MFAW Guidebook
Medically Fragile Adult Waiver Program Description
The Medically Fragile Adult Waiver (MFAW) is designed to provide home and community-based services for participants with serious and complex medical needs who have reached the age 21, and who are no longer eligible for home care services available through Healthy Children and Youth (HCY) Program. The MFAW provides a cost-effective alternative to placement in an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF-IID) placement.
DHSS, Bureau of Special Health Care Needs (SHCN) assists the Department of Social Services (DSS), MO HealthNet Division in administration of the waiver by providing administrative case management services for individuals who are served by this waiver.
Waiver services are limited to individuals who:
- Are MO HealthNet eligible;
- Have a federally matched ME code;
- Require medical care equivalent to the level of care received in an ICF-IID;
- Do not receive services through another waiver; and
- Have previously required private duty nursing services through the Healthy Children and Youth Program in the state of Missouri OR an individual who was a medically fragile child who had documented complex medical condition(s) at such a level that their needs could only be met through the skills of a licensed nurse for 4 or more consecutive hours per day prior to the age of 21.
Covered Services
MFAW participants may be eligible for the following waiver services:
- Private Duty Nursing
- Waiver Attendant Care
- Specialized Medical Equipment and Supplies
In addition, Personal Care services are available through State Plan services for adults. These services are subject to the benefits and limitations of the specific service provided. Authorization of these services is based on the monthly monetary cap established by DHSS. These services include:
- Personal Care Aide
- Advanced Personal Care Aide
- Authorized Nurse Visits
There is no maximum age limit for participation in the waiver.