Summary


The WA Children's Intensive In-Home Behavioral Support (CIIBS) Waiver provides essential support services for children aged 8 to 17 with disabilities at high risk of out-of-home placement due to challenging behaviors. Administered by the Washington State Department of Social & Health Services, it offers a range of community, professional, caregiving, and goods/services aimed at promoting family integration and maintaining the child's well-being in their home environment. Participants benefit from tailored services, including respite care, specialized habilitation, and assistive technology, ensuring their health, safety, and developmental needs are effectively addressed.

Eligibility Requirements


  1. Be an eligible client of DDA.
  2. Have a disability according to criteria established in the Social Security Act.
  3. Apply for long-term care services/Medicaid and have verified income that does not exceed 300% of the SSI federal benefit standard.
  4. Have resources less than $2,000 or have any additional resources above $2,000 in a protected special needs trust such as an Endowment Trust Fund or an ABLE account.
  5. Meet the level of care provided in an Intermediate Care Facility for Individuals with Intellectual Disabilities as determined by the DDA assessment.
  6. Have a person-centered service plan that shows how health, safety, and habilitation needs can be safely met in their family home with a monthly waiver service and/or monthly monitoring.
  7. Agree to accept home and community-based services rather than receive services in an ICF/IID.

CIIBS participants must also:

  1. Be aged 8 through 17 for initial enrollment.
  2. Be determined in their CARE assessment to be at high or severe risk for out-of-home placement due to challenging behaviors.
  3. Live with a family member who agrees to participate in the CIIBS program.

Services