Home and Community Based Services (HCBS) Waiver Programs

Proposed Waiver Renewal

The New Choices Waiver (NCW), 1915 (c) Medicaid Home and Community Based Services (HCBS) program is set to expire on June 30, 2025.In order to continue operation of this waiver, the Division of Integrated Healthcare (DIH), Office of Long Term Services and Supports (LTSS) acting as the State Medicaid Agency (SMA) is required to submit a renewal application no later than March 31, 2025 to the Centers for Medicare and Medicaid Services (CMS).

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

New Choices Waiver: Word Copy | PDF

An executive summary has been prepared to outline the major changes to the program. This summary can be found here: Word Copy | PDF

Public Comments will be accepted through March 30, 2025 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