The Community Alternative Care (CAC) Waiver is for chronically ill and/or medically fragile persons who need the level of care provided in a hospital. To be eligible for the CAC Waiver, a person must choose the CAC Waiver and meet all of the following criteria:
- Be eligible for Medical Assistance (MA)
- Be certified disabled by Social Security or through the State Medical Review Team (SMRT) process
- Be under the age of 65 years at the time of opening to the waiver
- Be determined by the case manager/service coordinator to need hospital level of care
- Be certified by the primary physician to meet the level of care provided in a hospital
- Has an assessed need for supports and services over and above those available through the MA State Plan
Hospital Level of Care Criteria
A person must meet all four of the following:
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Need skilled assessment and intervention multiple times during a 24 hour period to maintain health and prevent deterioration
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Due to their health condition, has both predictable health needs and the potential for status changes that could lead to rapid deterioration or life threatening episodes
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Require a 24 hour plan of care that includes a back up plan that reasonably assures health and safety in the community
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Without the provision of services under the CAC waiver, would require frequent or continuous care in a hospital
Available Services
- Case Management
- Case Management Aide
- Consumer Directed Community Supports (CDCS)
- Extended Home Care Services
- Family Counseling and Training
- Foster Care
- Homemaker
- Modifications and Adaptations
- Nutritional Therapy
- Prescription Drugs
(no longer a covered service)
- Respite
- Specialized Supplies and Equipment
- Transportation
- Transitional Services