Waiver Application

A Step-by-Step Guide for Individuals Seeking Services

You are not alone—this roadmap is here to help. It explains the main steps to apply for Medicaid and waiver services, with a clear, step-by-step look at what to do, what paperwork you may need, who you may work with, and what to expect along the way.

This process can take time, and it’s normal for it to feel overwhelming at times—especially while you’re balancing everyday life. The good news is that it is doable. Focus on one step at a time, keep copies of what you submit, and reach out for support when you need it. Each step you complete is real progress, and it brings you closer to the services your family needs.

A Note About the Process

Many steps in this roadmap can happen at the same time. For example, while Medicaid is being processed, you can call your local Case Management Agency (CMA) to start the intake process and you may also be gathering doctor forms and evaluation reports. It is also common to get a “no” or a request for more information early on. That does not mean it is over—it often just means the state needs more details before they can say “yes.” For some families, approval happens only after every step is finished and all paperwork is reviewed together.

This process can feel overwhelming, especially when you are also caring for yourself or a loved one every day. Try to take it one step at a time and celebrate small progress (like turning in one form). If you need help, you can ask an advocate for support or contact a case manager at The Health Partnership or Healthy Young Minds. Most importantly, keep going—each step you complete helps you or your family member get closer to services.

A Step-by-Step Guide for Families

  1. Apply for Long-Term Care Medicaid (Timeline: Typically within 60 days, but can vary.)
  2. Identify Disability Type (Timeline: Immediate to several weeks , longer if new evaluations are needed)
  3. Complete Eligibility Paperwork (Timeline: ~1 day to 2+ weeks)
  4. Case Management Agency (CMA) Intake (Timeline: Up to 90 days)
  5. The 100.2 Assessment (Functional Assessment)
  6. Service Planning & Choosing Your Supports Timeline: ~1–3 weeks after eligibility is approved
  7. Starting Services Timeline: ~1–4+ weeks (depending on provider and staffing)