90-L – Request for Medical Eligibility Determination
The Medical Eligibility Determination Form needs to be completed by the physician of the individual with developmental disabilities to be considered for or continue to receive waiver services.
Physician Instructions on How to Use Form 

Home and Community-Based Services

Medicaid home and community-based waiver programs allow people greater flexibility to choose where they want to live and to use services and supports that best suit their needs. Services provided must represent a least-restrictive treatment alternative. Each home and community-based waiver has specific service packages and eligibility requirements. Waiver opportunities are dependent upon funding and are also offered based on the individual’s need and priority level from their Screening for Urgency of Need (SUN) through the Request for Services Registry.

Tiered Waiver System

OCDD’s four developmental disability home and community-based waivers, New Opportunities Waiver (NOW), Residential Options Waiver (ROW), Supports Waiver, and Children’s Choice Waiver have now been operationalized to a tiered waiver system of service delivery, which will allow for individuals to be supported in the most appropriate waiver. To learn more, click here.

OCDD offers the following waiver services:

  • Children’s Choice Waiver offers supplemental support to children through age 18 who currently live at home with their families or with a foster family.
  • New Opportunities Waiver (NOW) offers people age 3 and older who otherwise would require the level of care of an Intermediate Care Facility for the Developmentally Disabled (ICF’s/DD) services that allow them to remain in their communities. Services are based on the need of the recipient and are developed using a person-centered process to formulate an individualized plan.
  • Residential Options Waiver offers people of all ages services designed to support them to move from ICF’s/DD and nursing facilities to community-based settings, and to serve as an alternative to institutionalization.
  • Supports Waiver offers focused, individualized vocational services to people age 18 and older who otherwise would require the level of care of an Intermediate Care Facility for the Developmentally Disabled (ICF’s/DD).

To apply for any of the above waivers, please contact the Regional Human Services District or Authority that serves your parish. 

Louisiana Department of Health – Regional Human Services Districts and Authorities:

updated 5/24/2022