Provides adult day services, home health aide, homemaker, personal care, respite, supported employment, financial management services, adult family care, in-home services, community transition services, environmental accessibility services, home-delivered meals, non-medical transportation, participant directed and managed services, personal emergency response system, removable prosthodontic services, residential care facility services, skilled nursing, specialized medical equipment services, and supportive housing services to individuals ages 65 or older, and individuals with physical or other disabilities ages 18-64 years who meet a nursing facility level of care. This waiver operates with a concurrent 1915(b)(1) and 1915(b)(4) authority.