Similarities and Differences between ABI and BIW

What are the similarities and differences between the Adult Brain Injury (ABI) Program and Brain Injury Waiver (BIW)?
Area of Comparison	ABI	BIW
Eligibility Requirements	Missouri resident Age 21 - 65 Have a medically documented traumatic brain injury (TBI) Meet financial eligibility guidelines for rehabilitation services (family income at or below 185% Federal Poverty Guidelines) Service Coordination is provided to all ABI Program participants, regardless of financial status	Missouri resident Age 21 - 65 Have a medically documented traumatic brain injury (TBІ) Be enrolled in MO HealthNet (fee-for-service) Have a federally matched MO HealthNet Eligibility (ME) code Require medical care equivalent to the level of care received in a nursing home Not be enrolled in a state waiver
Service Coordination	Service coordination includes: Evaluation and assessment of needs Development, implementation, and continuous evaluation of an individualized service plan Assistance in locating and accessing resources including, but not limited to medical care, housing, counseling, transportation, rehabilitation, vocational training, and cognitive/behavioral training Information, education, and advocacy Planning for transition Authorization of rehabilitation services	Service Coordination includes: Evaluation and assessment of needs Identification and access to approved rehabilitation service providers Development and implementation of a person-centered plan of care Identification of rehabilitation of resources and referral Assistance in establishment of a medical home Planning for transition Authorization of medically necessary rehabilitation services
Rehabilitation Services	Neuropsychological Evaluation and Consultation Adjustment Counseling Transitional Home and Community Support Training Prevocational/Preemployment Training Supported Employment/Follow Along Special Instruction	Neuropsychological Evaluation and Consultation Applied Behavioral Analysis (ABA) Personal Care (after State Plan services are exhausted) Assistive Technology Environmental Modifications and Access Cognitive Rehabilitation Therapy Occupational Therapy Physical Therapy Speech Therapy
The Differences	Not a state waiver Two rehab services can be authorized at one time Medicaid not required Can be enrolled in one state waiver Meet financial eligibility for rehabilitation services	A state waiver All rehab services can be authorized at a time Medicaid Fee-For-Service required Cannot be enrolled in any other state waiver No financial eligibility for rehabilitation services

Both programs respect the human dignity of each individual and recognizes that each person should function as independently as possible.

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