Medicaid Waiver Program

The Elderly and Disabled Waiver program provides home and community-based services to individuals over the age of 21 whom, but for the provision of such services, would require the level of care provided in a nursing home facility.  Beneficiaries of this waiver must qualify for Medicaid as Supplemental Security Income (SSI) beneficiaries or meet the income and resource eligibility requirements for income level up to 300% of the SSI Federal Benefit Rate and meet medical criteria of the program.  Beneficiaries must score 50 or above on the Medicaid Pre-Admission Screening instrument.

The Elderly and Disabled Waiver program is administered directly by the Home and Community Based Services Division (HCBS).  Case Management services are provided by the Planning and Development Districts.  The case management team is composed of a registered nurse and a licensed social worker who are responsible for identifying, screening and completing an assessment on individuals in need of at-home services.  Upon approval of the HCBS, the case managers can refer qualified individuals to the following services: adult day care, home delivered meals, personal care services, non-emergency escorted transportation, in-home respite, and extended home health visits.

The Golden Triangle Planning and Development District's Case Management Services are provided to all counties in our district, covering: Choctaw, Clay, Lowndes, Noxubee, Oktibbeha, Webster and Winston Counties.

Michelle Harris is the RN Supervisor for the Medicaid Waiver Program.

Anyone interested in this program, or simply desiring additional information, should call the GTPDD Medicaid Waiver office at (662) 320-2002 for Michelle Harris, or (662) 320-2003 for Angel Coggins. 

Medicaid Waiver Client Intake Form


Instructions for filling out Client Intake Form

1. Click on the Download link above and save Intake Form on Computer

       Note: Do Not Update in Browser.

2. Open saved Intake Form on Computer and fill out form.

3. Click on the Secure Upload link above and upload completed Intake Form from Computer.