Brain Injury Waiver

braininj

The Persons with a Brain Injury Waiver

The Persons with a Brain Injury Waiver is for people who have an injury to the brain. It is also known as the Brain Injury Waiver and the Traumatic Brain Injury (TBI) Waiver.

What’s Covered

  • Adaptive Equipment
  • Adult Day Service, includes transportation
  • Behavioral Services
  • Day Habilitation
  • Emergency Home Response
  • Environmental Accessibility Adaptations
  • Home-Delivered Meals
  • Home Health Aide
  • Homemaker
  • Nursing
  • Nursing-Intermittent
  • Personal Assistant Service
  • Physical, Occupational and Speech Therapy
  • Prevocational Services
  • Respite
  • Supported Employment

Adaptive Equipment

This service includes devices, controls, or appliances, specified in the plan of care, which enable the member to increase his or her abilities to perform activities of daily living, or to perceive, control or communicate with the environment in which they live.

Adult Day Service(Also known as Adult Day Health)

This service is a daytime community-based program for adults not living in Supported Living Facilities. Adult Day Service provides a variety of social, recreational, health, nutrition and related support services in a protective setting. Transportation to and from the center and lunch are included as part of this service.

Behavioral Services

These services are behavioral therapies designed to assist members with brain injuries in managing their behavior and thinking functions and to enhance their capacity for independent living.

Day Habilitation

This service provides members with brain injuries training with independent living skills, such as help with gaining, maintaining or improving self-help, socialization and adaptive skills. This service also helps the member to gain or maintain his or her maximum functional level.

Emergency Home Response(Also known as Personal Emergency Response System)

This electronic equipment allows members 24-hour access to help in an emergency. The equipment is connected to your phone line and calls the response center and/or other forms of help once the help button is pressed.

Environmental Accessibility Adaptations

These are physical modifications to a member’s home. The modifications must be necessary to support the health, welfare and safety of the member and to enable the member to function with greater independence in their home. Without the modification, a member would require some type of institutionalized living arrangement, such as nursing facility or assisted living.

Adaptations that do not help the member’s safety or independence are not included as part of this service, such as new carpeting, roof repair, central air or home additions.

Home-Delivered Meals

Prepared food brought to the member’s home which may consist of a heated lunch meal and a dinner meal (or both), which can be refrigerated and eaten later. This service is designed for members who cannot prepare his or her own meals but are able to feed themselves.

Home Health Aide

A person who works under the supervision of a medical professional, nurse, physical therapist, to assist the member with basic health services such as assistance with medication, nursing care, physical, occupational and speech therapy.

Homemaker

In-home caregiver hired through an agency. The caregiver helps with housekeeping tasks such as meal preparation, shopping, light housekeeping and laundry. The caregiver can also help with hands-on personal care tasks such as personal hygiene, bathing, grooming and feeding.

Nursing

This service provides skilled nursing services to a member in their home for short-term acute healing needs, with the goal of restoring and maintaining a member’s maximal level of function and health. These services are provided instead of a hospitalization or a nursing facility stay. A doctor’s order is required for this service.

Nursing -Intermittent

This service focuses on long-term needs rather than short-term acute healing needs, such as weekly insulin syringes or med-set set up for members unable to do this for themselves. These services are provided instead of a hospitalization or a nursing facility stay. A doctor’s order is required for this service.

Personal Assistant Service

In-home caregiver hired and managed by the member. The member must be able to manage different parts of being an employer such as hiring the caregiver, managing their time and timesheets, and completing other employee paperwork. The caregiver helps with housekeeping tasks such as meal preparation, shopping, light housekeeping and laundry. The caregiver can also help with hands-on personal care tasks such as personal hygiene, bathing, grooming and feeding. Personal Assistant Services (PAS) can include other independent direct caregivers such as RNs, LPNs and Home Health Aides. Read more about hiring a personal assistant.

Physical, Occupational and Speech Therapy(Also known as Rehabilitation Services)

Services designed to improve and or restore a person's functioning; includes physical therapy, occupational therapy and or speech therapy.

Prevocational Services

This service is for members with brain injuries and provides work experiences and training designed to assist individuals in developing skills needed for employment in the general workforce. Services include teaching concepts such as compliance, attendance, task completion, problem-solving and safety.

Respite

This service provides relief for unpaid family or primary caregivers who are meeting all the needs of the member. The respite caregiver assists the member with all daily needs when the family or primary caregiver is absent. Respite can be provided by a homemaker, personal assistant services, nurse or in an adult day health center.

Supported Employment

Supported employment includes activities needed to maintain paid work by individuals receiving Waiver Programs, including supervision and training.

Health Choice Illinois Member Handbook

It tells you more about the long term services and supports (LTSS) available under the HealthChoice Illinois program. Read more.

Who do I contact for more information? 

Please call Member Services at (855) 687-7861 if you have questions.​​​​​​​​​​​​