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Community Integrated Habilitation


The Community Integration and Habilitation (CIH) Waiver program provides Medicaid Home and Community-Based Services (HCBS) to participants residing in a range of community settings as an alternative to care in an intermediate care facility for individuals with intellectual disabilities (known as an ICF/IID) or related conditions. The CIH Waiver serves individuals with an intellectual/developmental disability or autism who have substantial functional limitations, as defined in 42 CFR 435.1010. However, entrance into services under the CIH Waiver occurs only when an applicant has been determined by the Division of Disability and Rehabilitative Services (DDRS) to meet priority criteria of one or more federally approved reserved waiver capacity categories, a funded slot is available and DDRS also determines that other placement options are neither appropriate nor available.

When priority access has been deemed appropriate and a priority waiver slot in the specific reserved waiver capacity category met by the applicant remains open, participants may choose to live in their own home, family home, or community setting appropriate to their needs. Participants develop an Individualized Support Plan (ISP) using a person-centered planning process guided by an Individual Support Team (IST). The IST consists of the waiver participant, the participant’s Case Manager, and anyone else of the participant’s choosing, but typically family and/or friends. The participant, with the IST, selects services, chooses service providers, and develops a Plan of Care/Cost Comparison Budget (POC/CCB).


The CIH Waiver provides access to meaningful and necessary home and community-based services and supports, seeks to implement services and supports in a manner that respects the participant’s personal beliefs and customs, ensures that services are cost-effective, facilitates the participant’s involvement in the community where he/she lives and works, facilitates the participant’s development of social relationships in his/her home and work communities, and facilitates the participant’s independent living.

CTI provides the following services under the CIH Waiver:

  • Adult Day Service

  • Community

  • Community Based Habilitation - Group

  • Community Based Habilitation - Individual

  • Community Transition Services

  • Electronic Monitoring

  • Facility Based Habilitation - Group

  • Facility Based Habilitation - Individual

  • Family and Caregiver Training

  • Residential Habilitation and Support

  • Respite

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