Federal Programs

Medicaid Waiver

The Medicaid Waiver, a.k.a. Home and Community Based Services Waiver (HCBS) is a Federal (Centers for Medicaid and Medicare Services/CMS) reimbursement program that enables the State Department of Developmental Services/DDS to recapture money they spend to keep clients with disabilities in community settings rather than institutions. California receives a 50% federal refund for Regional Center reimbursable purchases for Med Waiver eligible clients Waiver.
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Nursing Home Reform

Nursing Home Reform (NHR) provisions originated from the federal Omnibus Budget Reconciliation Act of 1987 and requires that persons who have or are suspected of having a developmental disability be professionally assessed prior to or upon admission to a nursing facility to determine if they do have a developmental disability, are appropriate for nursing home placement and if they require specialized services.


It is primarily a funding program. Section 1915(i), under Title XIX of the Social Security Act, allows Department of Developmental Services (DDS) to access Federal reimbursement funding for services purchased for Regional Center consumers who have MediCal but do not have the qualifying conditions required for the Medicaid Waiver. Read more.