Qualifying for the Medicare Waiver
Exact qualifications that apply to everyone who might be eligible for the program vary from state to state. In order to qualify, generally a person must either be declared by a court to be non compos mentis or have an IQ documented to fall below the qualifications to be considered developmentally disabled. A caseworker will help a client determine whether or not he qualifies for the waiver. A person who does may be able to circumvent some normal rules, such as having any form of income to qualify for general Medicaid Assistance. A waiver is usually used for a person who needs community-based services such as living in a group home. Medicaid services do not normally cover the cost of community based services.
Proving the Qualification for a Medicaid Waiver
In most circumstances, it is not hard to determine whether or not an applicant qualifies for the Medicaid waiver. It is not possible to tell if a person qualifies for the waiver. The person who files on behalf of the person who needs the Medicaid waiver must provide the necessary documentation. If a person who should qualify for the waiver gets turned down, the person filing on behalf of the client can appeal the decision. The hearing is informal, but a client does have the right to legal representation.