Provides community habilitation, day habilitation, prevocational services, respite, supported employment, adaptive and assistive technology, caregiver/family advocacy and support services, environmental modifications, financial management services, non-medical transportation, palliative care – expressive therapy, palliative care – counseling and support service, palliative care – massage therapy, palliative care – pain and symptom management, and vehicle modification services to individuals with physical or other disabilities ages 0-20, with brain injury ages 0-20, with HIV/AIDS ages 0-20, who are medically fragile ages 0- 20, who are technology dependent ages 0-20, with autism ages 0-20, with developmental disabilities ages 0-20, with intellectual disabilities ages 0-20, with mental illness ages 18-20, and individuals with serious emotional disturbance ages 0-18 years who meet a hospital, nursing facility, or ICF/IID level of care. This waiver operates with a concurrent 1915(b)(4) and 1115 authority.