Home and community-based services (HCBS) can help eligible people receive long-term supports in everyday community settings. There is no single national I/DD application or identical waiver benefit. States design programs within federal requirements; target populations, financial criteria, service options and enrollment limits can differ.
Start with the official developmental-disability agency for your state. Ask which program fits the person’s age and support needs, what documentation is required, whether a separate Medicaid determination is needed, and how enrollment or waiting-list status is communicated. Keep copies and submission receipts. An agency referral, disability diagnosis or Medicaid card alone does not establish that a particular service or provider is funded. Ask for the decision and next steps in an accessible format.