Home Care Nursing Hardship Waiver

The Home Care Nursing (HCN) Hardship Waiver allows parents/family foster parents of minor children, legal guardians or spouses to provide home care nursing services to a person who is eligible for Medical Assistance and authorized to receive these services.

The Home Care Nursing Hardship Waiver applies to people who are the person’s:

  • Parent (biological and adoptive) of a minor child.
  • Legal guardian, as determined by a court of law.
  • Conservator, as determined by a court of law.
  • Spouse.

Note: Other family members may serve as a person's home care nursing workers without completing a hardship waiver.

Medical Assistance (MA)

Medical Assistance (MA)

Consumer directed community supports (CDCS)

Consumer directed community supports (CDCS)

Home Care Nursing Hardship Waiver application DHS-4109 (PDF)

Home Care Nursing Hardship Waiver application

Disability Services Division contact form

Disability Services Division contact form

How do people using HCN apply for a hardship waiver?

If a person wishes to apply for an HCN hardship waiver:

  • People not using HCN through a managed care organization (MCO): The person’s HCN agency or home health agency must complete and submit the Home Care Nursing Hardship Waiver application to DHS for review and approval.
  • People using HCN through an MCO: The person’s HCN agency or home health agency must submit a request to the MCO for approval.

People may submit a question on the Disability Services Division contact form if they are unable to find information about Disability Services Division programs and services.

Home Care Nursing Hardship Waiver application (PDF)     Disability Services Division contact form