Missouri currently has four HCBS 1915(c) waivers that serve children. Only the waiver for children with developmental disabilities waives parent income. For a general overview of programs, see their Home and Community Based Waivers page.

Missouri Advocacy Organizations:

Last updated 9/27/23

Programs in Missouri

Also called Sarah Lopez Waiver

  • Target Population: Children with developmental or intellectual disabilities.
  • Ages: 0-17
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: Yes, the waiver is based on the child’s income only. Parent income is not counted.
  • Waiver Type: 1915(c)
  • Spots: 366
  • Expiration Date: 6/30/2028
  • Description from medicaid.gov: Provides day habilitation, in-home respite, personal assistant services, support broker, applied behavior analysis, assistive technology, community networking, community specialist, crisis intervention, environmental accessibility adaptations-home/vehicle modification, health assessment and coordination services, individual directed goods and services, individualized skill development, out-of-home respite, remote supports, specialized medical equipment and supplies (adaptive equipment), and transportation services to individuals with intellectual disabilities or developmental disabilities ages 0-17 years who meet an ICF/IID level of care.
  • Online State Information: MOCDD or Sarah Lopez Waiver or this general information
  • Official Federal Information
  • How to Apply: Contact your Regional Office.
  • Waiting List: MO has recently implemented waitlists and there are 102 people on the list as well as 680 people with developmental disabilities currently on an interest list.
  • Target Population: Children and adults with developmental or intellectual disabilities, including autism, in most counties.
  • Ages: all ages
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: No
  • Waiver Type: 1915(c)
  • Spots: 3759
  • Expiration Date: 6/30/2028
  • Description from medicaid.gov: Provides day habilitation, personal assistant services, prevocational services, supported employment, dental, support broker, applied behavior analysis, assistive technology, benefits planning, career planning, community networking, community specialist, community transition, environmental accessibility adaptations-home/vehicle modification, family peer support, health assessment and coordination services, individual directed goods and services, individualized skill development, job development, occupational therapy, physical therapy, professional assessment and monitoring, remote supports, specialized medical equipment and supplies (adaptive equipment), speech therapy, temporary residential service, and transportation services to individuals with autism, intellectual disabilities, or developmental disabilities ages 0 or older who meet an ICF/IID level of care.
  • Online State Information: Partnership for Hope or this general information
  • Official Federal Information
  • How to Apply: Contact your Regional Office.
  • Waiting List: MO has recently implemented waitlists and there are 107 people with developmental disabilities currently on the list.
  • Target Population: Children and adults with developmental or intellectual disabilities.
  • Ages: all ages
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: No
  • Waiver Type: 1915(c)
  • Spots: 8750
  • Expiration Date: 6/30/2026
  • Description from medicaid.gov: Provides day habilitation, group home, in home respite, individualized supported living, personal assistant, prevocational services, supported employment, support broker, applied behavior analysis (ABA), assistive technology, benefits planning, career planning, community networking, community specialist, community transition, crisis intervention, environmental accessibility adaptations-home/vehicle modification, individual directed goods and services, individualized skill development, intensive therapeutic residential habilitation, job development, occupational therapy, out of home respite, physical therapy, professional assessment and monitoring, shared living, specialized medical equipment and supplies (adaptive equipment), speech therapy, and transportation for individuals with intellectual disabilities and developmental disabilities, ages 0 – no max age.
  • Online State Information: DD Comprehensive Waiver or this general information
  • Official Federal Information
  • How to Apply: Contact your Regional Office.
  • Waiting List: MO has recently implemented waitlists and there are 102 people on the list as well as 680 people with developmental disabilities currently on an interest list.

Also called Support Waiver

  • Target Population: Children and adults with developmental or intellectual disabilities.
  • Ages: all ages
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: No
  • Waiver Type: 1915(c)
  • Spots: 4800
  • Expiration Date: 6/30/2026
  • Description from medicaid.gov: Provides day habilitation, in home respite, personal assistant, prevocational services, supported employment, support broker, applied behavior analysis, assistive technology, benefits planning, career planning, community networking, community specialist, community transition, crisis intervention, environmental accessibility adaptations-home/vehicle modification, home delivered meals, individual directed goods and services, individualized skill development, job development,  occupational therapy, out of home respite, physical therapy, professional assessment and monitoring, specialized medical equipment and supplies (adaptive equipment), speech therapy, and transportation for individuals with intellectual disabilities and developmental disabilities, ages 0 – no max age.
  • Online State Information: Support Waiver or this general information
  • Official Federal Information
  • How to Apply: Contact your Regional Office.
  • Waiting List: MO has recently implemented waitlists and there are 102 people on the list as well as 680 people with developmental disabilities currently on an interest list.

Additional Information

Per its waiver applications, Missouri does not allow parents/guardians of minors to be paid for personal care.