Why Medicaid Waivers Matter

For families supporting individuals with intellectual and developmental disabilities (IDD), finding the right services can feel overwhelming. Between stacks of paperwork, complicated systems, and long waitlists, it’s easy to feel lost in the process. Yet, Medicaid waivers are often the key that unlocks critical supports—from at-home care and therapies to residential services and community programs.

At RiseUP, we know that navigating this system is hard, but doable—and you don’t have to do it alone. We walk alongside families every day as they take these steps, helping them turn an intimidating process into an empowering path forward.

Step 1: Connect with Your Local Case Management Agency (CMA)

Your journey begins with a Case Management Agency (CMA). CMAs are assigned based on your county of residence and are your entry point for all disability-related services.

• You’ll complete intake paperwork and assessments, including the Support Level Assessment (ISLA).
• You’ll choose the waiver and services best suited for your loved one.
• The CMA will guide you through the Request for Proposal (RFP) process and an Individual Plan (IP) meeting.

Timeline: Enrollment confirmation usually arrives within 1–3 months of beginning this process

Step 2: Enroll in a Home and Community-Based Services (HCBS) Waiver

Medicaid waivers—formally known as HCBS Waivers—are designed to provide customized supports. Options vary for youth and adults, with some waivers offering immediate enrollment and others requiring a waitlist.

• Immediate enrollment options:
  
  • Children: CES Waiver
  • Adults: SLS Waiver
• Emergency situations: Families in crisis may qualify for expedited enrollment through CHRP (children) or DD/Comprehensive Waivers (adults)
  

Step 3: Choose a Program Approved Service Agency (PASA)

Once approved, families select a PASA—an agency authorized to deliver services.

• Through the RFP process, families can request detailed proposals from PASAs.
• You can interview providers to ensure they meet your loved one’s needs.
• Families may work with more than one PASA for different services—there’s no requirement to choose just one

Step 4: Begin Services

With your PASA in place and enrollment complete, services can begin. This is where care turns into action—whether it’s day programs, residential services, supported employment, or therapies.

👉 We invite you to choose RiseUP as your partner in this journey. Our team is ready to walk beside you, providing personalized support at every step.

Talk to a Guide Today

Final Thoughts

Enrolling in a Medicaid waiver can feel daunting, but it’s a life-changing step toward stability, independence, and community connection. The process takes patience, organization, and persistence—but you don’t have to face it alone. RiseUP is here to guide you through each stage and celebrate every milestone along the way.

About RiseUP

RiseUP has been providing customized programs for individuals with intellectual and developmental disabilities (IDD) for over 15 years. Through its K–12 school, adult day enrichment, residential services, and supported employment programs, RiseUP ensures that neurodivergent individuals receive the tailored support they need in a welcoming community.