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Traumatic Brain Injury (TBI) Waiver

 

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
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?
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
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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