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Community Access for Disability Inclusion (CADI)

Community Access for Disability Inclusion in Roseville, Minnesota

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: 24-hour emergency assistance Adult companion services Adult day services Adult day services bath Behavioral support Caregiver living expenses Case management Case management aide Chore services Crisis respite Consumer directed community supports (CDCS) Customized living Customized living 24-hour Environmental accessibility adaptations Extended home care services Family adult day services Family training and counseling Foster care Home-delivered meals Homemaker Housing access coordination Independent living skills (ILS) training Night supervision services Prevocational services Residential care services Respite Specialized supplies and equipment Supported employment services Transitional services Transportation.
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	Out of state services Access Assessment Service planning Authorization Reassessment 65 years of age Changing waiver programs Termination
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)