Home and Community Based Services (HCBS) Waiver Programs

Proposed Waiver Renewal

Utah’s 1915 (c) Medicaid Home and Community Based Services (HCBS) Acquired Brain Injury Waiver (ABI Waiver) expires June 30, 2024. In order to continue operations of this waiver, the Division of Integrated Healthcare (DIH) Office of Long Term Services and Supports (LTSS) acting as the State Medicaid Agency (SMA). The SMA is the single state agency that retains administrative authority of the ABI Waiver. This waiver allows for the provision of HCBS to individuals meeting a Nursing Facility level of care.

The SMA must submit a waiver renewal application to the Centers for Medicare and Medicaid Services (CMS) no later than March 31, 2024.

A copy of the proposed State Implementation Plan can be viewed here:

An overview of the changes can be found in this Executive Summary: Word Doc | PDF opens in a new tab

Public Comments will be accepted through March 30, 2024 in the following ways:

Mail: Utah Department of Health and Human Services
     Division of Integrated Healthcare
     Attn: HCBS Waiver Public Comments
     PO BOX 143112
     Salt Lake City, UT 84114-3112

Advisory committee strategy report - November 2024.

The report was written and developed by the Strategy Report Advisory Committee as required by the Settlement Agreement between the State and the Disability Law Center in Christensen v. Miner.

The report includes “recommendations for policies and practices that the state may choose to implement to further reduce the institutionalized population of individuals with intellectual and developmental disabilities in ICFs over the subsequent ten years."

General Information

Utah Has Nine Medicaid 1915(c) HCBS Waivers:

  • Acquired Brain Injury Waiver
  • Aging Waiver (For Individuals Age 65 or Older)
  • Community Supports Waiver for Individuals with Intellectual Disabilities or Other Related Conditions
  • Community Transitions Waiver
  • Medically Complex Children’s Waiver
  • New Choices Waiver
  • Physical Disabilities Waiver
  • Waiver for Technology Dependent Children
  • Limited Supports Waiver