2021 Waiver, Amendment #7

Posted on Jun 2, 2023 in News

 2021 Waiver, Amendment #7

The Developmental Disabilities Division and the Med-QUEST Division are pleased to announce that Waiver Amendment #7 has been posted for public comments.  This waiver amendment includes the following additions and revisions:

  • Rates for services were increased to fully implement the 2020 rate study and the minimum wage law.
  • Telehealth was added to Discovery & Career Planning.
  • For services provided out-of-state to the participant, the limit of one staff providing supports was removed. Community Learning Services was expanded and may be provided out-of-state.
  • Respite was revised to include support provided in community settings.
  • Training and Consultation clarified who may receive the service to include participants, families, caregivers, support staff, and service supervisors. Training for Vehicle Modifications was removed.
  • Vehicle Modification expanded who may provide functional needs assessments to include clinicians working within the scope of their license.
  • Waiver Emergency Services changes to face-to-face interactions and provider qualifications.
  • A general change was made to service provision of nursing performed during delivery of the service, as needed:
    • Nursing is included in Adult Day Health (ADH) and Residential Habilitation (ResHab), as well as in provider-delivered Community Learning Services (CLS), Personal Assistance/Habilitation (PAB), and Respite.
    • Nursing is provided through Training & Consultation as a separate service for Community Navigator, Discovery & Career Planning (DCP), and Individual Employment Supports (IES), as well as Consumer-Directed CLS, PAB, and Respite.
  • The process for provision of waiver services on an emergency basis was defined.
  • Provider monitoring was expanded to include remote reviews in addition to in-person reviews.
  • The process for fiscal accountability of Electronic Visit Verification (EVV) was added.

You can find the document on the DDD website at https://health.hawaii.gov/ddd/waiver-providers/medicaid-idd-waiver-provider/ or:

Please send your comments in writing to [email protected]
Or to:
3627 Kilauea Avenue, Room 411
Honolulu, HI 96816

Comments must be received by 11:59 pm on July 17, 2023.