• Waivers allow states to use Medicaid funds for long-term home and community-based services for people living with disabilities or special health care needs in order to help them remain independent in the community.
  • “Eligible individuals must demonstrate the need for a Level of Care that would meet the state’s eligibility requirements for services in an institutional setting.”
  • “States can offer a variety of unlimited services under an HCBS Waiver program. Programs can provide a combination of standard medical services and non-medical services. Standard services include but are not limited to: case management (i.e. supports and service coordination), homemaker, home health aide, personal care, adult day health services, habilitation (both day and residential), and respite care. States can also propose “other” types of services that may assist in diverting and/or transitioning individuals from institutional settings into their homes and community.”

To get our Adaptive nail Clipper use the following steps: 

  1. Contact your waiver case manager. 
  2. Request the ClipDifferent Automatic Nail Clipper – CDP2000W
  3. Your care provider will order the product directly through clipdifferent.com or through an approved medical supply company.
  4. After the order is received, your device will be shipped directly to you.

If you are not yet registered or want more information about the waiver program in your state, see below.

ClipDifferent assistants:

  • There is forty four states that get medicaid waivers to provide home and community-based services for individuals with developmental disabilities (DD)
  • If you need assistance or learn more about waivers from other states around our nation we are here to help and provide you with the information you need to help you live safe and healthy lives. 

Contact ClipDifferent: help@clipdifferent.com or (612) 444-1339

Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Idaho, Indiana, Iowa, Illinois, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Minnesota, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, North Dakota, New jersey, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Texas, Tennessee, Utah, Vermont, Virginia, Washington, Wisconsin

Florida Waiver Program:

There is nine waivers in Florida:

  • Project AIDS Care
  • Assisted Living for the Elderly 
  • Alzheimer’s Disease program 
  • Channeling for the frail Elderly 
  • Aged and Disabled Adult 
  • iBudget Florida 
  • DD Individuals Budgeting 
  • Familial Dysautonomia Waiver
  • Model Waiver

To be eligible for Florida Waiver you must meet the following criteria:

    • Individuals that have a developmental disability and that can be cause by retardation, autism, cerebral palsy, spina bifida or Prader-Willi syndrome
    • For the income limit family income is not counted under Florida Medicaid waiver programs the individual’s income is used
    • To receive ibudget Florida services Individuals must be age of 3 or older and disabled and determined my social security as disabled
  • Contact this phone number to get started: (850) 488-4257

For more information: https://ibudgetflorida.org/


Minnesota Waiver Program:

  • You must qualify for disability-based MA or for Medical Assistance for an employed Person with Disability to enroll in MA-Waiver program. 
  • There are five different MA-Waiver programs in Minnesota.
    • Community Alternative Care (CAC) Waiver
    • Community Access for Disability inclusion (CADI) Waiver
    • Developmental Disability (DD) Waiver 
    • Brian Injury (BI) Waiver
    • Elderly Waiver 
  • Community Alternative Care (CAC) serves people with disabilities who need a level of care from hospitals and this service may be provided in your home, adoptive families home and family foster care. To be eligible for the CAC you must meet the following criteria: 
      • Certified as disabled individual by the SSA or the State Medical Review Team
      • Choose care in the community rather than a hospital
      • Eligible for Medical Assistance
      • Have a Community Support Plan
      • Requires the level of care provided in a hospital 
      • Under the age of 65 years when the waiver is opened
  • Community Access for Disability Inclusion (CADI)  is a program that provides financial assistance to eligible individuals to them with the cost of service that enables them to remain living independently. To be eligible for CADI you must meet the following criteria:
    • Resident of Minnesota must be under the age of 65 
    • Must require a nursing home level of care 
    • Certified as disabled individual by the SSA or the State Medical Review Team
    • Individuals applicants cannot have an annual income greater than 95% of the Federal poverty
    • Individuals may have assets up to $3000 in value
  • Developmental disabilities Waiver (DD) gives funding for home and community-based services for children and adults with developmental disabilities or similar conditions. To be eligible you must meet the following criteria:
      • Be determined to have a developmental disability or similar condition
      • Be determined to likely require the level of care provided to individuals in an intermediate care facility for persons with developmental disabilities.
      • Be eligible for Medical Assistance 
      • Make an informed choice requesting home and community-based services instead of ICF/DD services
  • Brian Injury (BI) Waiver is a funding service for people who have brian injuries who need hospital or nursing level of care. To be eligible for BI you must meet the following criteria:
    • Eligible for Medical care
    • Certified as a disabled individual by the SSA or State Medical Review 
    •  Evaluated at level 4 or above on the Rancho Los Amigos Levels of Cognitive functioning Scale
    • Must be under the age of 65 years when the waiver is open 
    • In the need of the level of care available in hospitals and nursing facility 
    • Choose service in the community instead of service in a hospital or nursing facility 
    • Must have documented brain injury or degenerative disease diagnosis where cognitive impairment is present
    • Experiencing behavioral and cognitive problems related to the injury
  • Elderly waiver (EW) is a program that funds people of age 65 and older who need a level of care in a nursing home and choose to live in the community. To be eligible for the EW you must meet the following criteria:
    • Must be age 65 or older 
    • Be Minnesota resident 
    • Be evaluated by a long term care consultation (LTCC) to need a nursing facility level of care 
    • Eligible for payment of long term care under Medical Assistance 
    • Pay a waiver  obligation if applicable
    • Must have a community support plan that can reasonably assure health and safety

More information: https://mn.db101.org/mn/programs/health_coverage/waivers/program.htm


Pennsylvania Waiver:

  • Pennsylvania Consolidated Waiver is made to help individuals with an autism, intellectual disability or developmental disability to live more independently in their homes and communities and provide services that help them in community living. To be eligible for PCW  must meet the following criteria:
    • Individuals with a developmental disability that results in intellectual disability or autism are eligible from age 0 through 8
    • Individuals with the need of level of care that need medical evaluation and have intellectual disability, autism or developmental or developmental disability 
    • Be eligible for Medical Assistance 
    • Must meet the financial requirements as set by your local County Assistance office

For more information of how to apply please visit: https://www.dhs.pa.gov/Services/Disabilities-Aging/Pages/default.aspx



South Carolina Waiver Program: 

  • MR/DD waiver is for an individual with intellectual developmental disorder (IDD)  of any age
    • For more information on MR/DD call 803-898-9600
  • Pervasive DD Waiver  is applied to children that develops, problems with socializing and communicating, trouble when a routine changes, and repetitive movement and behavior
    • For information on Pervasive DD call 888-376-4636
  • TBI/SCI waiver is a home waiver that provides services to beneficiaries who, but for the provision of such services would require the level of care found in a nursing facility
    • For more information on TBI/SCI call 803-898-9798
  • To be eligible for developmental disability in South Carolina must meet the following criteria:
    • Individuals the have mental or physical impairment or the combination of both
    • Individuals the in the need for lifelong individually planned services 
    • Individuals that have a clear substantial limitations in three or more of the following before reach age 22
      • Learning 
      • Self-care
      • Communication 
      • Self-direction
      • Independent living 
      • Mobility
      • Economic self-sufficiency 
    • A person from birth to age 9 that has substantial developmental delay or acquired condition 
    • Must be of poverty level
    • Pervasive DD for children ages 3-10
    • No age requirement for MR/DD waiver  

Texas Waiver Program:

There are six waivers in Texas and each services different individuals in the population.

  • Community Living assistance and Support Services (CLASS) is a program for individuals with an intellectual disability or (ICF/IID) and it provides for them  home and community-based services. 
  • Home and community-based services (HCS) program the help individuals with intellectual disability by providing services and supports individually, this can mean in their homes or small group of people in the community. 
  • Deaf Blind with Multiple Disabilities (DBMD) program provides individuals that are blind and with multiple disabilities with home and community-based services. DBMD program main idea is to increase opportunities for consumers to communicate and interact with their environment. 
  • Texas home living (TxHml) is a program that provides individuals that have intellectual disability with selected essential services and support who live in their own homes or their Families.
  • Medically Dependent Children (MDCP) is a program designed to support families caring for children who are medically dependent and to support the transition of children in nursing homes.
  • Community Based Alternative (CBA) is a program that provides individuals that are older or have disability  with home and community based services. 

To be eligible for the waivers in Texas you must meet the following criteria:  

  • Individuals must be diagnosed of a related condition under federal and state law
  • There is no age limit to get this service
  • Individuals must have their own home or family home
  • Monthly income of up to 300% of the monthly income limit for SSI and no more than $2000in assets
  • Individuals must make sure that they are not enrolled in another waiver program

Washington State Waiver Program

Wisconsin Waiver Program:

  • There is ten waiver in Wisconsin and each service different individuals in the population:
    • Children Mental Health waiver 
    • Community Integration program 
    • Family Care – Aged / Physical Disability 
    • Community Options program 
    • Children’s Physical Disability Waiver
    • Children’s Developmental Disability 
    • Brain Injury 
    • Self Directed support Waiver – DD
    • Elderly and Physical Disabled 
    • Family Care MR / DD

To be eligible for Wisconsin Wavier you n must meet the following criteria:

    • Individuals must meet the federal definition of DD
    • Individuals must be found to be financially eligible for Medicaid
    • Age requirement depends on the waivers. There are programs for both children and adults with developmental disabilities 
  • Wisconsin Children’s Long-Term Support Waiver Program makes Medicaid funding available to support children with significant limitations due to developmental, physical, or severe emotional disabilities who are living at home or in the community. 
  • Community integration program meant to help individuals that have imparied functional abilities.
  • https://medicaidwaiver.org/state/wisconsin.html