Community Choices Waiver (CCW)

What is the Community Choices Waiver program?

The Community Choices Waiver (CCW) is a home and community-based service that serves older adults and persons with adult onset disabilities.  CCW contains a wide array of services, including support coordination, nursing and skilled therapy assessments and services, in-home monitoring systems, home modifications and assistive technologies, personal care, home-delivered meals, monitored in-home caregiving, and caregiver respite.

This program DOES NOT provide help 24 hours per day.

Who qualifies for the CCW program?

In order for individuals to qualify for the CCW program, they must:

• Meet long-term care (LTC) Medicaid eligibility; AND
• Be 21 years old or older; AND
• Meet nursing home level of care.

How are CCW opportunities offered to applicants?

1. People who have been abused or neglected and are referred by protective services who, without CCW services, would need to go to a nursing home to prevent further abuse and neglect.
2. People diagnosed with amyotrophic lateal sclerosis (ALS), also know as Lou Gehrig's disease.
3. People who are residing in a State of Louisiana Permanent Supportive Housing (PSH) unit or who are linked for the PSH selection process. 
4. People living in a nursing home and Medicaid is the only payer of the nursing home services.
5. People who require expedited waiver services, who are approved for 32 hours of Long Term-Personal Care Services (LT-PCS) and will require nursing home placement unless offered an expedited waiver opportunity.  
6. People who are not getting services from the Program of All-Inclusive Care for the Elderly (PACE), Long Term-Personal Care Services (LT-PCS), or another Home and Community-Based Services (HCBS) program paid for by Medicaid.

Everyone else will get a CCW offer on a first-come, first-served basis based on the date they asked for services.

What services does the CCW program provide?

Support Coordination

A support coordinator helps you get the services that you need (also known as case management).

Personal Assistance Services

Helps with basic self-care such as bathing, dressing, preparing meals, etc.

Adult Day Health Care (ADHC) Services

Health/medical care and social services are provided in a community-based ADHC center.

Assistive Devices and Medical Supplies

Assistive devices and systems, medical equipment, and supplies are available for additional support.

Personal Emergency Response System

A device worn around the neck calls for emergency help when you push a button.

Assistive Technology

This service provides an electronic tablet device, a screen protector and a protective case.

Financial Management Services

Assists with hiring workers that help with basic self-care needs; a provider helps with payroll.

Environmental Accessibility Adaptations

Home modifications such as ramps, widened doorways, grab bars, roll-in shower, etc.

Therapy Services

Physical, occupational or speech/language therapies.

Nursing Services

A nurse can provide necessary in-home care.

Home Delivered Meals

Up to two meals per day delivered to your home.

Caregiver Temporary Support

Short-term relief to allow caregivers time for rest (also known as respite care).

Permanent Supportive Housing (PSH)

Helps you get a house or apartment.

Monitored In-Home Caregiving (MIHC)

A principal caregiver lives with you and helps you with basic self-care, such as dressing, bathing, etc.

If you are in a nursing home, you can get the following services:

• Transition Intensive Support Coordination: A support coordinator helps you move out of the nursing home.
• Transition Service: Pays for items that you need when you are moving out of a nursing home.

Learn more about the CCW Waiver:

For more info, contact Louisiana Options in Long Term-Care at 1-877-456-1146.
TTY: 7-1-1 for individuals with hearing or speech difficulties.