Home and Community Based Services Waiver

Overview

Comprehensive Home and Community-Based Services Waiver (1915-c HCBS)

The Home and Community-Based Services Waiver is the Medicaid program that provides services for adults and children with developmental disabilities in their own home and community.

Current Waiver- 2025 Waiver Amendment 01

The latest amendment of the OPWDD 1915 (c) Comprehensive Home and Community-Based Services (HCBS) Waiver was approved by the Centers for Medicare and Medicaid Services (CMS) effective April 1, 2025.

This amendment was approved with the 1915(b)(4) waiver, which allows for the contracting of the Home-Enabling Supports (HES) component of Assistive Technology. For more information visit the Home-Enabling Supports page.

*New text in the approved 2025 HCBS Waiver Amendment is highlighted in yellow. 

2025 Waiver Amendment 

Previous Waiver