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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

Navigating the MR Waiver:

A Workbook for Families



  • Diagnostic

  • Functional

  • Financial

Waiting lists
Waiting Lists

  • Urgent

  • Non-Urgent

  • Planning

Mr waiver services
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

Role of the case manager
Role of the Case Manager

Your First Contact

Your Advocate

Your Navigator

Signing forms
Signing Forms

MR Waiver

Evaluations what and when
Evaluations –What and When?

Choosing a provider
Choosing A Provider

Don’t go into it blindfolded!

Case managers help with
Case Managers help with . . . .

  • Getting approval for services

More help from the case manager
More Help from the Case Manager

  • On-going monitoring

  • New resources

  • Face-to-face visits

  • Changing providers/CM

Supports in the home
Supports in the Home?

  • Residential

    • In own home or apartment

    • In another family home

    • In a group home

What s provided
What’s provided?

  • Training

  • Monitoring

  • Assisting

Who can provide residential support
Who can provide Residential Support?

  • A licensed Provider

Not everyone can do it!

More about residential
More about Residential . . .

  • There may be some costs

More about residential1
More about Residential . . .

Family contact is important

Another home based service
Another home-based service . . .

  • Personal Assistance

    • Help with daily living needs

Respite services
Respite Services

Help’s on the way!

Another home-based service . . .

  • Respite Services

    • Help with daily living needs

Companion services
Companion Services

  • Someone to help me go safely into the community

Other Supports for a Meaningful Day

Prevocational Services

Something different take a look
Something Different – Take a Look . . .

Consumer-Directed Services

You are the employer
You are The Employer




Consumer directed services include
Consumer-Directed Services Include:

Personal Assistance



Who helps me
Who Helps Me?

  • A Services Facilitator

What does a services facilitator do
What does a Services Facilitator Do?

Helps me:

  • Find employees

  • Advertise

  • Interview

  • Check references

  • Complete paperwork

MR Waiver can do better than this!

Therapeutic consultation
Therapeutic Consultation

  • To steer the team in the right direction

Assistive technology
Assistive Technology

Devices to help with communication & other life skills

Environmental modifications
Environmental Modifications

Better than this!

Environmental modifications1
Environmental Modifications

  • To make mobility easier

    • In the home

    • In the vehicle

Another people resource for you
Another “People” Resource For You

Community Resource Consultant

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

- Helen Hayes

Acknowledgements extraordinary to someone too”.

Office of Mental Retardation, Community Resource Unit

Developed by: Wanda Earp

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

Any more questions
Any More Questions? extraordinary to someone too”.

Contact Your Case Manager

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