Comprehensive and Supports Waiver

Sep 12, 2019

We provide services under the Comprehensive and Supports Waiver!

For a brief overview of the comprehensive and supports waiver program and eligibility requirements visit our services page

Now let’s take a deep dive into this waiver program, the services offered, and LIV Health’s role, ready, set, go…


This waiver program promotes truly person-centered services for participants to have more independence, find and maintain employment, increase relationships and be more outcomes-based. Joe Simpson, the Administrator for the Developmental Disabilities Section of the Behavioral Health Division says, we want to “optimize the services provided to current clients and to extend appropriate services to persons currently on a waiting list for waiver services.”


Waiver programs can waive certain restrictions of the State Medicaid Plan to allow the state to fund additional services not covered by another paid or unpaid source. The goal of these programs is to support an individual in his or her own community. They provide services for people with a higher level of need and help avoid institutional care. These waivers are administered by the Behavioral Health Division in Wyoming.

Comprehensive and Supports Waiver Mission:

Providing services to eligible persons of all ages with intellectual and developmental disabilities with a higher level of services needed. Waiver services help an individual actively participate in the community with friends and family, be competitively employed, and live as healthy, safe, and independently as possible in the least restrictive way. Services and supports are person-centered and honor one’s own choices and preferences.

What services can be provided under this waiver program?

  • Case Management (that’s us, LIV Health)
  • Adult Day Services (over age 21)
  • Behavioral Support Services
  • Child Habilitations Services (under 18, and available under self-directed services as well)
  • Cognitive Retraining
  • Community Integration Services
  • Companion Services (over age 18, also available under self-directed services)
  • Dietician Services
  • Environmental Modifications
  • Employment Discovery and Customization
  • Homemaker (also available under self-directed services)
  • Independent Support Broker (also available under self-directed services)
  • Individual Habilitation Training (under age 21, available under self-directed services)
  • Personal Care (also available under self-directed services)
  • Physical, Speech, and Occupational Therapy (under age 21)
  • Prevocational (over age 18)
  • Residential Habilitation (over age 18, shared living available under self-directed services)
  • Respite (available under self-directed services)
  • Skilled Nursing
  • Special Family Habilitation Home (under age 21)
  • Specialized Equipment and Supplies (self-directed goods and services available)
  • Supported Living Services (over age 18 and available under self-directed services)
  • Supported Employment (over age 18, also available under self-directed services)
  • Supported Employment Follow Along (over age 18)
  • Transportation


  • Must be a U.S. Citizen
  • Resident of Wyoming
  • Meets ICF/IID level of care
  • Financial eligibility requirements
  • Has a clinical eligibility diagnosis, learn more here
  • Qualifies on the Inventory for Client Agency Planning (ICAP) Assessment (more on this in a minute)
  • Assessed service needs in excess of $30,000, meet emergency criteria or meets one of the Comprehensive Waiver Reserved Capacity slots.


The Inventory for Clients and Agency Planning is an assessment for the person’s functioning level. This involves gathering information to determine the type and amount of special assistance that the applicant may need. It measures motor skills, social and communication skills, personal living skills, and community living skills. This is where we come in, a LIV Health case manager (or case manager of your choosing) will use a checklist to assist the applicant in obtaining all the required documentation for this assessment. The process can take up to 60 days.

HOW DO I APPLY FOR THE comprehensive and supports WAIVER?

Step 1: Contact the Behavioral Health Division – DD Section in your county to arrange a time to meet in person or by phone. For county contact information click here.

Step 2: Meet with your participant support specialist to discuss,

  1. Application Process
  2. Service options for community-based or institutional services
  3. List of Case Managers

Step 3: Complete the application and other forms

  1. Application form
  2. Case Management Selection form
  3. Level of Care form
  4. Inventory for Client and Agency Planning (ICAP) checklist


This is where we at LIV Health come in, one of our case managers can help you gain access to services by coordinating needed assessments and evaluations. We can develop and monitor your individualized plan of care, monitor your health and welfare, address problems that may arise, and help you navigate the system. Your case manager can facilitate the development of your plan of care through team meetings, monitoring the budget and following up with concerns. We will make sure that whatever is written and agreed upon by team members in your plan of care is completed and taken care of. We will do home visits each month to check-in and make sure everything is going as planned! At LIV Health, we understand how intimidating this can be, to look at a towering stack of paperwork and wonder, “Where do I even start?” We’ve been navigating the system long enough to know exactly where to start and how to use our knowledge and resources to arrive at the best outcome for you!

To learn more about LIV Health and our team,

It can be a great idea to interview potential case managers or agencies before choosing one, here are some questions you may want to ask…

  1. Do you have any openings on your caseload? If so, how quickly can we get started?
  2. Would you describe your experience working with persons with disabilities?
  3. Are you available to meet with me outside of normal business hours?
  4. Communication and confidentiality are important to me, would you provide examples of how you would honor both of these concerns?
  5. Is your current caseload manageable so that you can take on a new participant?
  6. Are you committed to helping me access other services that I need while waiting for waiver approval?
  7. When funding is made available to me, will you continue to provide case management services?

For the full Comprehensive and Support Waiver Participant Guide,

We are here to help, and we offer care that comes to you. We love the people we serve and want what’s right for you! Our caring, compassionate staff operates under a “patient-first” mindset, working one-on-one to develop, then build upon a solid relationship of trust, security, and peace of mind. If this speaks to you and you’re interested in learning more, reach out, we would love to hear from you!
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