Who is eligible to receive TCM services?

An individual who has a developmental disability that:

· Began before age 22

· Is likely to continue indefinitely

· Results in substantial limitations in at least two of the following areas

Living and working independently,

Written verbal communication





This eligibility determination will be made by Rolla Regional Office.  However, WCTCM can help with the intake process.  If you or someone you know would like to be considered for eligibility you may contact Amy Stringer at (573) 438-2866

Though eligibility for receiving case management services requires a person to have 2 of the substantial functional limitations, a separate standard is applied for the authorization of services through one of Missouri’s Medicaid Waivers. To qualify for services funded through a waiver, the person must have 3 substantial functional limitations from the list above.

Missouri currently has 4 Medicaid Waivers managed by the Department of Mental Health/Division of Developmental Disabilites.

Comprehensive Waiver

Community Support Waiver

Missouri Children with Developmental Disabilities (formerly Lopez waiver)

Partnership for Hope Waiver

Through these waivers, a wide range of service options exist and are determined by a needs-based assessment. (Not all services are available in all waivers)

  • Applied Behavioral Analysis
  • Assistive Technology
  • Career Planning
  • Community Integration
  • Community Specialist
  • Community Transition
  • Counseling
  • Crisis Intervention
  • Day Habilitation
  • Dental
  • Environmental Accessibility Adaptations (Home and Vehicle Modifications)
  • Family Peer Support Services
  • Group Home
  • Individualized Skill Development
  • Individualized Supported Living
  • In Home Respite
  • Job Development
  • Occupational Therapy
  • Out of Home Respite
  • Person Centered Strategies Consultation
  • Personal Assistant
  • Physical Therapy
  • Prevocational Services
  • Professional Assessment and Monitoring
  • Shared Living
  • Support Broker
  • Supported Employment
  • Temporary Residential Service
  • Transportation