Independent Living Waiver (ILW)

Independent Living Waiver (ILW) is a program available to participants receiving Consumer Directed Services (CDS), those with a need for additional assistance to remain in the least restrictive environment.

Caregiver, cooking and senior woman in home with healthy food, vegetables and nutrition in healthcare. Retirement, nurse and helping elderly person in kitchen with diet and online recipe on tablet

The following benefits are available via Missouri’s Independent Living Waiver:

  • Self-Directed Personal Care Services
  • Financial Management Services
  • Case Management
  • Home Modifications – ramps, grab bars, specialized electric systems
  • Specialized Medical Equipment / Supplies – lift chairs, wheelchairs, shower benches, commode chairs, adult diapers
  • There is no hard cap on the amount of assistance persons can receive under this waiver

Eligibility

The Independent Living Waiver is similar to the Consumer-Directed State Plan Personal Care program, requiring the same eligibility criteria be met.

The participant must:

  • Medicaid eligible (MO HealthNet eligible)
  • 18 years of age to 64 years of age (Individuals who are enrolled in the ILW when they turn sixty-five (65) may remain enrolled in the ILW for as long as they maintain the ability and the desire to self-direct their personal care attendant services)
  •  If the individual also has a cognitive impairment, it must have manifested when the individual was 22 years old or older
  • Able to direct their own care
  • Capable of living independently with the services of CDS
  • Require at least a nursing facility level of care.
  • Must not be enrolled in any other waiver program, regardless of which state agency administers the waiver