /
Waivers.ltss@health.mo.gov

Key Services Included: Homemaker services, chore services, basic and advanced respite care, adult day care, and home-delivered meals.

Next Steps: To apply, visit the Online HCBS Referral Form or contact the Department of Health and Senior Services, Division of Senior and Disability Services using the contact information above.

You may be interested in the Structured Family Caregiver Waiver (SFCW).

The Structured Family Caregiver Waiver was developed to provide a community-based option for individuals aged 21 and older diagnosed with Alzheimer's or a dementia-related disorder who otherwise would be institutionalized in a nursing facility.

Refer to the MO HealthNet Waiver Overview website for information on this waiver.

Managing Agency: Department of Health and Senior Services (DHSS) - Bureau of Federal Programs (BFP).

Contact Information:

Phone: 866-835-3505
Email: HCBSCallCenterReferrals@health.mo.gov

Key Services Included: Personal care and homemaker services delivered by a live-in primary caregiver, medication oversight, and appointment escorting.

Next Steps: To apply, visit the Online HCBS Referral Form or contact the Department of Health and Senior Services, Division of Senior and Disability Services using the contact information above.

You may be interested in the Adult Day Care Waiver (ADCW).

The Adult Day Care Waiver was developed to provide a community-based alternative to individuals with a disability, ages 18 through 63 years of age, who otherwise would be institutionalized in a nursing facility.

Refer to the MO HealthNet Waiver Overview website for information on this waiver.

Managing Agency: Department of Health and Senior Services (DHSS) - Bureau of Federal Programs (BFP).

Contact Information: 

Phone: 866-835-3505
Email: HCBSCallCenterReferrals@health.mo.gov /
Waivers.ltss@health.mo.gov

Key Services Included: Assistance with activities of daily living (ADL), planned group activities, food services, participant observation, skilled nursing services, and transportation.

Next Steps: To apply, visit the Online HCBS Referral Form or contact the Department of Health and Senior Services, Division of Senior and Disability Services using the contact information above.

You may be interested in the AIDS Waiver.

The AIDS Waiver is designed for MO HealthNet participants 21 years and older living with Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Syndrome (HIV/AIDS) that, due to their disease, have a decreased level of function and meet nursing home level of care. 

Refer to the MO HealthNet Waiver Overview website for information on this waiver.

Managing Agency: Department of Health and Senior Services (DHSS) - Division of Community and Public Health (DCPH).

Contact Information: The Missouri HIV Case Management Program provides assistance to locate, coordinate, assess and refer for medical and supportive services for individuals with HIV or AIDS, based on assessed need. Refer to the HIV Case Management Regions and Agencies map for a contact near you.

Key Services Included: Waiver personal care, waiver attendant care, and specialized medical supplies (diapers, underpads, gloves).

Next Steps: To apply or find contact information, visit the HIV Case Management Regions and Agencies map.

You may be interested in the Medically Complex Adult Waiver (MCAW).

The Medically Complex Adult Waiver is designed to provide home and community-based services (HCBS) to individuals with serious and complex medical needs, who have reached the age of 21, and who are no longer eligible for home care services available through the Medically Complex Children and Youth (MCCY) Program. This waiver includes private duty nursing for adults.

Refer to the MO HealthNet Waiver Overview website for information on this waiver.

Managing Agency: Department of Health and Senior Services (DHSS) - Bureau of Special Health Care Needs (BSHCN).

Contact Information:

Phone: 573-751-6246 or (toll-free) 800-451-0669
Email: shcn@health.mo.gov

Key Services Included: Private Duty Nursing (PDN), waiver attendant care, and specialized medical supplies.

Next Steps: To apply, contact the Department of Health and Senior Services, Division of Senior and Disability Services using the contact information above.

You may be interested in the Independent Living Waiver (ILW).

The Independent Living Waiver was developed to provide a community-based alternative to individuals 18 through 64 years of age with a cognitive or physical disability who otherwise would be institutionalized in a nursing facility. With this waiver, the participant hires and manages their own service providers.

Refer to the MO HealthNet Waiver Overview website for information on this waiver.

Managing Agency: Department of Health and Senior Services (DHSS) - Bureau of Federal Programs (BFP).

Contact Information:

Phone: 866-835-3505
Email: HCBSCallCenterReferrals@health.mo.gov

Key Services Included: Consumer-directed waiver personal care, financial management services (FMS), case management, and environmental accessibility adaptations.

Next Steps: To apply, visit the Online HCBS Referral Form or contact the Department of Health and Senior Services, Division of Senior and Disability Services using the contact information above.

Based on your responses

Missouri HCBS waivers require active Missouri residency.

Missouri HCBS waivers require at least one of the above criteria.

The individual may not currently meet the screening criteria for a Missouri Waiver. We encourage you to review your answers to ensure the information you provided was accurate.

This tool provides general information but state agencies make official determinations for waiver eligibility. For an official determination of eligibility for a Missouri waiver, review the MO HealthNet Waiver Overview website for eligibility, enrollment, and contact information.

Based on your responses

The applicant may not currently meet the screening criteria for a Missouri Waiver. We encourage you to review your answers to ensure the information you provided was accurate.

This tool provides general information but state agencies make official determinations for waiver eligibility. For an official determination of eligibility for a Missouri waiver, review the MO HealthNet Waiver Overview website for eligibility, enrollment, and contact information.