The Brain Injury (BI) Waiver is a home and community-based services waiver. It helps you get services and support in your home and community instead of in an institution.
The Maryland Department of Health Behavioral Health Administration runs this waiver program for Medicaid. This is known as the Operating State Agency (OSA). The OSA focuses on serving the people in the waiver and manages specific waiver services.
Am I eligible for the BI Waiver?
You must meet all the medical, technical and financial rules to be eligible for this waiver.
- Medical Eligibility Rules:
- Have a brain injury diagnosis for an injury that happened after the age of 17.
- Need nursing facility or chronic hospital level of care.
- Technical Eligibility Rules:
- Be 22 to 64 years old.
- Must be an inpatient in one of the following:
- State psychiatric hospital
- State or private nursing facility
- Maryland-licensed special hospital for chronic disease - CARF-accredited for brain injury inpatient rehabilitation
- Out of state facility – paid for by Maryland Medicaid.
- Not be in another waiver program at the same time.
- The cost of community-based services must not be more than institutional care.
- Be able to live safely in your home and community with these waiver services.
- Financial Eligibility Rules:
- Monthly household income may not exceed 300% of SSI benefits.
- Countable assets may not be more than $2,000 or $2,500, depending on eligibility category.
The best way to know if you are eligible is to apply. See How to Apply.
What services does the BI Waiver provide?
You get all Medicaid covered services and benefits. You also may get waiver services that include:
- Day habilitation
- Individual support services
- Medical day care
- Residential habilitation
- Supported employment
How to Apply
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