The New Options Waiver (NOW) and the Comprehensive Supports Waiver Program (COMP) offer home-and community-based services for people with intellectual or developmental disabilities (I/DD). The Department of Community Health (DCH) administers Medicaid which delegates the day-to-day operation of the NOW/COMP Waiver Programs to the Department of Behavioral Health and Developmental Disabilities (DBHDD).

Community Access is designed to help participants acquire, retain or improve self-help, socialization and adaptive skills required for active participation and independent functioning outside the home.