GROUP HOME, INDIVIDUALIZED SUPPORTED LIVING, SHARED LIVING AND REMOTE SERVICES WAIVER CHANGES . October 21st, 2021 . The Missouri Department of Mental Health (DMH), Division of Developmental Disabilities (DD), issued a notice that the Centers for Medicare & Medicaid Services (CMS) approved Missouri's request to renew the 1915(c) Home and Community Based Services (HCBS) waivers..