Minnesota Community Access for Disability Inclusion (CADI) Waiver

 What is a Medicaid Waiver?
Medicaid Waivers, also known as Home and Community Based Services (HCBS) Waivers and Waiver Funded Services, allow qualifying program participants to receive services out of the nursing homes. Medicaid’s standard benefit is to pay for nursing home residential care. However, when available, Medicaid Waivers help to provide more options for individuals. The cost of the care outside of a nursing home needs to be less than the cost of care in a nursing home.

Program Description

The Minnesota Community Access for Disability Inclusion Waiver (CADI), formerly called the Community Alternatives for Disabled Individuals Waiver, is a statewide program that provides financial assistance to eligible individuals to help them with the cost of services that enable them to remain living independently. This program enables persons who would otherwise require nursing home admittance to continue living in their own home, a relative’s home, a foster home, or in an assisted living facility. Services include an array of benefits, including personal assistance, adult day care, homemaker services, respite, and home modifications.

While this program is intended for individuals under the age of 65 at the time of enrollment, a senior may either continue on this waiver after the age of 65, or enroll in the Minnesota Elderly Waiver.

CADI allows for Consumer Directed Community Supports (CDCS), which means it allows for consumer direction or self-direction, of certain services / benefits, such as vehicle and home modifications, and personal care services. This includes homemaker services, respite care, and assistance with day-to-day activities. Family members, such as adult children, may be hired given they are qualified for the necessary services. Spouses and other legal guardians are not eligible to be paid caregivers.

This waiver is administered by the Minnesota Department of Human Services Division of Disability Services.

 

Eligibility Guidelines

To be eligible for this wavier, there are multiple criteria that must be met.

Age and Disability
Minnesota residents must be under the age of 65, and must require a nursing home level of care. Individuals must be certified as disabled by the Social Security Administration, or via the state medical review team. Depending on the level of disability, it may be possible that early-onset Alzheimer’s or another type of dementia could qualify an individual as disabled. The individual must also require a greater level of support than is offered via Medical Assistance (MA), which is the Medicaid program for Minnesota for low-income residents.

Income and Assets
The waiver also has income and asset requirements. Individual applicants cannot have an annual income greater than 95% of the Federal Poverty Level. This is $11,286 per year, or calculated monthly, the limit is $940.50 until July 1, 2017, when it is expected to increase to $955. The asset limits vary with the age of the candidate. For most participants, the individual may have assets up to $3,000 in value. Some assets are exempt, such as the applicant’s home, if the applicant lives in the home and it is valued under $560,000. 

 

Benefits and Services

The CADI Waiver includes many benefits and services in a variety of settings, which include the home of an eligible applicant, the home of a family member, a foster home, or an assisted living facility. Services are covered in these living environments, but the participant’s rent and basic living costs are not covered.

  • Adult Day Care / Adult Day Health 
  • Case Management
  • Chore Services - snow removal, cleaning of gutters, etc.
  • Family Counseling / Training
  • Foster Care
  • Home / Vehicle Modifications – installation of lifts, ramps, widening of doorways, roll-in showers, grab bars, etc.
  • Home Meal Delivery
  • Homemaker Services - assistance with light housecleaning, laundry, shopping, meal preparation, etc.
  • Non-Medical Adult Companion Services
  • Nursing Services / Home Health Aide
  • Personal Caregiving (live-in and out-of-home)
  • Personal Emergency Response System (PERS)
  • Prescription Drugs
  • Residential Care
  • Respite Care – in-home or out-of-home
  • Specialized Equipment / Supplies
  • Therapies – physical, occupational, speech, respiratory, behavioral
  • Transportation

 

How to Apply / Learn More

For more information about the Minnesota CADI Waiver, visit the state’s webpage or call 866-267-7655.

To apply, contact your local Department of Human Services agency. Visit this page to find the office that serves your location. At the time of the last page update, there is no wait list for this waiver.