Announcement

Collapse
No announcement yet.

Virginia State Medicaid Waiver Program Application Guide

Collapse
X
 
  • Filter
  • Time
  • Show
Clear All
new posts

  • Virginia State Medicaid Waiver Program Application Guide




    Developmental Disabilities Waivers

    Who Can Apply?

    Circumstances/Diagnosis: Any child or adult who is diagnosed with any type of developmental disability like autism, cerebral palsy, and Down’s Syndrome. The state requires that individuals need at least an intermediate care facility level of care to qualify. This has a technical definition but essentially just means that the individual is unable to get through their day without a lot of supervision.

    Income: Income eligibility is only based on the child’s income and not the parents income. This means that your child is financially eligible for the waiver if they don’t have an income.

    What do I get?

    When you apply for these waivers you will be placed in one of three categories: Building Independence, Family and Individual Supports, and Community Living Waiver. The first helps individuals trying to live on their own, the second helps individuals who live with their families, and the last supports individuals in group homes or other residential settings.

    Go to page 28 of this guide for a comprehensive overview of the different services available through each waiver.

    How do I apply?

    Call your local Community Services Board

    Check out this guide to Developmental Disabilities Waivers for more information.

    Commonwealth Coordinated Care Plus

    Who Can Apply?

    Circumstance/Diagnosis: Any child or adult who is diagnosed with any type disability that puts them at risk of institutionalization in a nursing home.

    Income: Income eligibility is only based on the child’s income and not the parents income. This means that your child is financially eligible for the waiver if they don’t have an income.

    What do I get?

    You receive the following services: Addiction and recovery treatment services, Behavioral (mental) health services, counseling and 24/7 crisis line, Care Coordination services, Diagnostic services including x-ray, lab and imaging, Durable medical equipment (DME) and supplies, Emergency and urgent care, Family planning services, Health care for children including checkups, immunizations (shots) and screenings, Hospital and home health services, Interpreter and translation services, Maternity and high-risk pregnancy care, Medical transportation services, No co-pays except your patient pay towards long term services and supports and any Medicare Part D drug co-pays, Physical, occupational and speech therapies and audiology services, Prescription drugs and over-the-counter medications (when prescribed by doctors), Preventive and regular medical care, Routine eye exams and glasses for children and routine eye exams for adults, Team approach (interdisciplinary care), 24 / 7 nurse advice line, Women’s health services

    Depending on your county, you may be able to find plan with extra benefits. Compare plans here

    How do I apply?

    Enroll via the Commonwealth website.

    What does the Goally Team Think?

    There is a long waiting list that will take years for Developmental Disabilities Services but this is about the only drawback to the state. No parent should have to wait this long, but they provide an Individual and Family Support Program (IFSP) for families on the waitlist so they have funds in the meantime. Their disability waivers are set up very well though, where you apply to all of them at once and then are connected to the waiver that best fits your case-specific needs.

    Goally Waiver Scorecard

    Website clarity and ease of navigation: 5/5
    Access and requirements of qualification: 1/5
    Healthcare coverage: 5/5

    Other online resources for Virginia:

    The Virginia Autism Resource Center has education and training for parents and teachers.
    The ARC of Virginia provides advocacy, employment, and family events

    Telephone Resources

    Commonwealth enrollment: 1-800-817-6608
    Virginia Department of Behavioral Health and Developmental Services: (844)-603-9248
    Last edited by Nate; 07-15-2020, 04:44 PM.
Working...
X