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WA New Freedom Waiver

Published on
July 27, 2023
Last updated
February 29, 2024
Written by
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Katie Wilkinson
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The New Freedom (NF) Medicaid Waiver is a participant-directed program that empowers eligible individuals with disabilities and elderly persons to receive personalized home and community-based services, offering them greater autonomy and control over their care plans and budgets.
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The New Freedom (NF) Medicaid waiver program holds significant importance in the healthcare system, particularly for family caregivers and individuals with disabilities or elderly loved ones needing care. Funded by Medicaid, NF offers a unique opportunity for eligible participants to receive services in their homes and communities while retaining control over their service plans and budgets.

Overview of New Freedom (NF) Medicaid Waiver

The New Freedom (NF) Medicaid Waiver is a voluntary program funded by Medicaid, designed to provide crucial support and services to individuals with disabilities and elderly persons who prefer to receive care in their homes and communities. NF aims to enhance the quality of life for its participants by granting them the autonomy to manage their service plans and budgets, empowering them to make decisions that best suit their unique care needs.

The program's primary goal is to promote independence and community integration, enabling eligible individuals to maintain a higher level of control over their daily lives and care arrangements. Through NF, participants can choose the mix of services and goods they require, affording them greater flexibility in obtaining the necessary support.

This waiver program recognizes the vital role of family caregivers in the healthcare system and strives to support them by allowing participants to hire and manage their personal care aides. Additionally, participants may purchase items or services that promote independent living, fostering a more dignified and self-directed care experience.

NF targets elders and adults with disabilities who meet specific functional and financial eligibility criteria for in-home services under Washington's Medicaid long-term care waiver programs. Although currently limited to eligible individuals residing in King and Pierce Counties, the program holds immense promise for advancing person-centered care and ensuring that family caregivers are appropriately compensated for their invaluable contributions.

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Eligibility Requirements

To be eligible for the New Freedom (NF) Medicaid Waiver, individuals must meet specific criteria that address both functional and financial aspects. The program targets elders and adults with disabilities who wish to receive in-home services in King and Pierce Counties.

  1. Functional Eligibility: Applicants must demonstrate a need for long-term care services due to a disability or advanced age. This need is determined through a comprehensive assessment conducted by a qualified healthcare professional. The assessment evaluates an individual's ability to perform daily living activities and their overall care needs.
  2. Financial Eligibility: NF is a Medicaid-funded program, so financial qualifications are necessary for enrollment. Applicants must meet income and asset limits set by their state's Medicaid program. These limits are in place to ensure that the waiver serves those with limited financial resources.

The NF program allows eligible participants to manage their service plans and budgets, which may include hiring and managing personal care aides. The waiver's emphasis on consumer-directed care is intended to empower individuals and give them greater control over their care decisions and services.

Services and Supports

The New Freedom (NF) Medicaid Waiver offers diverse services and supports, enabling participants to customize their care plans based on their unique needs and preferences. Here are the key categories of services available:

  1. Personal Assistance Services (PAS): Participants can determine the number of hours for personal assistance to meet their daily care needs. PAS includes assistance with activities of daily living such as bathing, dressing, eating, and toileting, as well as delegated health-related tasks and homemaking services.
  2. Treatment and Health Maintenance: Participants can choose from various specialized health care services, including extended treatment, dental, vision, audiology, physical therapy, and culturally appropriate health services like acupuncture or naturopathic medicine.
  3. Participant-Directed Goods, Services, and Supports: NF allows participants to select services and goods that promote independence and safety. This includes assistive technology, home-delivered meals, adaptive clothing, trained service animals, and equipment maintenance.
  4. Environmental and Vehicle Modifications: Participants can allocate a budget to modify their homes or vehicles that accommodate their disabilities, promoting functional independence and safety. Examples include ramps, widened doorways, and adaptive vehicle controls.
  5. Training and Education Supports: Participants can invest in training and education to improve their daily activities and adaptive skills. This may include courses on health management or personal skill development for caregivers and participants.

The NF Medicaid Waiver's consumer-directed approach empowers individuals to make informed choices about the services they receive, enhancing their quality of life and ensuring that their care aligns with their unique preferences and needs.

Compensation for Family Caregivers

The New Freedom (NF) Medicaid Waiver does compensate unpaid family caregivers through its participant-directed option. Under this waiver, eligible participants can manage their service plans and budgets, including the opportunity to hire and pay their personal care assistants, who may be family members. Participants have the authority to decide on the mix of services and support that best meet their care needs, which empowers them to involve their family caregivers in the caregiving process.

The participant-directed option allows family caregivers to be recognized and compensated for their valuable contributions to the care of their loved ones. This compensation mechanism acknowledges the vital role of family caregivers as part of the healthcare system. It aligns with the program's goal of providing care recipients with personalized and dignified care experiences.

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A Note from Givers

If you care for a loved one and wonder if you might be eligible for compensation under the NF program, fill out this form to determine your eligibility and discover how to access the benefits you rightfully deserve.

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