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In my county the level of care is Nursing Home Level of Care. The Aging and Disability Resource Centers do the assessment and enroll people in the program.
The waiver program provides services to keep people in the community and out of institutions for many reasons but the focus is less cost of care. For the consumer that can also mean family can be paid caregivers, and they can remain in the home or apartment they are familiar with and interact with neighbors and friends thus improving their quality of life.
I hope this simple explanation answers your question.
Each state has formed their own Home and Community Based Waiver program and programs vary for state to state and even county to county.
See your local Aging or Human Services Agency.
My mom is on Medicaid and receives care through an agency called Elderbridge. Her waiver is called the Elderly Waiver. Through Medicaid (and the Waiver), she receives her medications, dietary aids (a nutrition drink) and a nurse to come in and check her blood levels as she needs it.
If your mom is on a Waiver, she should have a case manager, usually from a private agency, sometimes through DHS; but the case manager is the go-to person for what services are available to your mom. I would suggest your first step would be to call this case manager. If you don't have once, contact the nearest Agency on Aging and they should be able to send you in the right direction for your state. Good luck!
Brain Dead Feds allowed for a diversion of funds.
I hate acronyms and abreviations:
Call your Area on Aging to get explanations and use a elder affairs lawyer
Some states, like CA, have a well establish IHHS program, in which a family caregiver gets training & then paid for a set # of hours of caregiving based on a review of the elders needs. Other states do a CHB diversion to pay for AL and the AL decide if they want to participate and to what # of beds. My state - Louisiana - has decided to divert $$$$ to PACE programs and cut way back on AL diversion funding & there is a waiting list for AL like 70k names long.
All states have a Council of governments and within the COG is your local Area on Aging. (COG's are regional planning bodies that funnel & coordinate fed/state funding). The AoA will have staff that can provide info as to what waivers are available for your region. AoA have the NH ombudsman program for most states. COG's are your tax dollars so use them.
This site has a drop down list of AoA. Use the search site on upper R to find it!