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Virginia Medicaid Waivers for Individuals with Autism Spectrum Disorder

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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  1. Virginia Medicaid Waivers for Individuals with Autism Spectrum Disorder by Bradford Hulcher

  2. Virginia Medicaid Waivers Provide Home and Community Services

  3. Home & Community Based Care Waivers Waivers give States the flexibility to develop and implement alternatives to institutionalization

  4. 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

  5. Waiver Eligibility Process • Screening first • Financial eligibility second • Screening for Waivers provided without any cost to the individual

  6. 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

  7. 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

  8. 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”

  9. 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”

  10. Intellectual Disabilities(ID) Waiver • Diagnosis of Intellectual Disability or • Under the age of 6 and at developmental risk • Must meet criteria for institutional placement

  11. 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

  12. 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

  13. Elderly or Disabled with Consumer Direction (EDCD) Waiver • Must be 65 or older or disabled • Must meet nursing home criteria

  14. EDCD Waiver Services • Adult Day Health Care • Personal Care Services • Personal Emergency Response System (PERS) • Respite

  15. 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

  16. More Info • Join discussion group • VaWaivers-subscribe@yahoogroups.com • www.VaMedicaidWaivers.org • Medicaid Waiver Info Center • 866-323-1088 Toll Free • 757-461-8007 Tidewater

  17. More Info • Medicaid Waiver Documents Please download the documents from the website titled • Medicaid Waiver Mentors • Medicaid Waiver Services Guide

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