Provides adult day health, case management, homemaker, respite, home health aide services, nursing services, financial management service, assisted living, assistive devices, chore services, consumer directed attendant care-unskilled, consumer-directed attendant care – skilled, home and vehicle modification, home delivered meals, independent support brokerage service, individual directed goods and services, mental health outreach, nutritional counseling, personal emergency response or portable locator system, self-directed community support and employment, self-directed personal care, senior companion, and transportation services to individuals ages 65 or older who meet a nursing facility level of care. This waiver operates with a concurrent 1915(b)(1), 1915(b)(3), and 1915(b)(4) authority.