A waiver is a program that can waive, or set aside, some of the strict eligibility requirements, including income guidelines, benefits and health care delivery options required under federal Medicaid program regulations. A Home and Community Based Services Waiver can provide extra services that make living at home possible. This can include personal care, nursing, respite, adult day care, supported employment, home modifications, assistive technology and transportation. While waivers can differ substantially between states in eligibility and services, an important advantage is that they can expand services to cover individuals that may be over income for traditional Medicaid. However, because states have the discretion to choose the number of consumers to support in a waiver program, there are often long waiting lists for services.

The Complex Care Center at Cincinnati Children's provides information to help families and health care providers identify sources of financial assistance.