Provides adult family home, assistive technology, child care services, children's foster care, communication assistance for community inclusion, community integration services, community/competitive integrated employment (individual), community/competitive integrated employment (small group), counseling and therapeutic services, daily living skills training, day services, discovery and career planning, empowerment and self-determination supports, family/unpaid caregiver supports and services, financial management services, grief and bereavement counseling, health and wellness, home modifications, housing support services, mentoring, participant and family-directed goods and services, participant and family-directed broker services, personal emergency response system, personal supports, relocation services, respite, safety planning and prevention, specialized medical and therapeutic supplies, support and service coordination, transportation, vehicle modifications, and virtual equipment and supports services to individuals with physical and other disabilities, with serious emotional disturbance, with autism, with intellectual disabilities, or with developmental disabilities ages 0-21 years who meet a hospital, nursing facility, or ICF/IID level of care. This waiver operates with a concurrent 1915(b)(4) authority.