About the Supports Waiver

The Supports Waiver began July 1, 2006 as a way to provide options and meaningful opportunities through vocational and community inclusion for individuals who are 18 years of age and older, and meet the eligibility criteria for waiver services.


Q & A for Supports Waiver EVV Implementation (NEW)

Supports Waiver Services

Waiver participants are eligible for all medically necessary Medicaid services. In addition to the medically necessary services, waiver services funding can also be used for:

  • Support Coordination (required case management)
  • Supported Employment
  • Prevocational
  • Day Habilitation
  • Respite
  • Habilitation
  • Permanent Supportive Housing Stabilization Transition
  • Permanent Supportive Housing Stabilization
  • Personal Emergency Response System

Population Requirements

The Supports Waiver is an appropriate option for people whose health and welfare can be assured through an Individual Plan of Care for community placement. The SW is intended to provide specific, activity-focused services which enhance the quality of life for the person, rather than custodial care.

To qualify for the Supports Waiver, a person must:

  • Be 18 years of age or older,
  • Meet the Louisiana definition of Developmental Disabilities as outlined in the Louisiana Law, R.S. 28:451.1-455.2, which manifested prior to age 22.
  • Meet the ICF/DD level of care

Additionally interested persons must meet the following financial criteria:

Income can be greater than three (3) times the Supplemental Security Income (SSI) amount.  The income limit for waiver, also known as Special Income Limit(SIL) is $2,199 for an individual and $4,398 for a couple (when both spouses need long-term care).  Individuals with income that exceeds the SIL may still qualify for coverage of waiver services in Waiver Spend-down.  All individuals are allowed to retain from their income a basic needs allowance which is equal to the SIL and the amount of the incurred medical expenses not paid by a third party.  Any remainder will be the individual's liability for the cost of care in Waiver Spend-down.

The resources limits are subject to change each year.

Note: The financial limits are subject to change each year

How to Apply

Individuals who are interested in receiving services available in the Supports Waiver should contact their Local Governing Entity (LGE) and ask to be added to the Request for Services Registry (RFSR), which lists individuals, who have a qualifying developmental disability (DD) according to the Louisiana DD definition, and their request for services date. The SW is offered to individuals on the Registry on a first-come, first-served basis.

The application process does not begin until a waiver slot becomes available. At that time, medical and financial determinations will be completed simultaneously to verify that the person has a developmental disability and meets the financial and medical/psychological requirements for an Intermediate Care Facility for the Developmentally Disabled (ICF/DD).

Supports Waiver Fact Sheet

Supports Waiver Fact Sheet (Updated)

Waiver Guidelines, Documents and Forms

All Waiver Guidelines, Documents and Forms

To access all provider documents and forms for the Supports Waiver, please click HERE.

The Medicaid Manual with all updated chapters can be found HERE.

Employment First Initiative

People with disabilities are demanding system changes that allow for greater opportunities for economic self-sufficiency. Employment is key to making that happen. Learn more more about this initiative, HERE.