Physical Disabilities
Louisiana Programs & Resources

ROW Waiver (Residential Options Waiver)

Supports adults with physical disabilities who want to live in the community rather than a nursing facility. If a care team tells you a nursing home is your only option — ROW is the direct answer. Covers personal care, supported living, assistive technology, respite, and more.

🎂 For individuals whose disability onset was after age 21.

Community Choices Waiver (CCW)

Louisiana's primary Medicaid waiver for seniors (65+) and adults ages 21–64 with adult-onset physical disabilities at risk of nursing home placement. Provides an individualized service budget covering personal care, home modifications, assistive technology, home-delivered meals, caregiver respite, and support coordination.

Note: CCW does not provide 24-hour coverage on its own. Additional paid or unpaid supports may be needed.

OAAS HCBS (Home & Community Based Services)

Provides a range of services to help older adults and people with physical disabilities remain living at home and in their community rather than in a nursing facility. Services include personal care, homemaker assistance, adult day care, and respite care.

PACE (Program of All-Inclusive Care for the Elderly)

For individuals 55+ who meet nursing facility level of care criteria. Coordinates the full range of health and personal care services under one interdisciplinary team — including adult day health care, primary care, home health, therapy, prescriptions, and nursing care when necessary.

Available in select Louisiana parishes including East and West Baton Rouge. Call 1-877-456-1146 to inquire.

Nursing Facility Services

When care needs exceed what can safely be provided at home, Louisiana Medicaid covers nursing facility placement. Home and community-based alternatives like CCW, ROW, or PACE should always be explored first.

Permanent Supportive Housing (PSH)

Provides long-term, stable housing combined with supportive services for people with disabilities who are homeless or at risk of homelessness — including people with physical disabilities.

Louisiana Rehabilitation Services (LRS)

Helps adults with physical disabilities enter or return to the workforce. Can fund assistive technology, adaptive equipment, college tuition, and job coaching — often at no cost.

Home Modification Programs

Multiple state and federal programs fund ramps, roll-in showers, wider doorways, and other accessibility modifications for people with physical disabilities. Ask your social worker about LAHAP and HUD Section 504 grants.