General

General A. The Division of Medicaid covers certain home and community-based services as an alternative to institutionalization in a nursing facility through the Elderly and Disabled Waiver (E&D). B. Beneficiaries enrolled in the E&D Waiver must reside in a private residence that is fully integrated with opportunities for full access to the greater community, and meets the requirements of a Home and Community-Based (HCB) setting in 42 C.F.R. § 441.301(c)(4) and (5). C. The Division of Medicaid does not cover E&D Waiver services to persons in congregate living facilities, institutional settings, on the grounds of or adjacent to institutions, or in any other setting that has the effect of isolating persons receiving Medicaid Home and Community-Based Services (HCBS). D. Beneficiaries enrolled in the E&D Waiver are prohibited from receiving additional Medicaid services through another waiver program. E. Beneficiaries enrolled in the E&D Waiver who elect to receive hospice care may not receive waiver services that are duplicative of any services rendered through hospice services. Beneficiaries may receive non-duplicative waiver services in coordination with hospice services. F. The E&D Waiver is administered and operated by the Division of Medicaid.