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Brain Injury

This Brain Injury (BI) Waiver is for people with traumatic or acquired brain injuries who need the level of care provided in a nursing facility that provides specialized services for persons with a BI or a neurobehavioral hospital.

To be eligible for the BI Waiver, a person must choose the BI 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 at the time of opening to the waiver
  • Be diagnosed with one of the following documented primary or secondary diagnoses of brain injury or a related neurological condition that resulted in significant cognitive and significant behavioral impairment:
    • Acquired brain injury including traumatic brain injury that is not congenital
    • Degenerative or genetic disease where cognitive impairment is present, becomes symptomatic on or after the person’s 18th birthday, and is not congenital
    • Documented brain impairment from an event, disease, or condition that is not congenital
  • Be able to function at a level that allows participation in rehabilitation
  • Be in need of a service that is only available through the TBI Waiver or requires a higher level of service than is available through the other waivers due to cognitive and behavior impairments
  • Meet one of the following:
    • Nursing Facility Level of Care criteria for  Brain Injury-Nursing Facility (BI-NF) or
    • Neurobehavioral Hospital Level of Care criteria for Brain Injury-Neurobehavioral (BI-NB)
  • Have completed a BI Waiver Assessment and Eligibility Determination (DHS-3471)

Available Services

  • Adult Companion Services
  • Adult Day Care/Adult Day Care Bath
  • Assisted Living
  • Assisted Living Plus
  • Behavioral Programming
  • Case Management
  • Case Management Aide
  • Chore Services
  • Cognitive Remediation Training
  • Consumer Directed Community Supports (CDCS)
  • Extended Home Care Services
  • Family Training, Education, and Counseling
  • Foster Care
  • Home Delivered Meals
  • Home Health Aide, Extended
  • Night Supervision Services
  • Homemaker
  • Independent Living Skills (ILS)
  • ILS Therapies
  • Mental Health
  • Mental Health Psychological Testing
  • Modifications and Adaptations
  • Prevocational Services
  • Residential Care Services
  • Respite
  • Specialized Equipment and Supplies
  • Structured Day Program
  • Supported Employment Services
  • Transitional Services
  • Transportation

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