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Residential Options Waiver (ROW)

The Residential Options Waiver, initially approved by CMS on October 1, 2009, commenced its services during the fiscal year 2010. Its primary objective was to facilitate the transition of individuals from Intermediate Care Facilities for persons with intellectual and developmental disabilities (ICD/IDD) to their own homes within the community.

Designed to cater to individuals of all ages eligible for OCDD waiver services, this program offers comprehensive supports and services both at home and in the community. Each person's annual budget is determined based on their assessed support needs, as evaluated through the Inventory for Client and Agency Planning (ICAP) assessment.

It's important to note that the program does not aim to provide round-the-clock one-to-one support. Rather, it focuses on providing the necessary assistance to promote independence and community integration.

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  • Support Coordination

  • Community Living Supports (CLS)

  • Host Home 

  • Companion Care 

  • Shared Living

  • Center-Based Respite Care-Out of Home

  • Personal Emergency Response System

  • One Time Transition Services (TEPA)

  • Environmental Accessibility Adaptations

  • Assistive Technology/Specialized Medical Equipment and Supplies

  • Transportation-Community Access

  • Professional Services

  • Nursing Services

  • Dental Services

  • Supported Employment

  • Prevocational Services

  • Day Habilitation

  • Housing Stabilization Service

  • Housing Stabilization Transition Services

  • Adult Day Health Care (ADHC)


An individual may be offered a ROW waiver opportunity who meets all of the following eligibility criteria:

  • Meet Louisiana Medicaid eligibility AND

  • Meet the Louisiana definition for developmental disability which manifested prior to age 22 (Revised Statue 25:451.2, paragraph (12), AND

  • Have an OCDD Statement of Approval AND

  • Meet Intermediate Care Facility-Intellectual Disability (ICF-ID) Level of Care Criteria AND


ROW waiver opportunities may be offered based on the following priority groups Criteria:

  1. Individuals with intellectual and developmental disabilities (I/DD) who have a statement of approval (SOA) through OCDD, and who currently receive services via the Office of Aging and Adult Services (OAAS) Community Choices Waiver (CCW) or Adult Day Health Care (ADHC) Waiver programs, shall be a priority group to allow for a one time transition into the ROW.

  2. Individuals living at Pinecrest Supports and Services Center or in a publicly operated ICF-ID when it was transitioned to a private ICF-ID through a cooperative endeavor agreement or their alternates.

  3. Individuals on the OCDD registry who have the highest level of need and the earliest registry date.

  4. Persons who reside in a Medicaid-enrolled ICF/ID and wish to transition to a home and community-based residential services waiver through a voluntary ICF/ID bed conversion process.

  5. Meet financial and non-financial Medicaid eligibility criteria for home and community-based waiver services: Income equals 300% of the Supplemental Security Income (SSI) Federal Benefit Rate (FBR).

  6. All other non-financial requirements such as:

  7. Citizenship (U.S. citizen or qualified alien),

  8. Be a Resident of Louisiana,


To remain eligible for waiver services, a recipient must receive Support Coordination and a Residential waiver service every thirty days.

Support Coordination utilizes the components of intake, assessment, service planning, linkage, monitoring / follow-up, reassessment and transition/closure. Eligibility is determined by requirements specific to each population.

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