Navigating the mr waiver
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Navigating the MR Waiver:. A Workbook for Families . 1/4/08. What Is a “Waiver”?. Virginia’s MR Waiver. MR Waiver Big Picture. Eligibility. Diagnostic Functional Financial. What’s a Slot ? . How does someone get a Slot?. Waiting Lists . Urgent. Non-Urgent. Planning.

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Navigating the MR Waiver:

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Navigating the MR Waiver:

A Workbook for Families


What Is a “Waiver”?

Virginia’s MR Waiver

MR Waiver Big Picture


  • Diagnostic

  • Functional

  • Financial

What’s a Slot?

How does someone get a Slot?

Waiting Lists

  • Urgent

  • Non-Urgent

  • Planning

What Services Are Available ?

MR Waiver Services

  • Residential Support

  • Personal Assistance

  • Respite

  • Companion

  • Day Support

  • Prevocational

  • Supported Employment

  • Skilled Nursing

  • Personal Emergency Response System (PERS)

  • Crisis Stabilization

  • Therapeutic Consultation

  • Assistive Technology

  • Environmental Modification

Services also available as a consumer directed option

Day Support Waiver

MR Waiver

  • Newest Waiver for individuals with mental retardation

  • Began July 2005

  • Available to children & adults

  • Limited to Day Support and Prevocational services

  • Began 1991

  • Added services in 1994

  • Added self-directed in 2001

DS Facts; Comparison Chart

Will my relative or I have to pay for services?

What is Case Management?

How do I find a Case Manager ?

Role of the Case Manager

Your First Contact

Your Advocate

Your Navigator

Sharing Information

Signing Forms

MR Waiver

Evaluations –What and When?

Choosing A Provider

Don’t go into it blindfolded!

What is a Consumer Services Plan?

The Paperwork!!

Case Managers help with . . . .

  • Getting approval for services

Glitches in Starting Services


More Help from the Case Manager

  • On-going monitoring

  • New resources

  • Face-to-face visits

  • Changing providers/CM

Appeal Rights – When and How?

Supports in the Home?

  • Residential

    • In own home or apartment

    • In another family home

    • In a group home

What’s provided?

  • Training

  • Monitoring

  • Assisting

Residential Staff Help with a Variety of Tasks

Who can provide Residential Support?

  • A licensed Provider

Not everyone can do it!

More about Residential . . .

  • There may be some costs

More about Residential . . .

Family contact is important

Another home-based service . . .

  • Personal Assistance

    • Help with daily living needs

Where can Personal Assistance be provided?

Who can provide Personal Assistance?

Is Personal Assistance different from Residential Support?

What are the restrictions for Personal Assistance?

Respite Services

Help’s on the way!

Another home-based service . . .

  • Respite Services

    • Help with daily living needs

Where can Respite Services be provided?

What are the restrictions for Respite Services?

Companion Services

  • Someone to help me go safely into the community

Where are Companion Services provided?

Who can provide Companion Services?

What are the restrictions for Companion Services?

Other Supports for a Meaningful Day

Supported Employment

Where is Supported Employment provided?

Who can provide Supported Employment?

What are the restrictions for Supported Employment?

Other Supports for a Meaningful Day

Prevocational Services

Where are Prevocational Services provided?

Who can provide Prevocational Services?

What are the restrictions for Prevocational Services?

Other Supports for a Meaningful Day

  • Day Support Services

Where can Day Support Services be provided?

Who can provide Day Support Services?

Something Different – Take a Look . . .

Consumer-Directed Services

You are The Employer




Consumer-Directed Services Include:

Personal Assistance



Who Can I Hire?

Who Helps Me?

  • A Services Facilitator

What does a Services Facilitator Do?

Helps me:

  • Find employees

  • Advertise

  • Interview

  • Check references

  • Complete paperwork

Other Waiver Services that might help. . .

  • Skilled Nursing

  • Personal Emergency Response System (PERS)

MR Waiver can do better than this!

Therapeutic Consultation

  • To steer the team in the right direction

Assistive Technology

Devices to help with communication & other life skills

What are the restrictions for Assistive Technology?

Environmental Modifications

Better than this!

Environmental Modifications

  • To make mobility easier

    • In the home

    • In the vehicle

What are the restrictions for Environmental Modifications?

Crisis Stabilization

How is a “Crisis” Determined?

Another “People” Resource For You

Community Resource Consultant

“We relish news of our heroes, forgetting that we are extraordinary to someone too”.

- Helen Hayes


Office of Mental Retardation, Community Resource Unit

Developed by: Wanda Earp

Contributors: Gail Rheinheimer; Dawn Traver; Kimberly Shepherd; Ed Gonzalez

Any More Questions?

Contact Your Case Manager

“Act as if what you do makes a difference. It does.” -William James

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