1915(c) Home and Community-Based Waivers (HCBS) Department of Health and Senior Services (DHSS) Waivers:
1915(c) HCBS waiver services are included in the Missouri Medicaid Program under the authority of a Home and Community-Based Waiver granted by the Centers for Medicare and Medicaid Services (CMS). Under a waiver, certain services that could not otherwise be reimbursed under Title XIX may be provided to a select group of participants in order to provide an alternative to institutional care.
The waivers listed below are administered by the Department of Health and Senior Services (DHSS), the operating agency, and the MO HealthNet Division (MHD) provides the oversight as the single-state Medicaid agency. The chart below displays the operating agencies for each waiver, along with the agencies’ waiver information and referral/intake websites.
DHSS Bureau | Waiver | Operating Agency’s Referral and Informational Websites |
| Bureau of Federal Programs (BFP) |
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| Bureau of HIV, STD, and Hepatitis (BHSH) |
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| Bureau of Special Health Care Needs (BSHCN) |
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For more information about these waivers, visit MHD’s Missouri Waiver Programs webpage here.