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Community Access for Disability Inclusion (CADI)

Page posted: 10/1/03

Page reviewed: 12/22/10

Page updated: 11/18/16

Legal authority

Federally approved CADI Waiver Plan , Minn. Stat. §256B.49

Definition

Community Access for Disability Inclusion (CADI) Waiver: Home and community-based services necessary as an alternative to institutionalization that promote the optimal health, independence, safety and integration of a person who would otherwise require the level of care provided in a nursing facility.

Eligibility

To be eligible for the CADI Waiver, a person must choose the CADI Waiver and meet all of the following criteria:

1. Eligible for Medical Assistance (MA)
2. Certified disabled by Social Security or the State Medical Review Team (SMRT) process
3. Under age 65 at time of opening to the waiver
4. Determined by the case manager/service coordinator to need nursing facility level of care
5. Has an assessed need for supports and services over and above those available through the MA State plan.

Nursing facility level of care criteria

To meet the requirements for a nursing facility level of care, a person must demonstrate the need for assistance because of one or more of the following:

  • Cognitive or behavioral condition
  • Existence of complicating conditions
  • Frailty or vulnerability
  • Functional limitation
  • Need for complex care management
  • Need for restorative and rehabilitative or other special treatment
  • Unstable health.

Covered services

The following services are covered under the CADI Waiver. For a service-specific policy page, select a service from the list:

Local waiver program administration

Local county or tribal administration acting as agents for the state Medicaid agency and DHS have many responsibilities. See the state and county/tribal responsibilities for waiver management section on CBSM – Waiver programs overview.

Waiver forms

For a comparison grid of forms applicable across and/or specific to waiver programs, see CBSM — Required waiver forms .

Process and procedure

Additional resources

CBSM – CADI Waiver waiting list guide
CBSM – Waiver/AC provider enrollment and standards
CBSM – Waiver general process and procedures (BI, CAC, CADI, DD)
CBSM – Waiver programs overview
CBSM – Waiver rates and billing
Community Access for Disability Inclusion (CADI) Waiver brochure, DHS-2826 (PDF)
Comparison of LTCC, RSC and CAC, CADI and BI waivers for persons with disabilities (PDF)
Nursing Facility Level of Care, DHS-3361 (PDF)

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