Waiver Programs


What is CCW?

The Community Choices Home and Community Based Services Waiver, CCW, is also called the Assisted Living Facility and Long Term Care Waiver. This is a Medicaid program and provides long-term care services for individuals who require a nursing home level of care, but choose to remain living in the community (their home, the home of a family member, or an assisted living residence) rather than in a nursing home.

What is the Assisted Living Facility (ALF) Waiver?

The Assisted Living Facility Waiver, ALF, provides for personal care services in an Assisted Living Facility.

What is the Long Term Care (LTC) Waiver?

The Long Term Care Waiver, LTC, provides personal care services in the home.

What is Medicaid?

Medicaid is the state and federal partnership that provides health coverage for selected categories of individuals with low income and limited resources.

Program Costs:

What is the cost of in-home services under the waiver?

None. The recipient is not responsible to contribute towards the cost of services provided under the LTC waiver.

What is the cost of ALF Services under the waiver?

A recipient is responsible to pay the room and board cost.

What is the cost of LTC Services under the waiver?

A recipient is not responsible for paying toward the cost of services provided under the LTC Waiver, however, co-payments may apply.

Benefits of Each Program:

In-home services:

  • Allows eligible participants to serve as the employer of their care provider
  • You can choose who will be their paid caregiver
  • Family members, such as an adult child, can be hired as the direct service worker. (Note, spouses, legal guardians,  power of attorneys for health care, power of attorneys, and health care directive designees cannot be hired to provide care.)
  • Direct Service workers earn approximately $10 – $12/hour and cannot work in excess of 40 hours/week.

Individuals using the In-Home Participant Directed Option must have the ability to, direct their own care. For those unable to manage these activities, a family member with power of attorney for health care may be able to do so on their behalf. Including:

  • All aspects of being an employer
  • Hiring/Firing
  • Training

ALF Services:

  • Case Management
  • Homemaker
  • Medication Management
  • Personal Care
  • Supervision, safety, and security
  • 24-hour on-site response staff

(Note: the amount of services provided is based on the LT-101 score.

LTC Services: (note, personal care can be self-directed)

  • Adult daycare
  • Case management
  • Home delivered meals
  • Non-medical transportation
  • Personal care
  • Personal emergency response system
  • Respite care
  • Skilled nursing services

Comprehensive and Supports Waiver Image

Comprehensive and Supports Waiver

The goal of the comprehensive and supports home and community-based waiver program is to support an individual with disabilities in his or her own community as an alternative to institutional or nursing facility care.

Comprehensive and Supports Waiver Mission:

To provide supportive services to eligible persons of all ages with an intellectual or developmental disability, or an acquired brain injury, so they can actively participate in the community with friends and family, be competitively employed, and live as safely and independently as possible according to their own choices and preferences.


Eligibility Requirements:

  • Be a legal United States citizen
  • Be a Wyoming resident as determined by Medicaid
  • Meet the level of care criteria (LT-104 for intellectual or developmental disability, or LT-101 for an acquired brain injury
  • Meet financial eligibility
  • Meet one of the following clinical eligibility diagnoses:
    • a diagnosis of intellectual disability
    • a developmental disability or a related condition
    • an acquired brain injury
  • Once clinical eligibility is met, qualify on the Inventory for Client and Agency Planning assessment, as administered by the Wyoming Institute for Disabilities (WIND).

Steps to Get Started

  1. Contact Behavioral Health Division at 307.777.7115, or bhdmail@wyo.gov
  2. Select Case Management/Agency
  3. Level of Care Assessment
  4. Financial Eligibility
  5. Psychological or Neuropsychological Evaluation
  6. Inventory for Client Agency Planning (ICAP)
  7. Waiver Eligibility
  8. Waitlist
  9. Funding Eligibility

If you are determined financially and clinically eligible for the Supports Waiver, you will receive an approval letter. Likewise, if you are determined financially or clinically ineligible for Supports Waiver services, you will receive a denial of eligibility letter from the Behavioral Health Division.

If you have any questions regarding the Comprehensive and Supports Waiver, click below

We would be happy to help answer questions you may have as well.

Do you have questions about the community choices waiver or other programs we can help with?

Give us a call at 307-630-4729 in Wyoming or 970-888-4070 in Colorado, or fill out our referral form today.