About the Children's Choice Waiver

The Children's Choice Waiver began February 21, 2001 to offer supplemental support to children with developmental disabilities who currently live at home with their families or with a foster family.  Waiver participants are eligible for all medically necessary Medicaid services, including Early Periodic Screening, Diagnosis, and Treatment (EPSDT) screenings.  This waiver package is designed for maximum flexibility. In addition to the medically necessary services, waiver services funding can also be used for:


  • Support Coordination - to assist families in planning for the child's medical, social, educational, and other services.
  • Family Support Services - provided directly to the child that enable a family to keep the child at home and that enhance family functioning. Self- Direction option is available for Family Supports Services
  • Center-Based Respite Care - for services provided on a short-term basis to children unable to care for themselves due to the absence or need for relief of the parents or to others who normally provide care and supervision provided in a licensed respite care facility.
  • Family Training - training and education services provided to the recipient's family by a professional organization.
  • Environmental Accessibility Adaptations - for physical adaptations to the home or vehicle necessary to ensure health, welfare, and safety of the child, or which enable the child to function with greater independence in the home, and without additional supports, institutionalization would be required.
  • Specialized Medical Equipment and Supplies - are specified devices, controls, or appliances, specified in the plan of care, which enable individuals to increase their abilities to perform activities of daily living, or to perceive, control, or communicate with the environment in which they live.
  • Aquatic therapy - uses the resistance of water to rehabilitate an individual with a chronic illness, poor or lack of muscle tone or a physical injury/disability.
  • Art therapy - is used to increase awareness of self and others, cope with symptoms, stress and traumatic experiences; enhance cognitive abilities and as a mode of communication and enjoy the life - affirming pleasure of making art.
  • Hippotherapy/Therapeutic Horseback riding - is used to promote the use of the movement of the horse as a treatment strategy in physical, occupational and speech-language therapy sessions for people living with disabilities. The movement of the horse provides physical and sensory input which is variable, rhythmic and repetitive. Equine movement coerces the client to use muscles and body systems in response to movement of the horse
  • Music therapy is used to help recipients improve their cognitive functioning, motor skills, emotional and affective development, behavior and social skills and their quality of life.
  • Sensory integration is used to improve the way the brain processes and adapts to sensory information as opposed to teaching specific skills. Sensory integration involves activities that provide vestibular (balance/motion), proprioceptive (visual/sight) and tactile (touch) stimuli which are selected to match specific sensory processing deficits of the recipient.
  • Housing Stabilization Transition Services enable participants who are transitioning into a Permanent Supportive Housing (PSH) unit, including those transitioning from institutions, to secure their own housing, and provides assistance at any time the participant's housing is placed at risk (e.g. eviction, loss of roommate or income).
  • Housing stabilization service enables waiver participants to maintain their own housing as set forth in the participant's approved POC. Services must be provided in the home or a community setting.

Population Requirements

Children's Choice participants must be between the ages of birth through age 20. Children that age out (reach 21) of the waiver are offered an appropriate waiver for adults, as long as they remain eligible for waiver services. In order to be eligible for services all participants must meet the Louisiana definition of Developmental Disabilities as outlined in the Louisiana Law, R.S. 28:451.1-455.2

How to Apply

To apply for services, please contact your local community services office. They will assist you through the determination process.  


Children's Choice Fact Sheet


Childrens Choice Fact Sheet  (Updated)


Children's Choice Frequently Asked Questions

Frequently Asked Questions

Waiver Guidelines, Documents and Forms


All Waiver Guidelines, Documents and Forms

To access all documents and forms for the Children's Choice Waiver, please click HERE.

The Medicaid Manual with all updated chapters can be found HERE