Let’s be honest: Getting the proper medical care for people with disabilities is costly in both time and money, and difficult to locate and access. When your loved one requires the level of care provided to individuals in a nursing facility but wants to hold on to their independence, it can be hard to find and afford the proper services to help maintain independence. That’s where the CADI waiver comes in.
The Community Access for Disability Inclusion (CADI) Waiver provides home and community-based care to children and adults with disabilities requiring a high level of care equivalent to that of a nursing facility. However, instead of receiving these services in a nursing facility, individuals can receive these services in the community or within their own homes through the CADI Waiver. Therefore, it’s vital to know how to qualify and apply for a CADI waiver at the appropriate time and which assisted living community is right for you.
As we stated above, CADI waiver programs are for both children and adults (under the age of 65 in Minnesota at the time the waiver is opened) who have disabilities requiring a level of care provided in a nursing facility but are living outside of that setting. For example, they live at home, or with caretakers, or in a senior living community but need extra disability services such as transportation and companionship.
There are six key requirements that someone must meet in order to be eligible for a CADI waiver.
There are income and asset requirements that affect one’s eligibility for a CADI waiver, and Medical Assistance as well. Therefore, working with a professional financial planner who specializes in Medical Assistance, Medicaid, and waivers is highly recommended to ensure you are receiving all of the benefits available for your specific situation. If your income exceeds that of the requirements, you may still be able to get Medical Assistance coverage using a “spend-down”. A spend-down lets you deduct certain medical expenses from your income. Medical Assistance will pay for covered services after your income is at or below the income limit after deducting these medical expenses. Again, working with a professional financial planner who specializes in Medical Assistance is recommended. You can also check with your County Health & Human Services office or assisted living facility for more specific details.
There are many services included under a CADI waiver for qualifying individuals. Below is a list of eligible services covered under the CADI waiver. For a service-specific policy page, we have included the link to the DHS CDCS webpage below. Settings covered under the CADI waiver include the applicant’s home, the home of their family member or caretaker, their assisted living facility, or an adult or child foster home (living costs are not covered under the CADI waiver, however).
Services covered under the CADI waiver program include:
(Policy specific information on each of these services can be found at CBSM – Community Access for Disability Inclusion (CADI) Waiver (state.mn.us)
Individuals can view more information on applications, assessment, eligibility, and support planning here.
Also, Sunflower Communities accepts both the CADI and Elderly Waiver at both of our facilities. In fact, all of our accommodations are eligible for the Community Access for Disability Inclusion (CADI) waiver with no private pay eligibility period.
Our professional care team can perform a comprehensive assessment to determine the level of care needed and work on your behalf with case managers to ensure everything gets processed appropriately and costs get finalized and approved. We want to ensure you and your loved ones that need extra care are more than welcome here, and we will do everything in our power to make sure they maintain their independence and quality of life at Sunflower Communities.
The Community Access for Disability Inclusion (CADI) waiver is a program that provides at-home & community living services for adults & children with disabilities that require nursing home-level care.
Applicants must be certified disabled by the State Medical Review Team or by the Social Security Administration, be under age 65, and require the level of care provided in nursing homes.
Among other services, Minnesota’s CADI waiver covers: 24-hour emergency assistance, caregiver living expenses, community residential services, extended home care nursing, & home-delivered meals.
