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Level One Wavier

The Level One Waiver is often called L1 for short. It is a good fit for people who do not need a lot of paid staff to provide services.

The L1 Waiver relies heavily on natural supports. Natural supports are services people provide without being paid for it. Natural supports could be things like

  • support from a family member who helps you get dressed and ready for work every morning,

  • a ride to work from a co-worker, or

  • a family member who provides a break or respite for caregivers.

Available Services

Waiver services are incorporated into each person’s service plan based on the needs identified in their assessment. These services are available through the L1 Waiver. Click each to learn more.

Homemaker/Personal Care  Adult Day Support
Participant-Directed Homemaker/Personal Care  Vocational Habilitation
Remote Support Career Planning
Home Delivered Meals Individual Employment Support
Community and Residential Respite Waiver Nursing 
Non-Medical Transportation Specialized Medical Equipment
Transportation ​Waiver Nursing Delegation
Group Employment Support Money Management
Environmental Accessibility Adaptations Assistive Technology


The L1 Waiver is for people with developmental disabilities who

  • are eligible for Medicaid,
  • need at least one L1 Waiver service.

There are no age requirements.

Funding Limits

Listed in each person’s service plan are the start and end dates for a waiver, or the waiver span. Waiver spans are usually 12 months long. 

Using the L1 Waiver, the total limit for the following services alone or in combination can never be more than $5,325 per waiver eligibility span

  • Homemaker/Personal Care
  • Participant-Directed Homemaker/Personal Care
  • Community and Residential Respite
  • Money Management
  • Transportation
  • Remote support

These services alone or in a combination never can be more than $7,500 within a three-year period

  • Specialized Medical Equipment
  • Environmental Accessibility Adaptations
  • Home-Delivered Meals
  • Assistive Technology

Payment for emergency assistance under the L1 waiver cannot exceed $8,520 within a three-year period.

Participant Direction

L1 participants have the option to direct one or all of their Homemaker/Personal Care services.

Participant-Directed Homemaker/Personal Care is an option available through all three of the waivers DODD administers. It is not a requirement of the L1 Waiver. Learn more about participant-directed services.