Home and community based 
waiver service programs Covered Not Covered 
Inpatient hospital, nursing 
facility and intermediate care 
facility services in institutions 
for mental diseases (MD), age 
65 and older Covered Covered with limitations 
Inpatient psychiatric services, 
under age 21 Covered Covered with limitations 
Intermediate care facility for 
intellectual disabilities 
(ICF-IDD) Covered Not Covered 
Intermediate care facility 
services for individuals with