July 17, 2025

Customized Living Providers: Be Alert to Disability Waiver Policies Limiting Coverage and Your Facility’s Standing

On July 17, 2025 by Bobbie Guidry

Assisted living facilities that provide customized living (CL) services to people on the Brain Injury (BI) and Community Access for Disability Inclusion (CADI) waivers must follow specific limitations based on the setting’s CL enrollment date.

What to Check Prior to Admission

Before authorizing CL services, lead agencies should confirm the setting is eligible to support a person based on the applicable limitations. Providers should be aware of the limitations that apply to their settings to assure payment for services is accessible prior to completing the admission process. We have recently received several calls from members who were asked by case managers to admit a resident for whom they were not eligible to receive payment.

The following link provides program information and limitations for customized living, the payment program for assisted living services (and locations exempt from assisted living licensure): CBSM - Customized living (including 24-hour customized living).

Disability Services Division

The Disability Services Division has placed a list on their website of providers enrolled to provide customized living as well as a list of customized living providers not able to serve individuals under the age of 55: CBSM - Resource: Customized living provider settings only allowed to serve people on the BI and CADI waivers who are age 55 and older.

The resource is to be used in conjunction with the description of each category on the list, also found on the DHS website.