Pathway to Care

Understanding HCBS Eligibility

Find Out If Your Child Is Eligible For Comprehensive Home and Community-Based Services.

Your child’s diagnosis opens the door to personalized HCBS care, marking the start of an empowering path forward. It’s not just a label; it’s a beacon of hope, guiding us to create a care plan that resonates with your child’s unique journey. Our role is to illuminate this path, helping you navigate through the complexities of eligibility with ease and confidence. 

Understanding HCBS Eligibility

Find Out If Your Child Is Eligible For Comprehensive Home and Community-Based Services.

Your child’s diagnosis opens the door to personalized HCBS care, marking the start of an empowering path forward. It’s not just a label; it’s a beacon of hope, guiding us to create a care plan that resonates with your child’s unique journey. Our role is to illuminate this path, helping you navigate through the complexities of eligibility with ease and confidence. 

HCBS Eligibility Criteria at a Glance

To be eligible for HCBS services a child must have a diagnosis of two or more chronic conditions OR have a diagnosis for a single qualifying chronic condition and be experiencing significant behavioral, medical, social risk, or complex trauma.

Physical Conditions

Chronic physical conditions encompass a broad range of persistent and long-lasting medical issues that can significantly impact an individual’s quality of life. These conditions often require ongoing medical attention and may limit daily activities.

Emotional Disorders

Emotional disorders comprise a vast and diverse range of psychological conditions that affect a person’s thinking, feeling, behavior, and overall functioning. These disorders can significantly influence daily living, relationships, and well-being.

Neurological and Developmental Disorders

Neurological and developmental disorders encompass a wide range of conditions that affect the nervous system and developmental processes in individuals. These disorders can present at birth or develop over time and often impact a person’s ability to function socially, academically, and physically.

Complex Traumas

Complex traumas refer to multifaceted, often interconnected traumatic experiences that can have profound and lasting effects on an individual’s mental, emotional, and physical well-being. This category encompasses a wide array of traumas that may occur over a prolonged period or in various contexts.

Age and Residency Criteria

Ensuring Access for Eligible Ages.

HCBS services cater to children and youth from birth up to 21 years old who are residents of our state. Our team is here to help you with straightforward guidance on verifying your child’s age and residency, ensuring seamless access to the support they need.

Age and Residency Criteria

Ensuring Access for Eligible Ages.

HCBS services cater to children and youth from birth up to 21 years old who are residents of our state. Our team is here to help you with straightforward guidance on verifying your child’s age and residency, ensuring seamless access to the support they need.

Qualifying Diagnoses

Tailored Support for Diverse Needs.

HCBS eligibility extends to children facing diverse challenges, including those with Serious Emotional Disturbance (SED) — such as Anxiety, ADHD, or Bipolar Disorders — and those who are Medically Fragile, including conditions like Cerebral Palsy or Epilepsy. Our role is to simplify the process for you, offering guidance on how to document your child’s condition to meet eligibility criteria, ensuring they receive the specialized care and support they deserve.

Qualifying Diagnoses

Tailored Support for Diverse Needs.

HCBS eligibility extends to children facing diverse challenges, including those with Serious Emotional Disturbance (SED) — such as Anxiety, ADHD, or Bipolar Disorders — and those who are Medically Fragile, including conditions like Cerebral Palsy or Epilepsy. Our role is to simplify the process for you, offering guidance on how to document your child’s condition to meet eligibility criteria, ensuring they receive the specialized care and support they deserve.

Medicaid Enrollment

Understanding Medicaid's Role in HCBS.

Medicaid enrollment is a crucial part of the eligibility process for accessing HCBS services. Our experts are here to guide you through the intricacies of Medicaid requirements and explain how they pertain to securing HCBS access for your child. With our support, navigating Medicaid’s role becomes simpler, ensuring you have all the information needed to proceed with confidence.

Medicaid Enrollment

Understanding Medicaid's Role in HCBS.

Medicaid enrollment is a crucial part of the eligibility process for accessing HCBS services. Our experts are here to guide you through the intricacies of Medicaid requirements and explain how they pertain to securing HCBS access for your child. With our support, navigating Medicaid’s role becomes simpler, ensuring you have all the information needed to proceed with confidence.

Assessment of Needs

Evaluating the Need for Specialized Care.

Assessing your child’s specific needs and conditions is vital for HCBS eligibility, determining if it’s the right care solution. We streamline this process, focusing on identifying the precise services that match your child’s unique situation.

Assessment of Needs

Evaluating the Need for Specialized Care.

Assessing your child’s specific needs and conditions is vital for HCBS eligibility, determining if it’s the right care solution. We streamline this process, focusing on identifying the precise services that match your child’s unique situation.

Start Your Journey

Ready to Start the Eligibility Process?

Our team is here to guide you every step of the way in determining HCBS eligibility for your child.