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A suspension or change of an eligibility requirement in a client's case. This term used in a disability context usually refers to the U.S. federal government’s Medicaid program. In a practical sense, ICF/MR (institutional) programs are viewed as services to which people with developmental disabilities are entitled. The government’s Health Care Finance Authority (HCFA) can grant exceptions or waivers to states that have consumers who would rather have community non-institutional services. An individual must sign a form acknowledging they are foregoing the option of institutional services.