Exploring Medicaid Waivers. Debra Holloway The Arc of Virginia Family Involvement Project. Different Institution - Different Waiver.
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The Arc of Virginia
Family Involvement Project
or ICFs/MR (intermediate care facility)
30% of Medicaid program recipients.
(MR Waiver, ID or intellectually disabled)
Pre-Admission Screening Criteria:
bathing, dressing, toileting, transferring, eating/feeding
catheter care, supervision for adequate nutrition and hydration, therapeutic exercise and positioning, management of those with sensory, metabolic, or circulatory impairment.
400 new MR Waiver slots funded, 200 available
July 1, 2009, 200 available January 1, 2010
Individual is aging out of a publicly funded residential placement or otherwise becoming homeless
CSB maintains Planning list
CSB provides individual with written notice if placed on a waiting list and if there is a change in status to another list
CSB determines who is the most urgent
Only after all Urgent needs are met statewide will Non-urgent needs be served
Slot moves with you to a different town in VA
Vacant or new slots are allocated by the CSB unless there is no need in the CSB’s area
Non-urgent = meet criteria for the MR Waiver, including needing services within 30 days, but don’t meet Urgent criteria
Planning list = need services in the futureMR WAIVER WAITING LISTSUrgent and Non-urgent
Medicaid benefits available to children under the age of 21
Must be eligible for Medicaid
Monitor to prevent health and disability conditions from occurring or worsening, including services to address such conditions
Treatment to “correct or ameliorate conditions,” including maintenance services
-Services not covered
-Results in a hearing
MR Waiver has 2 waiting lists
Urgent and Non-urgent:
CSB determines who is the most urgent to receive available MR Waiver funding
DD Waiver waiting list
First come, first served with wait list numbers assigned
10% of available money allocated for emergency situations
DMAS staff determine who receives available emergency slots
No waiting list for AIDS, Alzheimer’s, EDCD and Tech
Waiting lists are permissible, but waiting lists must move at a reasonable pace. What is a reasonable pace?