This waiver provides Medicaid Home and Community-Based Services (HCBS) waiver services to participants in a range of community settings as an alternative to care in an intermediate care facility individuals with developmental disabilities(ICF/IDD) or related conditions.  The waiver serves persons with a developmental disability, intellectual disability or autism and who have substantial functional  limitations, as defined under the paragraph for “Persons with related conditions” in 42 CFR 435.1010. Participants may choose to  live in their own home, family home, or community setting appropriate to their needs. Participants develop an Individualized  Support Plan (ISP) using a person centered planning process guided by an Individualized Support Team (IST).   The goal of the CIH Waiver is to provide access to meaningful and necessary home and community-based services and supports, seeks to implement services and supports in a manner that respects the participant’s personal beliefs and customs, ensures that services are  cost-effective, facilitates the participant’s involvement in the community where he/she lives and works, facilitates the participant’s  development of social relationships in his/her home and work communities, and facilitates the participants independent