| The Traumatic Brain Injury Waiver provides funding for home and community-based services (HCBS) for children and adults who have an acquired or traumatic brain injury. TBI Waiver services may be provided in a person's own home, in his/her biological or adoptive family's home, in a relative's home (e.g. sibling, aunt, grandparent etc.), in a family foster care home, in a corporate foster care home, in a board and lodging facility or in an assisted living facility. If married, a person may receive TBI Waiver services while living at home with his or her spouse. |
Who is eligible for TBI Waiver services?
Eligibility for the TBI Waiver is determined through a screening process. To be eligible for the TBI Waiver a person must meet all these criteria: |
- Be a Medical Assistance recipient or be eligible for MA based on the person's own income or assets
- Be certified as disabled by the State Medical Review Team or by the Social Security Administration
- Be under the age of 65 years when the waiver is opened
- Be determined to need the level of care available in a nursing facility or neurobehavioral hospital
- Choose services in the community instead of services in a nursing facility or neurobehavioral hospital
- Have a documented diagnosis of traumatic or acquired brain injury or an acquired or degenerative disease diagnosis where cognitive impairment is present, provided the diagnosis is not congenital
- Experience significant/severe behavioral and cognitive problems related to the injury
- Be assessed at Level IV or above on the Rancho Los Amigos Levels of Cognitive Functioning Scale
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What else is important for participation in the TBI Waiver?
Once eligibility is determined for participation in the TBI Waiver, certain questions must be asked about services including: |
- Are the services necessary to ensure the recipient's health, welfare and safety?
- Is the service covered by any other funding source, for example, Medical Assistance state plan services, private health care coverage, Medicare, education or Vocational Rehabilitation Service funding?
- Have all options been assessed and does this option meet the individual desires, needs and preferences of the person?
- Is the cost of the service considered reasonable and customary?
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| In addition to services covered by Medical Assistance, what services are available through the TBI Waiver? |
- Adult day care services
- Assisted living services
- Behavior programming by professionals
- Case management and case aide services
- Caregiver support and training
- Consumer directed community support (CDCS)
- Chore services
- Companion services
- Extended cognitive rehabilitation therapy
- Extended home health aide and nursing services
- Extended home health therapies
- Extended personal care assistant services
- Extended supplies and equipment
- Extended transportation services
- Family counseling and training
- Foster care
- Home delivered meals
- Homemaker services
- Independent living skills and independent living therapies
- Mental health testing
- Modifications to home or vehicle
- Night supervision services
- Prevocational services
- Residential care services
- Respite care
- Structured day program services
- Supported employment services
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How can persons apply for the TBI Waiver?
You can apply for the TBI Waiver at Olmsted County Home & Community Care at 507 328-6400.
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