Virginia medicaid waivers for individuals with autism spectrum disorder
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Virginia Medicaid Waivers for Individuals with Autism Spectrum Disorder. by Bradford Hulcher. Virginia Medicaid Waivers Provide Home and Community Services. Home & Community Based Care Waivers. Waivers give States the flexibility to develop and implement alternatives to institutionalization.

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Virginia Medicaid Waivers for Individuals with Autism Spectrum Disorder

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Virginia Medicaid Waivers for Individuals with Autism Spectrum Disorder

by Bradford Hulcher


Virginia Medicaid Waivers Provide

Home and Community Services


Home & Community Based Care Waivers

Waivers give States the flexibility to develop and implement alternatives to institutionalization


Possible Waivers for Individuals with ASD

  • Elderly or Disabled with Consumer Direction (EDCD) Waiver

  • Individual and Family Developmental Disabilities Support (DD) Waiver

  • Intellectual Disabilities (ID) Waiver


Waiver Eligibility Process

  • Screening first

  • Financial eligibility second

  • Screening for Waivers provided without any cost to the individual


Screening

  • EDCD Waiver:

    Pre-Admission Screening Teams of the Department of Health & Department of Social Services

  • ID Waiver:

    Community Services Board

  • DD Waiver:

    Department of Health Local Clinics or Child Development Clinics


Developmental Disabilities (DD) Waiver

  • 6 years of age or older and have a developmental disability

  • No diagnosis of intellectual disability

  • Must meet criteria for institutional placement


Screening for DD Waiver

  • Screening by Local Department of Health or Child Development Clinics

  • Over 1,000 on waiting list

  • Screening request

    Please download the forms from the website titled

    • “Request for Screening”

    • “Screening Facility Regions”


Screening for DD Waiver

  • Level of Functioning Survey

    http://www.dmas.virginia.gov/downloads/forms/DMAS-458.pdf

    Please download the form from the website titled

    • “Level of Functioning Survey”


Intellectual Disabilities(ID) Waiver

  • Diagnosis of Intellectual Disability

    or

  • Under the age of 6 and at developmental risk

  • Must meet criteria for institutional placement


ID Waiver Services

  • Adult companion

  • Assistive technology

  • Crisis stabilization

  • Day Support and Prevocational services

  • Environmental modifications

  • Personal emergency response system

  • Personal assistance services

  • Residential support (individual’s home or group home)

  • Respite care

  • Skilled Nursing

  • Supported employment

  • Therapeutic consultation


Screening for the ID Waiver

  • Screening by local Community Services Board

  • Call to request screening

  • Level of Functioning Survey or Developmental Milestones Assessment

  • Over 5,000 on waiting list


Elderly or Disabled with Consumer Direction (EDCD) Waiver

  • Must be 65 or older or disabled

  • Must meet nursing home criteria


EDCD Waiver Services

  • Adult Day Health Care

  • Personal Care Services

  • Personal Emergency Response System (PERS)

  • Respite


Screening for EDCD Waiver

  • Screening by local Departments of Social Services and Health

  • Call to request screening

  • Uniform Assessment Instrument (UAI) http://www.dmas.virginia.gov/downloads/forms/UAI.pdf

  • No waiting list


More Info

  • Join discussion group

    • [email protected]

  • www.VaMedicaidWaivers.org

  • Medicaid Waiver Info Center

    • 866-323-1088 Toll Free

    • 757-461-8007 Tidewater


More Info

  • Medicaid Waiver Documents

    Please download the documents from the website titled

    • Medicaid Waiver Mentors

    • Medicaid Waiver Services Guide


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