Provides adult day health care, care coordination, homemaker, life skills development level 3 – adult day training, life skills development level 4 – prevocational services, residential habilitation, respite, adult dental services, intermittent and skilled nursing, occupational therapy, personal care, physical therapy, respiratory therapy, skilled nursing, specialized medical equipment and supplies, specialized mental health counseling, speech therapy, transportation, adult companion, assisted living, behavior analysis services, behavior assistant services, dietitian services, environmental accessibility adaptations, home delivered meals, and life skills development level 1 – companion, life skills development level 2 – supported employment, medication administration, medication management, personal emergency response system (PERS), personal supports, private duty nursing/attendant care, residential nursing, specialized medical home care, supported living coaching, and unpaid caregiver training services for individuals with autism, intellectual disabilities, or developmental disabilities ages 18 or older who meet an ICF/IID level of care. This waiver operates with a concurrent §1915(a)(1)(a) authority.