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Services included in the Acquired Brain Injury (ABI) and Moving Forward Plan (MFP) waivers

Descriptions of services included in the ABI and MFP waivers.

This table provides general descriptions of each service included in the ABI and MFP waivers.

Yes means the service is included in the waiver indicated.

No means the service is not included in the waiver indicated.

Your Case Manager/Service Coordinator will work with you to develop a Plan of Care which will include services that align with your goals and needs.  There may be limits to certain services. You can find more information in the ABI/MFP Participant Handbook.

Some of the services listed below may be self-directed. Self-direction allows you to choose who provides your services, set your provider’s schedule, and decide what tasks your provider performs. If you choose this option, you become the employer of the direct care worker.

If you are a participant with questions about waiver services, please contact your Case Manager/Service Coordinator.

Table of services included in ABI and MFP waivers

Key to abbreviations in this table

ABI-N                    Acquired Brain Injury–Non-Residential Habilitation Waiver

MFP-CL                Moving Forward Plan–Community Living Waiver

ABI-RH                  Acquired Brain Injury–Residential Habilitation Waiver   

MFP-RS                Moving Forward Plan–Residential Supports Waiver

ServiceService DescriptionABI-NMFP-CLABI-RHMFP-RS
Adult CompanionThis service includes nonmedical care, supervision, and socialization. Companions may help you with your daily activities such as meal preparation, laundry, shopping, and community involvement.YesYesNoNo
Assisted Living ServicesThese services include personal care and supportive services provided to participants who live in an assisted living residence. Supportive services are homemaking, chore services, personal care, meal preparation, and other supports. Services do not include 24-hour skilled care.NoNoYesYes
Assistive Technology

This service provides support in two ways: Assistive Technology (AT) devices and Assistive Technology (AT) evaluation and training.

AT devices are an item, piece of equipment, or product system that participants use to develop, increase, maintain, or improve their functional capabilities, and to support the achievement of their goals. AT devices can be used for telehealth.

AT evaluation and training assesses participants’ AT needs, selects and customizes devices, and provides training.

YesYesYesYes
Chore ServiceChore services are occasional heavy household chores that are needed to keep the home clean and safe, such as washing windows, floors, and walls; moving heavy items of furniture; and shoveling snow to provide safe access and egress.YesYesNoNo
Community Based Day SupportsServices include a range of daytime activities to promote personal and social interactions and community engagement. Community Based Day Supports may include exploring careers, developing independent living skills, pursuing personal interests and hobbies, and other experiences to support your full participation in community life. This service is provided in a small group.YesYesYesYes
Community Behavioral Health Support and NavigationThis is an outreach and support service for participants who need help accessing behavioral health and other medical services. Community Behavioral Health Support and Navigation is a flexible, mobile service that fits your individual needs. It may include developing plans and strategies to support your recovery and wellness, helping you connect with behavioral health and other healthcare services, finding peer support, and helping develop your self-advocacy skills so you can participate fully in your treatment and service planning. Community Behavioral Health Support and Navigation is not a clinical treatment service.YesYesYesYes
Day Services

This service provides structured day activity, typically for participants who

  • are not ready to join the general workforce; or
  • are employed part-time and need a supervised program of services during the time that they are not working; or
  • are of retirement age.

Day Services often include support for learning or improving daily living and functional skills and other skills training and activities so participants can be more fully involved in the community and have greater independence.

YesYesYesYes
Family TrainingThis service provides training and instruction to participants and unpaid family caregivers about ways to help the participant succeed in the community. Family training may include training in family leadership, support of self-advocacy, and independence.YesYesYesYes
Home Accessibility Adaptations

This service includes physical modifications necessary to ensure the health, safety, and autonomy of the participant. This may include the installation of ramps and grab-bars, widening of doorways, modification of bathroom facilities, or the installation of specialized electric and plumbing systems.

This service has a lifetime limit of $50,000 per participant.

YesYesYesYes
Home Health AideHome Health Aides provide hands-on care and additional assistance with personal care functions.YesYesNoNo
Home Delivered MealsThis service provides well-balanced meals to participants to maintain optimal nutritional and health status.YesYesNoNo
HomemakerServices consist of the performance of general household tasks such as meal preparation and routine household care when the individual regularly responsible for these activities is temporarily absent or unable to manage the home.YesYesNoNo
Independent Living SupportsThese supports are provided in multi-tenant buildings, such as elderly/disabled public housing. Supports are available for participants who have occasional needs, but do not require 24-hour supervision. Services available include help with activities of daily living and instrumental activities of daily living, support and companionship, emotional support, and socialization.  This service does not include hands-on nursing care.YesYesNoNo
Individual Support and Community Habilitation

This service provides supports necessary for the participant to learn and/or retain the skills necessaryto establish, live in, and maintain a household of their choosing in the community.  These supports include finding housing and  learning, retaining, or improving skills related to personal finance, health, shopping, use of community resources, community safety, and other social and adaptive skills needed to live in the community.

Participants of the ABI-RH and MFP-RS waivers may only receive this service if they are also receiving Assisted Living services.

YesYesYesYes
LaundryThis service includes picking up, washing, drying, folding, wrapping, and returning of laundry.   Clothes are washed, dried, folded, and wrapped off-site and returned to the participant at their home.YesYesNoNo
Occupational Therapy

This service is provided by a licensed occupational therapist and is designed to improve quality of life by developing or recovering competence, preventing further injury or disability, and improving the participant’s ability to perform tasks required for independent functioning. Services may also include training and oversight for the participant, family member, or other person to carry out a maintenance program.

This service is limited to one individual treatment and one group therapy session per day.

YesYesYesYes
Orientation and Mobility ServicesThis service helps participants with a vision impairment or blindness learn how to move or travel safely and independently in their home and community, including public transportation. Services can also include support for caregivers to learn about blindness and low vision and can provide information and resources for living with blindness and low vision in the community.YesYesYesYes
Peer SupportThis service provides training, instruction and mentoring to enhance the skills of the participant to function in the community and family home.YesYesYesYes
Personal CareThis service provides a range of assistance that may take the form of hands-on assistance (actually performing a task for the person) or cuing and supervision to prompt the participant to perform a task. Such tasks may include bathing, dressing, personal hygiene, light personal housekeeping, meal preparation, and other activities of daily living.YesYesNoNo
Physical Therapy

This service is performed by a licensed physical therapist. Physical therapy helps the participant

  • improve, develop, correct, rehabilitate, or prevent the worsening of the physical functions that have been lost, impaired or reduced as a result of acute or chronic medical conditions, congenital anomalies or injuries; or
  • maintain or prevent the worsening of function.

Services may include training and oversight necessary for the participant, family member, or other person to carry out a maintenance program.

YesYesYesYes
Prevocational ServicesThese services provide a range of generalized learning and experiential activities that prepare a participant for paid or unpaid employment in an integrated, community setting.YesYesYesYes
Residential HabilitationServices and supports provided in a provider-operated group home setting that help individual residents with activities of daily living, medication, meal preparation, and to learn, maintain, or improve skills necessary to live in the community. Supports include personal care, protective oversight and supervision, and skills training. The setting includes 24-hour staffing and must be accessible for residents.NoNoYesYes
RespiteThis service is provided on a short-term basis to relieve informal caregivers from the daily demands of caring for a participant and to strengthen the informal support system.YesYesNoNo
Shared Home SupportsThis service matches a participant with a Shared Home Supports caregiver. The caregiver lives with the participant at the residence of either the caregiver or participant and provides daily structure, skills training and supervision.  This service does not include 24-hour care.YesYesNoNo
Shared Living – 24 Hour SupportsThis service matches a participant with a Shared Living caregiver. The caregiver lives with the participant at the residence of either the caregiver or participant and offers support, personal care, daily structure, and supervision.  Shared Living is an individually tailored 24 hour/7 day a week supportive service. NoNoYesYes
Skilled Nursing

Skilled Nursing Services are provided by a Registered Nurse or a Licensed Practical Nurse and may be provided to a participant who needs medication monitoring or education about management of health conditions.

This service can be provided only once a week, but exceptions may be granted on a temporary basis.

YesYesYesYes
Specialized Medical EquipmentThis service allows participants to get medical equipment and supplies that enable them to increase their independence.YesYesYesYes
Speech Therapy

This service must be provided by a licensed speech therapist. Speech therapy must be considered by the therapist to be necessary for the participant either to improve, develop, maintain, correct, or rehabilitate speech or language communication or improve swallowing disorders.

Services may also include training and oversight for the participant, family member, or other person to carry out a maintenance program.

YesYesYesYes
Supported EmploymentThis service consists of intensive, ongoing supports that enable participants, for whom competitive employment at or above the minimum wage is unlikely absent the provision of supports, and who, because of their disabilities, need supports, to perform in a regular work setting. Supported employment may include helping the participant find a job or develop a job on behalf of the participant.YesYesYesYes
Supportive Home Care AideThis service provides personal care and homemaking services, as well as emotional support and socialization, to participants with Alzheimer’s disease or dementia or behavioral health needs.YesYesNoNo
Transitional Assistance Services

The services include assistance and coverage of one-time expenses to participants who are transitioning from facilities to set up their households.

Assistance may include housing search and navigating the move.

Expenses may include security deposits, furnishings, set-up fees for utilities or service access, pest eradication, one-time cleaning before occupancy, moving expenses, and necessary accessibility adaptations. Expenses do not include room and board.

YesYesYesYes
TransportationThis service enables participants to gain access to waiver and other community services, activities, and resources when other transportation is not available.YesYesYesYes
Vehicle ModificationVehicle adaptations or alterations include those made to a car or van that is the participant’s primary means of transportation in order to accommodate the special needs of the participant.YesYesNoNo
Last updated: April 15, 2025

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