Purpose: Where and how rehabilitation and long-term services and supports (LTSS) occur for individuals with brain injury (BI) has shifted dramatically over the last few decades. Medicaid Home and Community Based Services (HCBS) 1915(c) waivers allow states to offer LTSS that is tailored to the needs of underserved populations in the community rather than institutional settings. Method: This study examined how states utilized waivers to provide for people with BI. Results: Findings revealed only 15 states had waivers for people with BI in fiscal year 2016. Conclusions: Of those waivers for people with BI, there were vast differences across states and services.