About the iBudget DD Waiver and Waitlist

What is the iBudget DD waiver?

The Florida Medicaid Developmental Disabilities Individual Budgeting (iBudget) Home and Community-Based services (HCBS) waiver is authorized under section 1915(c) of the Social Security Act and governed by Title 42, Code of Federal Regulations (CFR), Parts 440 and 441.  The iBudget Waiver provides home and community-based supports and services to eligible persons with developmental disabilities (DD) living at home or in a home-like setting.  The iBudget Waiver program is funded by both federal and matching state dollars.

Currently, people with the following developmental disabilities may be eligible for the iBudget waiver.

  • Autism Spectrum Disorder
  • Cerebral Palsy
  • Spina Bifida
  • Intellectual Disabilities
  • Down Syndrome
  • Prader-Willi Syndrome
  • Phelan McDermid Syndrome
  • Children age 3-5 who are at a high risk of a developmental disability

Visit the Agency for Persons with Disabilities (APD) website for more info on who is eligible.

 People enrolled in the iBudget Waiver receive services that enable them to:

  • Have a safe place to live.
  • Have a meaningful day activity.
  • Receive medically necessary medical and dental services.
  • Receive medically necessary supplies and equipment.
  • Receive transportation required to access necessary waiver services.

This waiver uses an individual budgeting approach and enhanced opportunities for self-determination. The purpose of this waiver is to:

  • Promote and maintain the health and welfare of eligible individuals with developmental disabilities.
  • Provide medically necessary supports and services to delay or prevent institutionalization.
  • Foster the principles of self-determination as a foundation for services and supports.

Eligible recipients can choose from an array of services which allows them to live as independently as possible in their own home or in the community and achieve productive lives. Recipients can choose between the iBudget Waiver or an intermediate care facility for individuals with intellectual disabilities (ICF/IID).

For more information on the iBudget Waiver, visit APD's iBudget Florida webpage.

Why is there a DD waitlist?

Simply stated, the need for services far outpaces the current funding allocated by the Florida Legislature. However, the waitlist has been a longstanding problem. Indeed, many people with DD have been waiting for over ten years or more! 22,372 people (as of January 2023) on the waitlist until resources become available (i.e. approximately 40% are waiting, while 60% are receiving services). The waitlist first reached over 20,000 in May, 2011. Approximately half of the individuals on the waiting list receive Medicaid State plan services.

The waitlist has 7 priority categories based on an evaluation of current circumstances and/or intensity of need.

Individuals on the DD Waitlist by Priority Group

Category Description Total Percent
Category 1 Crisis    
Category 2 Children in Welfare System - 0.0%
Category 3 Intensive Needs 222 1.0%
Category 4 Caregiver Over Age 70 81 0.4%
Category 5 Transition from School 11 0.0%
Category 6 Age 21 and Over 13,059 58.4%
Category 7 Age Under 21 8,997 40.2%
  Priority Not Yet Assessed 2 0.0%
  Total 22,372 100%

Source: Agency for Persons with Disabilities (January 2023)

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Two African American woman, one with intellectual disability smiling.