GREAT NEWS!   DMAS HAS HEARD ALL OF YOU WHO HAVE BEEN STRUGGLING WITH THE EPSDT PERSONAL CARE CHANGE! Last year, Medicaid CCC Plus Waiver Personal Care for people under the age of 21 was changed. The change required new forms and a new process for authorizing Personal Care using standards for Early and Periodic Screening, Diagnosis and Treatment (EPSDT). It required the child’s doctor to fill out the DMAS-7 form and left no room for error.  The changes were confusing and resulted in some young people experiencing a lapse in Personal Care services while waiting on the form and/or receiving fewer hours of Personal Care than they had in the past.  The Virginia Department of Medical Assistance Services (DMAS) has worked with the federal Centers for Medicare and Medicaid Services (CMS) to reverse the change that was made last year. The new changes will be effective May 1 for people under the age of 21 who use the CCC Plus Waiver.  Effective May 1, Personal Care hours for those under 21 who are on the CCC Plus Waiver will no longer go through Early and Periodic Screening, Diagnosis and Treatment (EPSDT)!  What does this mean for those under 21 on the CCC Plus Waiver?  It means you will no longer be required to get the DMAS-7 form filled out and signed by the doctor in order to get an authorization for Personal Care hours.  Instead, your Service Facilitator will be able to do a plan of care which does not necessarily require input from your doctor (unless certain supervision tasks are needed), just like they used to prior to the EPSDT change on September 1, 2018.  This is great news for all involved!!!   For the time being, individuals with the Community Living (CL) or Family and Individual Supports (FIS) Waivers will continue to get the Personal Care authorizations through EPSDT.  Also, those on straight EPSDT that do not have a waiver will continue to need the DMAS-7 filled out by the doctor in order to get an authorization for Personal Care hours.  Also those with the CCC Plus Waiver that receive Personal Care hours in school, these Personal Hours will also be through EPSDT. A few Q’s & A’s.  Only applies to those under 21 with a CCC Plus Waiver: Q:  So is EPSDT totally gone? A:  No, for those on the Community Living (CL) Waiver, Family & Individual Supports (FIS) Waiver, and for those with Medicaid under 21 getting Personal Care through EPSDT and not on a waiver, EPSDT will continue to exist.  Also, for those under 21 with a CCC Plus Waiver who are getting Personal Care hours in school, those specific hours will still be requested through EPSDT.  For all of these individuals, Personal Care hours authorization will continue to require a DMAS-7 from the doctor. Q: What if my authorization for Personal Care ends on 4/29/19?  My new authorization will start on 4/30/19, so do I need a DMAS-7 from my doctor? A:  You, will still be required to get a DMAS-7 form from your doctor up to and through 4/30/19 as this request will still have to go through EPSDT. Q:  What if my authorization for Personal Care ends on 4/30/19?  My new authorization will start on 5/1/19, so do I need to get the DMAS-7 from my doctor? A:  No, your Service Facilitator will write your plan of care using their own assessment and visit data.  This will still require the Employer of Record to review and sign the plan of care. Q: What if my Personal Care hours were reduced when I submitted the DMAS-7 form?  Do I get those hours back now? A:  No, not necessarily.  In cases where there is a clear justification for requesting an increase in hours, a new request for authorization can be done to try to get that increase.  Please work with your Care Coordinator and Service Facilitator if you think this applies to you.  Also, there is no guarantee that a new request with an increase will be approved or that you will get back all of the hours you had prior to the change. Q: What if I made the decision to just use Respite hours instead of dealing with the DMAS-7?  Can I now get Personal Care hours back without getting my doctor involved? A:  Yes!  On and after May 1, 2019, you will no longer be required to get the DMAS-7 form filled out by your doctor in order to get Personal Care hours.  Simply contact your Service Facilitator and schedule a visit if you haven’t had a recent one.  Again, this will be a new request and does not guarantee you will get the same number of hours you had prior to the change. Q: What if my Personal Care hours lapsed while I was trying to get the DMAS-7 from my doctor, will I be able to get my authorization back dated to cover that gap now? A: Unfortunately, no.  An authorization for hours starts the day it is submitted to the approving organization (MCO’s) and unfortunately cannot be backdated.  If there is no authorization in place, Personal Care aides should not be working. Q: Does this change mean that I cannot get more than 35 hours per week of Personal Care? A: No it does not.  In cases where there is a clear reason and thorough justification for more than 35 hours, a request can be made for more.  Again, there is no guarantee that a request for more than 35 hours will be approved for more than 35 hours.   Please note:  In an effort to get authorizations in place for those of you that are affected by this change and who are our Moms In Motion clients, we may need some information from you.  In order to protect your personal health information, we will likely ask for that information via secure email.  It will come from Zixmail.  Often, these emails go to spam.  If your Service Facilitator tells you that they are sending you a secure email, please be on the lookout for it and respond to it quickly as it may impact your re-authorization for Personal Care hours.

Webinar to Learn More! A webinar has been scheduled for people with disabilities who are under 21 and their families to receive information directly from DMAS about this change. The webinar is not for personal care agencies and services facilitators (other training opportunities have been scheduled for them). Tuesday, April 30, 1:00pm Register Here After registering, you will receive a confirmation email containing information about joining the webinar. The webinar will be presented by DMAS and is sponsored by the Virginia Association of Centers for Independent Living.

Useful Links Moms In Motion congratulates all the parents who advocated to bring this change. Way to go! Efficient advocacy is needed to influence change in policy. Here are links you may want to bookmark for the future. Who is My Legislator? DMAS Appeal FormsThe Virginia Ombudsman

Keep an eye out for our newsletters. Moms In Motion’s newsletters will keep you informed! Moms In Motion will be sending weekly updates to you on this topic.  Some of the info may repeat, but we will also add any new information we learn. Be sure you are subscribed to our newsletters, here.

Find it Quick What You and Your Service Facilitator Should be Discussing Waivers Maximizing Your Benefits Fiscal Agents (Attendant Payroll) Job Opportunities at Moms In Motion Advocacy Spotlight On… Moms In Motion in the Community Events & Tools You Can Use  Finding Attendants

What You and Your Service Facilitator Should be Discussing

1. New for this period: If you are on the CCC Plus Waiver, did you know that you could also be on the waiting list for one of the three DD Waivers (Building Independence, Family and Individual Supports or Community Living)?  How to apply for the FIS or CL Waiver. Review Mobility and Behavior/Orientation levels as noted on our reports. – Are they accurately reflecting your reality? Which of the three Fiscal Agents are you using?

2. At every visit: Are you enrolled in CCC Plus (Commonwealth Coordinated Care Plus) Waiver? If so, which Managed Care Organization (MCO) are you currently using? Let us know if it changes! Is your child/are you on HIPP for Kids/HIPP? Who is the Employee of Record (EOR)? Is that accurately reflected in your Fiscal Agent’s portal? Changes: Any medical and/or functional changes since our last visit? Any recent hospitalizations? Who is your current Primary Care Physician (PCP)? Who are your attendants and are they getting paid? Do you have a back-up caregiver? A back-up caregiver can not be the Primary Care Giver (PCG) or the Employer of Record (EOR). Turning 18? There are steps you need to take to not lose services. Our amazing Resource Page for Young Adults will guide you through it and more! Review time sheets. Make sure hours noted by attendant matches the hours worked 🙂 Confirm your authorizations via your Fiscal Agent’s Portal.

Waivers

Facts about The CCC Plus Wavier The CCC Plus Waiver is a Medicaid program for elderly and individuals with disabilities to receive services in their homes and communities. These services can be consumer directed. Moms In Motion can be your Service Facilitator for consumer direct services. You are able to choose your attendant with consumer directed services. Read Moms In Motion’s CCC Plus Waiver Resource Page. Contact any one of Moms In Motion’s Family Resource Specialists to get your Waiver process started. They can guide you though the application process.   View what services and funding are covered by the CCC Plus Waiver.   To request a screening to determine eligibility for a CCC Plus Waiver, contact your local Department of Social Services (DSS) (adults) or Department of Health (DOH) (kids). Assessments are completed by representatives of the Heath Department and Social Services to determine if the individual is at risk of Nursing Home placement. If an individual meets that determination they most likely qualify for a CCC Plus Waiver. You can not be denied a screening. Screenings can take place when the individual is hospitalized. You do notneed Medicaid to be screened.

Personal Care is Now Under EPSDT for Individuals Under 21   In a Medicaid Bulletin it states that starting September 1, 2018, individuals under the age of 21 that are enrolled in the CCC Plus Waiver, must receive personal care, private duty nursing, and assistive technology through the Early Periodic Screening and Diagnostic Treatment (EPSDT)benefit. This change is being made to comply with the Centers for Medicare and Medicaid Services’ (CMS) requirement that certain Medicaid funded services for individuals under the age of 21 be accessed through the EPSDT benefi in lieu of a 1915 (c) Home and Community Based Services waiver. Since Personal Care has been moved under EPSDT (a Medicaid program not a Waiver), that will no longer be a Waiver service.  Because of this, you will need to have at least one other service in addition to EPSDT personal care hours. Respite meets that requirement for most, but if you do not receive respite hours you will need to make sure you are using another waiver service.  Some examples of other services are: Adult Day Health Care Assistive Technology Environmental Modifications Medication Monitoring Personal Emergency Response System (PERS) Private Duty Nursing Services Respite Care Skilled and Intermediate (custodial) nursing facility or long stay hospital Transition Services (moving into the community and out of a nursing facility) Resources: Read more in Moms In Motion’s Special Edition Newsletter. Blank DMAS-7 and a sample of a filled out DMAS-7. Moms In Motion’s Questions and Answers Video.   Tips/Notes:  Unfortunately, Moms In Motion cannot complete the DMAS-7. Therefore it falls to you to make sure the DMAS-7 is complete, correct and received on time to your Moms In Motion Service Facilitator.   We have noticed that hours are being reduced in general.  While we are the ones that submit the doctor’s documentation for you, please note that Moms In Motion does not have control over how many hours get approved.  It is up to the authorizing agency (DMAS, DBHDS, and/or one of the 6 MCO’s) to approve Personal Care Attendant hours.       In order to prevent a lapse or delay in service, please discuss your authorization renewal dates with your Service Facilitator to figure out when it makes sense to start talking to your doctor about this document. A specialist cannot complete the DMAS-7, it needs to be filled out by a pediatrician, developmental pediatrician, or a primary care physician.  It is important that the doctor fills out the form properly! HERE IS A SAMPLE DMAS-7that is already filled out that you can show to your doctor to guide them. If you already have an authorization in place for Respite, you can use your respite hours until your personal care hours are authorized in order to bridge any sort of gap.  Without the DMAS-7 from the doctor there may be a delay in approval of authorizations and/or attendants may not be paid on time. It is important for parents to advocate to their doctor what supports their child needs, so no attendant hours are lost.  Authorizing entities (MCO’s, KePRO, DBHDS) make the final decision on hours approved. These requests are scrutinized each time they are submitted and a previous approval of X amount of  Personal Care hours is not a guarantee to have the same hours regardless of the what the doctor puts on the DMAS-7.   If your Personal Care services are denied or reduced and you disagree, please consider filing an appeal. If denials and reductions are happening frequently and there are no appeals, Department of Medical Assistance Services (DMAS) will not know the magnitude of the problem. Each managed care plan (MCO) has their own internal process to follow before filing an appeal with DMAS. When you were provided written notice about the reduction or denial of services, you should have received written directions about how to file an appeal. You can also contact your managed care plan for details about their appeal process. MCO contact information. If your request for reconsideration of the reduction or denial is not successful with the managed care plan, you can still file an appeal directly to DMAS. DMAS appeal process information. Even before you file an appeal, you can contact the Office of the State Long-Term Care Ombudsman for advocacy support. They have a contract with DMAS to provide advocacy assistance to people of all ages who are having problems getting services from their CCC Plus managed care plan.

Maximizing Your Benefits

DentaQuest If you are having trouble finding a dentist contact DentaQuest. DentaQuest is driven by their mission to improve the oral health of all, and to achieve a nation free of dental disease. They envision a nation where no child suffers from the pain of tooth decay, and where adults keep all their teeth for their entire lives. They believe every person should access to quality dental care.   Read details such as, what dental procedures are covered and more information in the DentaQuest, LLC Virginia Medicaid Programs Office Reference Manual. Dentaquest: 855-208-6330 To find a dentist, call, Customer Service: 888-912-3456 Smiles for Children Provider Relations: 888-912-3456, Option 1 To Report Fraud and Abuse call: 800-237-9139 Mail suggestions, complaints, etc, to: DentaQuest P.O. BOX 2906 Milwaukee, WI 53201 Compare the adult dental benefits on the six CCC Plus MCOs Call your MCO to learn about what dental services are covered: Aetna Better Health of Virginia CCC Plus: 844-824-2018 Magellan Complete Care of Virginia CCC Plus: 844-824-2016 Virginia HealthKeepers CCC Plus: 844-824-2017 Virginia Premier Health Plan Member Services: 844-822-8115 Anthem HealthKeepers, Inc. Member Services: 855-208-6330 Tips:  CCC Plus covers certain procedures that may be different than the procedures covered by your MCO. Get informed before making a dental appointment. Sample questions to ask the dentist office before you make an appointment.

Opportunities!   VBPD The Virginia Board for People with Disabilities (VBPD) are currently looking for multiple new members to fill more than half a dozen vacancies. VBPD serves as Virginia’s Developmental Disabilities (DD) Council. DD Councils are in every state and territory of the United States. They work for the benefit of individuals with DD and their families to identify needs and help develop policies, programs and services that will meet these needs in a manner that respects dignity and independence. If you or someone you know would be interested serving with the Board, apply today! Board members serve four-year terms and can be reappointed once. The Board meets four times each year in the Richmond area. Applications for current vacancies should be submitted by May 1, 2019, for fastest review. Eligibility: Parent or guardian of an adult with a developmental disability Parent or guardian of a child 18 and under with a developmental disability Immediate relative or guardian of an adult with a developmental disability who cannot advocate for themselves A person with a developmental disability To be considered, simply complete and submit the required online application. If you’ve already applied in the past, a new application is not required. You can find the required online application at https://solutions.virginia.gov/OASYS/. The Board is located in the Health and Human Resources (HHR) Secretariat. For more information about serving on the Board, visit www.vaboard.org/aboutvbpd.htm#appointment. If you need help with the application, you can call the Secretary of the Commonwealth’s Office at (804) 786-2441 or use the TTY/TDD line at      (800) 828-1120   Va-LEND The Va-LEND Program is currently seeking people who are interested in becoming Disability Advocacy Trainees in the 2019-2020 Va-LEND Program. Virginia Leadership Education in Neurodevelopmental Disabilities is accepting applications. The one- to two-year graduate level program, funded by the Partnership for People with Disabilities (within VCU’s School of Education), teaches trainees to work as leaders and advocates in the field of neurodevelopmental disabilities and disability leadership.  Apply by June 1. For more information, contact Donald Oswald, Interim Associate Director at valend@vcu.edu or call (804) 828-0073. Application   |   Website   |    Video featuring a Medium-Term Trainee with a disability See Va-LEND Trainees presentations on May 1, 2019 4pm in Richmond. Flyer   Medicaid Member Advisory Committee Are you a Medicaid member or does a member of your family have Medicaid coverage? Do you have ideas about how to improve the program to better serve you and your family and others? The Virginia Department of Medical Assistance Services (DMAS) is seeking participants for a new Medicaid Member Advisory Committee. This advisory committee will be made up entirely of Virginia Medicaid members, family members or other representatives and they will play a key role in the review of new and existing health policies and services, making recommendations to the DMAS Director. Why should you participate? You will have the opportunity to play an active role in improving Virginia Medicaid You will meet and work with other members from across the Commonwealth who are motivated to improve Virginia Medicaid for everyone who has coverage through the program Travel expenses will be covered by the agency Meals and parking will be provided for meetings The committee will hold its first meeting in mid-March 2019. DMAS is seeking individuals to participate in the four quarterly meetings taking place this year. If you are interested in being considered for membership on the committee, please contact Walter Burton at Walter.Burton@DMAS.Virginia.Gov or (804) 418-4529. View flyer.

Free Things, Resources & Grants for All Things Disability Related Blog – The Complete List of Free Things and Grants for Kids with Special Needs Facebook Album – Helpful Resources for Virginians with Disabilities Database – Custom Search Options to Disability Resources Tailored to You Facebook Album – Examples of what Ability Unlimited can request through Medicaid funding. (AT = Assistive Technology, EM = Environmental Modifications, DME = Durable Medical Equipment) Summer Camp List – Locations all over Virginia! Free lifetime passes to Virginia National Parks | Fishing, Hunting and Trapping Your local Parks & Recreation may have a reduced priced application for an annual membership for an adult/child with a disability. Your Recreation Center may offer Therapeutic Recreation programs. Or consider signing up for their regular programs for a great opportunity to practice inclusion!

Fiscal Agents (Attendant Payroll) One MCO (Magellan) and FFS Waivers have switched fiscal agents for the Medicaid waiver-funded Home and Community Based Services (HCBS) programs. Fiscal agents manage payroll and taxes for Personal Care Attendants.   It’s important for you to know which fiscal agent you use. Please make sure your Moms In Motion Service Facilitator knows which fiscal agent you are using. The three have differences and it’s important you know which one you need to be registered with so your attendants will be paid on time. Which Fiscal Agent should you be using? Moms In Motion’s Guide with fiscal agents helpline contact information.    Moms In Motion’s PPL Attendant Resource Page Moms In Motion Resources for all three fiscal agents Packets, payroll schedules, guides, etc.

Employee of Record (EOR) Manual  March 2015

Tips: Your back-up caregiver can not be the Primary Care Giver (PCG) or the Employer of Record (EOR). You may choose a family member, neighbor, friend, or paid employee willing and available to assist the individual when needed. Your Service Facilitator or Case Manager or Support Coordinator may not be the back-up person. A back-up caregiver is someone who is NOT the Primary Care Giver (PCG) and NOT the attendant. A backup caregiver is the secondary person who will assume the role of providing direct care to and support of the waiver individual in instances of emergencies and in the absence of the Primary Care Giver (PCG) who is unable to care for the individual. Failure to identify a back-up person/caregiver could result in termination of services.   If you don’t have a back-up person, consider relationship building in your community. Watch this video series featuring Al Condeluci on building relationships for people with disabilities in their community. Please give your Moms In Motion Service Facilitator the name of your back-up caregiver. Attendants can not start working until authorizations are approved. Ask your Moms In Motion Service Facilitator the start date for time sheets.

Your Moms In Motion Service Facilitator will be happy to assist you with anything mentioned in this section. Ask during your next visit!

Job Opportunities at Moms In Motion

Join Our Team!   Do You Want To: have a positive impact on people’s lives?  see the joy in someone’s face when you tell them about a little resource that will make a big difference in their lives?  have the chance to help people in your community on a day-to-day basis?  Apply Today to Become a Service Facilitator    Moms In Motion / At Home Your Way is looking for talented individuals to join our team! We are hiring Service Facilitators all across the state of Virginia. Apply today!  Service Facilitators support eligible individuals and their families in properly using consumer-directed services so they can live in their home with assisted supports. We do this by routinely visiting people in their homes (your home will be your base office). Moms In Motion / At Home Your Way has been a leader in this industry for over nine years. We are a value added provider.We help families to administer their consumer-directed services & link them to additional services.    If you can answer “Yes” to these questions we want you to Join our Team of ACES: Do I enjoy ADVOCATING? Am I COMPASSIONATE? Do I strive for EXCELLENCE in everything I do? Do I care about person-centered SERVICE? Skills and Qualifications include:  Associate’s Degree or greater in Human Services or related field. Ability to work independently. Ability to communicate effectively both orally and in writing.    We are currently hiring in all locations in Virginia!!!   To ensure your Moms In Motion / At Home Your Way application is processed correctly, please use the the links on our Job Opportunities page to apply for the Service Facilitator position in or around your home area.   Share this section with your network, friends and colleagues by copying this link: https://conta.cc/2AtA0Zv Email questions to: HR@MomsInMotion.net Get a gift for referring someone!  If you know someone that would make a great Service Facilitator, please refer them to Moms In Motion.  Ask them to put your name and contact info on their application.  If they work out as an employee, you could receive a gift for your referral.   Service Facilitators make a positive difference   in the lives of the individuals and families they serve. Moms In Motion is in its tenth year as a Service Facilitation Provider!    We are the Biggest because we are the Best! Come Work with the Best 🙂

Advocacy

How the Changes to EPSDT are Impacting Families An eye opening news article was published about changes to the EPSDT Program which impacts children with disabilities in Virginia. Many parents have been scrambling to comply with new regulations that leave their children at risk due to cuts their Personal Care Services. Quote from the article, published by The Free Lance-Star in Fredericksburg, Virginia on March 16, 2019: “Yet as a result of recent changes, the amount of time Medicaid will pay attendants to help with her care has dropped from 80 hours to 49 hours a week. Similar reductions are happening statewide as the Virginia Department of Medical Assistance Services, which administers Medicaid, tries to cut costs.” Full article: As Medicaid Changes, Local Family Struggle Cuts impact ‘the most fragile in our Medicaid system’

Free Training on The Americans with Disabilities Act The Rocky Mountain ADA Center is committed to educating everyone on both the spirit of the Americans with Disabilities Act (ADA) and the technical application of the law. Their team of dedicated staff members design training to inform and educate participants on the impact the ADA has on all Americans.    Understanding how disability rights effect not only those living with a disability but everyone is the driving force behind all that the Rocky Mountain ADA Center does! The Center provides a wide range of training options. They have great ADA training source for individuals with disabilities, businesses, state and local agencies, transit agencies, architects and designers, disability organizations, or anyone who want to know how the ADA affects them. Current classes cover: Service Animals and the ADA Title I, II, and III Disability Awareness and Etiquette Accessible Voting Places 2010 ADA Standards   Sign up for free Rocky Mountain ADA Center Online Training. “… Civil rights are not a guarantee of the good life, but an equal opportunity and responsibility to participate in producing the good life for oneself and for all. Government alone cannot implement ADA; this is a responsibility of all Americans…” – Justin Dart.  Dart is known as the father of the ADA.

The Case for Inclusion The Case for Inclusion 2019 is a comprehensive data tool that examines how well programs in all 50 states and the District of Columbia are serving residents with intellectual and developmental disabilities. The data collected is designed to equip advocates with the data and resources they need to advocate on behalf of deeper investments in the long-term supports and services that enable people with intellectual and developmental disabilities to be included, supported and empowered in the community.

Virginia Mental Health Access Program The Virginia Mental Health Access Program (VMAP) will help close the gap in care for the children and adolescents in our state who are without access to the best mental health services. VMAP has received three separate grants and has partners and supporters throughout the state committed to helping children get the treatment they need. The program is already providing services in some regions. The $1.23 million allocated in the Governor’s budget will get VMAP off the ground and enable it to fully expand statewide. More details here.      Other Resources: NAMI Virginia – the National Alliance on Mental Illness of Virginia REACH – Regional Educational Educational Assessment Crisis Response and Habilitation

The Moms In Motion Leadership Team Look whose turning 10! Moms In Motion will turn 10 in 2019! Over the last 10 years, we have grown tremendously in:the number of families we serve (from 1 to 6,000) the number of team members we support to bring that service to families (from 1 to 160+)rising to face the new challenges of changes in the programsmorphing from a “Mom-and-“…oh, yeah, just a “Mom” company to a full fledged employer of 160+ people, with Training, Finance, HR, IT, Social Media & Admin Departments, Oh-My.  Our #1 2019 Goal: An Abundance of Fully Trained, Effective & Fulfilled Team Members. Why? What does that mean to you? It means: Advocacy – Those Family Resource Specialists who help people new to the waiver systems and navigate getting on one and those who are on a waiver to adjust to the changes and leverage opportunities. Compassion – People at every level of our service delivery identifying with your needs means they will work very hard and with the utmost integrity to ensure that your services stay in place uninterrupted and are accessed as easily as possible.  Excellence – Leveraging our experience to improve our systems and service delivery. Service – Service, Service, Service. You will see a marked improvement in the service you receive from our team this year. Dream Team –  We now have the #DreamTeam of Division & Department Managers fully in-place. Recently we have welcomed, Anna Davila, Yolanda Simmons, Christin Falvella, Marcie Adkins & Jennifer Smith as new Division Managers. They round out our team with Donna Hall, Lauren Becker (6 yrs In Motion), Lynn Chapman, Heather Jennelle, Ivy Kennedy (8 yrs – Holla!), Polly Mathews, Melissa Mellon, Sarah Williamson, Katrina Zepp and their fearless leader, Joy Spencer. We are well on our way to achieving our #1 2019 Goal and seeing the rewards in all areas starting with client and team member satisfaction. Employee Referral Program – Recommend someone great to work with Moms, Get $200! –In order to find new great talent to add to our #DreamTeam and achieve our #1 2019 Goal, we have implemented many positive recruiting strategies. We are offering an Employee Referral Program to YOU! If you know someone looking for a job who would be a great fit with Moms, send them to our website. If they are hired and prove to be a great fit, we will say Thank You with $200. ***(Rules apply, see below)***

Find it Quick What You and Your Service Facilitator Should be Discussing Waivers Maximizing Your Benefits Fiscal Agents (Attendant Payroll) Job Opportunities at Moms In MotionAdvocacy Spotlight On… Moms In Motion in the CommunityEvents & Tools You Can Use Finding Attendants

What You and Your Service Facilitator Should be Discussing

1. New for this period: If you are on the CCC Plus Waiver, did you know that you could also be on the waiting list for one of the three DD Waivers (Building Independence, Family and Individual Supports or Community Living)?  How to apply for the FIS or CL Waiver.Review Mobility and Behavior/Orientation levels as noted on our reports. – Are they accurately reflecting your reality?Which of the three Fiscal Agents are you using?

2. At every visit:Are you enrolled in CCC Plus (Commonwealth Coordinated Care Plus) Waiver?If so, which Managed Care Organization (MCO) are you currently using? Let us know if it changes!Is your child/are you on HIPP for Kids/HIPP?Who is the Employee of Record (EOR)? Is that accurately reflected in your Fiscal Agent’s portal?Changes: Any medical and/or functional changes since our last visit? Any recent hospitalizations? Who is your current Primary Care Physician (PCP)?Who are your attendants and are they getting paid? Do you have a backup caregiver?Turning 18? There are steps you need to take to not lose services. Our amazing Resource Page for Young Adults will guide you through it and more!Review time sheets. Make sure hours noted by attendant match hours worked :-)Confirm your authorizations via your Fiscal Agent’s Portal.

Waivers

Personal Care is Now Under EPSDT for Individuals Under 21 In a Medicaid Bulletin it states that starting September 1, 2018, individuals under the age of 21 that are enrolled in the CCC Plus Waiver, must receive personal care, private duty nursing, and assistive technology through the Early Periodic Screening and Diagnostic Treatment (EPSDT)benefit. This change is being made to comply with the Centers for Medicare and Medicaid Services’ (CMS) requirement that certain Medicaid funded services for individuals under the age of 21 be accessed through the EPSDT benefit in lieu of a 1915 (c) Home and Community Based Services waiver. Since Personal Care has been moved under EPSDT (a Medicaid program, not a Waiver), that will no longer be a Waiver service.  Because of this, you will need to have at least one other service in addition to EPSDT personal care hours. Respite meets that requirement for most, but if you do not receive respite hours you will need to make sure you are using another waiver service.  Some examples of other services are: Adult Day Health Care Assistive Technology Environmental Modifications Medication Monitoring Personal Emergency Response System (PERS) Private Duty Nursing Services Respite Care Skilled and Intermediate (custodial) nursing facility or long stay hospital Transition Services (moving into the community and out of a nursing facility) Resources: Read more in Moms In Motion’s Special Edition Newsletter.Blank DMAS-7 and a sample of a filled out DMAS-7.Moms In Motion’s Questions and Answers Video. Tips/Notes:  Unfortunately, Moms cannot complete the DMAS-7 ourselves 🙁 Therefore it falls to you to make sure the DMAS-7 is complete, correct & received on time by your Moms In Motion Service Facilitator.  In order to prevent a lapse or delay in service, please discuss your authorization renewal dates with your Service Facilitator to figure out when it makes sense to start talking to your doctor about this document. A specialist cannot complete the DMAS-7, it needs to be filled out by a pediatrician, developmental pediatrician, or a primary care physician.  It is important that the doctor fills out the form properly! HERE IS A SAMPLE DMAS-7 that is already filled out that you can show to your doctor to guide them. If you already have an authorization in place for Respite, you can use your respite hours until your personal care hours are authorized in order to bridge any sort of gap.  Without the DMAS-7 from the doctor there may be a delay in approval of authorizations and/or attendants may not be paid on time. It is important for parents to advocate to their doctor what supports their child needs, so no attendant hours are lost.  Authorizing entities (MCO’s, KePRO, DBHDS) make the final decision on hours approved. These requests are scrutinized each time they are submitted and a previous approval of X amount of  Personal Care hours is not a guarantee to have the same hours regardless of the what the doctor puts on the DMAS-7.

Maximizing Your Benefits

Latest News on the IFSP (Individual and Family Support Program) The Individual and Family Support Program (IFSP) is designed to assist individuals on the DD Waiver wait list and their families to access short-term, person/family centered resources, supports and services. These services and items funded through the IFSP are intended to support the continued residence of an individual in their own or family home in the community. If your wait list status changes before you receive additional notifications from the IFSP (for example: you receive a waiver, you leave the wait list, or you move out of state), please send IFSP your updated information using the following link: https://www.surveymonkey.com/r/ifspchangeform. Note: This form will only accept information updates. Please do not use it to send messages or questions to the IFSP Program. IFSP staff have completed their initial review of FY 2019 application requests and have begun issuing funds to approved FY 2019 applicants. This year they received almost 4,500 requests for assistance. At this time with the available monies, they are able to fund 3,028 applicants who met all of the IFSP criteria. Before you use your Way2Go Card, there are a few things IFSP staff would like for you to know: Look carefully and do not throw away any of your mail! For security purposes, the letter and card will arrive in an unmarked plain envelope with a return address from Austin, TX. All cards will be mailed directly to the address that was provided for the Responsible Party when the application was completed. If you need to change your address, please contact IFSP staff using the Address Change Form: https://www.surveymonkey.com/r/ifspchangeform. Do not make any purchases with the card until January 21, 2019. IFSP Staff will not accept any receipts for purchases made before 1/21/19. Instructions for submitting receipts will be sent out January 22, 2019 via email. You must submit receipts.  Each Responsible Party will receive one pre-loaded Way2Go Card within 5-10 business days of receiving the announcement email. The card will include the total award amount that was approved for all of the Responsible Party’s applications. You will need to authorize your card before you can use it. You can authorize your card by downloading the mobile app, visiting the www.goprogram.com website, or calling 800- 961-8423. Additional instruction on how to authorize and use the card will be sent via email to the Responsible Party. If you have not received the Way2Go Card by January 31st, please contact Conduent, the card vendor, by calling their customer service line: 800-961-8423. Helpful Resources: Way2Go Card FAQ Way2Go Card YouTube Tutorial If you have specific questions about your Way2Go Card, Conduent is the vendor that has been selected by DBHDS to provide customer service for the Way2Go Card. For all questions related to the Way2Go MasterCard, customers should visit www.goprogram.com or call customer service’s toll free number at 800-961-8423. As always, if you need general assistance with the Way2Go Card or the IFSP Funding Program, please contact My Life, My Community (operated by SeniorNavigator) by phone at (844) 603-9248.   Maximizing Your IFSP Funds: A detailed guide to allowed items and low to no cost resources for commonly requested items. Read information and log in to see your IFSP application status. Stay up to date on the next IFSP funding period with Moms In Motion’s Newsletters! Subscribe here.

The Virginia Lifespan Respite Voucher Program The Virginia Lifespan Respite Voucher Program (VLRVP) provides reimbursement vouchers to Virginia caregivers who reside full-time, in the same household as the person receiving care, for the cost of temporary, short-term respite care provided to individuals, of any age, with a diagnosis of dementia and for grandparents or relative caregivers providing care to a child not more than 18 years of age or an individual 19 to 59 years of age who has a severe disability.  Priority will be given to assist those caregivers with the greatest social and economic need. Respite funding is limited to $400.00 per family through July 31, 2021 or until funds are exhausted. Funds may NOT be used to reimburse household expenses or daycare (to go to work or other daycare). Due to limited funds, not all eligible applications will be approved.

The Partners in Policymaking Program The Virginia Board for People with Disabilities (VBPD) are now accepting applications for the 2019-2020 Partners in Policymaking program. Applications are due by March 15, 2019 by 5pm. Class begins September 13, 2019. The 2019-2020 session of Partners in Policymaking begins September 13, 2019, and runs through April 4, 2020, across seven two-day sessions in the Richmond area. Applications are accepted from individuals with developmental disabilities or parents of children with developmental disabilities. VBPD covers all expenses for participants’ training, lodging, meals, and travel. The group of selected participants, consisting of parents and self-advocates, will build networks with state and national leaders as well as one another. Receive hands-on instruction from experts and thought leaders from around the country to make you the best you can be. Have an impact, and become a Partner in Policymaking! Participants will be educated on best practices and current trends in many areas including: – History of Disability Movements – Inclusive Education – Building Inclusive Communities – Communication & Team Building – Self-Advocacy – Supported Employment – Natural Supports – Legislative Process and Strategies – Independent Living – Personal Futures Planning – Assistive Technology The Empowering Life Story of a Partners in Policymaking Graduate Rob is a 35-year survivor of a spinal cord injury that resulted in him becoming a quadriplegic at the age of 17-years-old.  In 2005, Rob developed an infection, which led to the loss of his independence. He had to give up his apartment to live in an institution / nursing home. He had several medical complications following this infection, which led Rob to becoming homeless with nowhere to turn for assistance. With no other alternatives, Rob had to agree to being housed in several different nursing homes in the Tidewater area. There, at the nursing home his restless researching led him to his second lease on life. He discovered the Money Follows the Person Program (MFP), and Partners in Policymaking. He found funding to purchase his first wheelchair-accessible van with the help of a loan through Virginia’s Assistive Technology Loan Fund Authority. Soon after, Rob found his way to college! With the assistance from the Department for Aging and Rehabilitative Service (DARS), he now has a Bachelor of Science degree. His goal is to help individuals and family members affected by substance abuse and/or homelessness in the Human Services field. Due to his age at the onset of his disability, he received a Developmental Disability Waiver in 2009. Some of the many benefits Rob has experienced due to his DD Waiver are being his own Employer of Record and hiring his own attendants as well as obtaining Assistive Technology and Environmental Modifications.  Moms In Motion congratulates Rob on a job well done! Read Rob’s entire story his own words, here.

Charitable Fund Award Established in 2009 to support Commonwealth Community Trust‘s mission of helping people with special needs improve their quality of life, this grant program/award offers assistance with the purchase of equipment, medication or services to Virginia residents who demonstrate a financial need. The recipient must live in Virginia and have a disability that meets the SSA definition of being disabled. Disability for adults is defined as the inability to engage in “substantial gainful activity.” There must be a physical or mental impairment that can be expected to last at least 1 year. A child must have a physical or mental condition that very seriously limits his or her activities and is expected to last at least 1 year. The recipient must meet Federal poverty guidelines and/or receives SSI benefits.Online application period opened January 14, 2019 and will close March 28, 2019.For 2019, the maximum amount per recipient will be $1,000.

Ability Unlimited’s New Facebook Group! Ability Unlimited a provider for Assistive Technology (AT), Environmental Modifications (EM) and Durable Medical Equipment (DME) now has a public Facebook group! You can post questions and network with others and learn their experiences about the devices that work the best. Ability Unlimited’s team members are monitoring posts and will be available to answer questions in the group. Ability Unlimited can help by submitting requests to provide access to devices available for people with a wide range of disabilities, including those who have sensory, vision and mobility issues. Ability Unlimited provides AT, EM, DME to people with special needs who have Virginia Medicaid either through a waiver or that qualify for EPSDT (VA Medicaid + under the age of 21). Ability Unlimited can also provide devices, etc through private funding means.  Ability Unlimited assists you to navigate the process. Ability Unlimited is here to provide you what you need to live life unlimited! They welcome you to join their Facebook group!

Resources for Tax Season The Earned Income Tax Credit (EITC) This is a benefit for working people with low to moderate income. To qualify, you must meet certain requirements and file a tax return, even if you do not owe any tax or are not required to file. EITC reduces the amount of tax you owe and may give you a refund. Many individuals with disabilities or persons with children with disabilities qualify for the Earned Income Tax Credit. The Earned Income Tax Credit is a pathway out of poverty for millions of Americans with disabilities.Difficulty of Care Federal Income Tax Exclusion There are tax exemptions for family members who are caregivers living in the same residence. If you take care of an adult who is living with you in your home, your pay is exempt from income tax! So, if a parent is taking care of an adult child, their pay is exempt from income taxes. Also, if you have someone living in your home who you take care of full time, your pay is also exempt! IRS Notice 2014-7 Excludable Income – When a direct care worker (receiving Medicaid based Personal Care Attendant payments) lives with the participant that they provide services to, their income may be excluded from Federal Income Tax. In order to qualify for the exclusion they must be able to answer YES to all the statements below: – I provide services to the individual participant in my home. (It doesn’t matter who owns or rents the home.) – I do not have a separate home where I reside. – This is the home where I reside and regularly perform the routines of private life, including shared meals and holidays with family. Note: Does not apply to Act 150 program participants. Volunteer Income Tax Assistance Program (VITA) VITA is for people with low income, people with disabilities, seniors, and others who need special help. Haven’t completed your taxes yet? You may be eligible for free assistance with filing your taxes and applying for the Earned Income Tax Credit. VITA volunteers are certified and trained by the Internal Revenue Service and can help you prepare a basic return. In addition to VITA, the Tax Counseling for the Elderly (TCE) program offers free tax help for all taxpayers, particularly those who are 60 years of age and older, specializing in questions about pensions and retirement-related issues unique to seniors. The IRS-certified volunteers who provide tax counseling are often retired individuals associated with non-profit organizations that receive grants from the IRS. Senior and Disabled Tax Relief ProgramsElderly Citizens and Disabled Persons who meet certain criteria may be granted relief from all or part of their real estate taxes, personal property tax on one vehicle, the vehicle registration/license fee, and the solid waste fee. Eligibility criteria may change from year to year. Each locality has it’s own program, so research the guidelines in your city or county as they may vary.

Fiscal Agents (Attendant Payroll) 1 MCO (Magellan) and FFS Waivers have switched fiscal agents for the Medicaid waiver-funded Home and Community Based Services (HCBS) programs. Fiscal agents manage payroll and taxes for Personal Care Attendants. It’s important for you to know which fiscal agent you use. Please make sure your Moms In Motion Service Facilitator knows which fiscal agent you are using. The three have differences and it’s important you know which one you need to be registered with so your attendants will be paid on time.Which Fiscal Agent should you be using? Moms In Motion’s Guide with fiscal agents helpline contact information.  Moms In Motion’s PPL Attendant Resource PageMoms In Motion Resources for all three fiscal agents Packets, payroll schedules, guides, etc.

Employee of Record (EOR) Manual  March 2015

Tips:  A backup caregiver is someone who is NOT the primary caregiver and NOT the attendant. “Backup caregiver” means the secondary person who will assume the role of providing direct care to and support of the waiver individual in instances of emergencies and in the absence of the primary caregiver who is unable to care for the individual. Failure to identify a backup person/caregiver could result in termination of services. Attendants with Consumer Direct Care Network (CDCN) may have gotten small deposits for FICA. Attendants can not start working until authorizations are approved. DMAS/Kepro are in charge of authorizations for Fee For Service (FFS). Moms In Motion does not authorize Personal Care hours. See CCC Plus Waiver Pre-authorization process chart. MySupport Virginia – Access is ending for Anthem CCC+ members. Some of MySupport’s contracts will be coming to an end shortly. Members enrolled with Anthem’s CCC+ program will continue to have access to MySupport until February 1st. Members enrolled in the DD Waiver or HIPP programs will have access to MySupport until at least April 1st, with further decisions regarding the DD Waiver/HIPP population to come from the Department after that. Other resources to help you find attendants.

Your Moms In Motion Service Facilitator will be happy to assist you with anything mentioned in this section. Ask during your next visit!

Job Opportunities at Moms In Motion

Join Our Team!   Do You Want To: have a positive impact on people’s lives?  see the joy in someone’s face when you tell them about a little resource that will make a big difference in their lives?  have the chance to help people in your community on a day-to-day basis?  Apply Today to Become a Service Facilitator  Moms In Motion / At Home Your Way is looking for talented individuals to join our team! We are hiring Service Facilitators all across the state of Virginia. Apply today!  Service Facilitators support eligible individuals and their families in properly using consumer-directed services so they can live in their home with assisted supports. We do this by routinely visiting people in their homes (your home will be your base office). Moms In Motion / At Home Your Way has been a leader in this industry for over nine years. We are a value added provider.We help families to administer their consumer-directed services & link them to additional services.   If you can answer “Yes” to these questions we want you to Join our Team of ACES: Do I enjoy ADVOCATING? Am I COMPASSIONATE? Do I strive for EXCELLENCE in everything I do? Do I care about person-centered SERVICE? Skills and Qualifications include:  Associate’s Degree or greater in Human Services or related field. Ability to work independently. Ability to communicate effectively both orally and in writing.  We are currently hiring in all locations in Virginia!!!  To ensure your Moms In Motion / At Home Your Way application is processed correctly, please use the the links on our Job Opportunities page to apply for the Service Facilitator position in or around your home area. Share this section with your network, friends and colleagues by copying this link: https://conta.cc/2AtA0Zv Email questions to: HR@MomsInMotion.net Get a gift for referring someone!  If you know someone that would make a great Service Facilitator, please refer them to Moms In Motion.  Ask them to put your name and contact info on their application.  If they work out as an employee, you could receive a gift for your referral.   Service Facilitators make a positive difference  in the lives of the individuals and families they serve.Moms In Motion is the Biggest because we are the Best!Come Work with the Best 🙂

Advocacy

An Update From The Arc’s Center For Future Planning The Arc’s Center for Future Planning is currently working on a project with The Arc of Massachusetts to learn more about the supports that people with I/DD need to make their own healthcare decisions. We recently held focus groups for self-advocates and health care professionals in Massachusetts to learn more about their experiences and recommendations. Special needs attorneys will also provide feedback. Based on feedback from these groups, The Arc plans to create materials that empower individuals with I/DD to manage their own healthcare. Visit The Arc’s Center for Future Planning to learn more about supported decision-making and other alternatives to guardianship. Watch a video series on supported decision-making and other alternatives to guardianship.

Research to Roadmap: Family Caregiving Support The Family Support Research and Training Center (FSRTC) released

What You and Your Service Facilitator Should be Discussing   1. New for this period:  If you are on the CCC Plus Waiver, did you know that you could also be on the waiting list for one of the three DD Waivers (Building Independence, Family and Individual Supports or Community Living)?  How to apply for the FIS or CL Waiver. Review Mobility and Behavior/Orientation levels as noted on our reports. – Are they accurately reflecting your reality? You can now enroll attendants online at PPL.   2. At every visit: Are you enrolled in Commonwealth Coordinated Care (CCC) Program? If so, which Managed Care Organization (MCO) are you currently using? Are you on HIPP? Are there any medical and/or functional changes? Who is your current Primary Care Physician? Who are your attendants and are they getting paid? Have there been any recent hospitalizations? Turning 18? We have an amazing Resource Page for Young Adults! Reviewing time sheets filled out by your attendants.     Waivers   MCO Fiscal Agent Changes MCOs and Waivers will be switching fiscal agents for the Medicaid waiver-funded Home and Community Based Services (HCBS) programs. Fiscal agents manage payroll and taxes for Personal Care Attendants.     Aetna is staying with PPL, though new clients in the Roanoke area will have the choice of PPL or CDCN. Magellan is going with ACES$. Anthem, Optima, Virginia Premier, and United Healthcare will stay with PPL.   All individuals that have CL/FIS Waiver, HIPP & EPSDT with no Waiver will be switching to Consumer Direct Care Network (CDCN). Those on the CCC Plus Waiver and/or EPSDT with an MCO who are using Virginia Premier, Optima, Aetna*, Anthem, and United Healthcare will not be impacted by this change.   * Newly enrolled Consumer Directed members in the Southwest and/or Roanoke area of the state using Aetna will have the option to select PPL or Consumer Direct Care Network (CDCN) after 1/1/19. There are no changes for existing Aetna members after 1/1/19. If you have Magellan as your MCO, you’ll be switching to ACES$: Employer of Record (EOR) and attendant forms must be received by December 7. Both you (the EOR) and your personal care attendants benefit from secure online enrollment and streamlined forms. ACES$ contact information: SecureVA@mycil.org  1-800-344-7211 ACES$ Virginia Website  Steps to create an ACES$ EOR account Blank Packets to fill out Employer of Record (EOR) blank packet Attendant blank packet  (There is a sample packet on their website. Follow steps to get EOR ID)  ACES$ Brochure with pay schedule  Front  |  Back  If your MCO or Waiver is switching to Consumer Direct Care Network: Consumer Direct Care Network (CDCN) must receive completed versions of these forms for all employers and attendants by 12/3/2018 so that pay continues as scheduled in January. Employers and attendants must complete new forms so that CDCN can provide payroll services to attendants. These forms are accessible online at: www.ConsumerDirectVA.com/forms What forms are required? – Download the Employer Transition Packet, complete and submit a packet for all Individuals receiving services that you represent. Download the Attendant Transition Packet, complete and submit a packet for all of the attendants providing services to the individual. Please submit complete and signed forms to InfoCDVA@ConsumerDirectCare.com or fax them to (877) 747-7764. Forms must be received by CDCN by 12/3/2018 so that attendant pay continues as scheduled in January. CDCN has extended their packet deadline for Employers on DMAS’ fee-for-service program from 12/3/18 to 12/10/18. PPL will not process any Employee Of Record (EOR) changes or attendant hiring packets after 12/2/2018 for any recipients impacted by these changes. If you need to change your EOR or hire a new attendant after this date, please contact Consumer Direct Care Network. The toll-free number for Consumer Direct Care Network is (888) 444-8182 or by email at InfoCDVA@ConsumerDirectCare.com or by fax (877) 747-7764. Helpful links: Read CDCN’s transition letter.  Training Videos on how to fill out the Employer and Attendant packets.  CDCN’s FAQ a list of answers CDCN has compiled to help you.   Personal Care is Now Under EPSDT for Individuals Under 21   In a Medicaid memo, it states, starting September 1, 2018, individuals under the age of 21 that are enrolled in the CCC Plus Waiver, must receive personal care, private duty nursing, and assistive technology through the Early Periodic Screening and Diagnostic Treatment (EPSDT) benefit. This change is being made to comply with the Centers for Medicare and Medicaid Services’ (CMS) requirement that certain Medicaid funded services for individuals under the age of 21 be accessed through the EPSDT benefit in lieu of a 1915 (c) Home and Community Based Services waiver. Since Personal Care has been moved under EPSDT (a Medicaid program, not a waiver program), that will no longer be a Waiver service.  Because of this, you will need to have at least one other service in addition to EPSDT personal care hours. Respite meets that requirement for most, but if you do not receive respite hours you will need to make sure you are using another waiver service.   Some examples of other services are: Adult Day Health Care Assistive Technology Environmental Modifications Medication Monitoring Personal Emergency Response System (PERS) Private Duty Nursing Services Respite Care Skilled and Intermediate (custodial) nursing facility or long stay hospital Transition Services (moving into the community and out of a nursing facility)   Resources: Read more in  Moms In Motion’s Special Edition Newsletter. Blank DMAS-7 form and an example of a filled out DMAS-7. Tips:   It’s your responsibility to make sure the DMAS-7 is received on time to your Moms In Motion Service Facilitator. A specialist cannot complete the DMAS-7, it needs to be filled out by a pediatrician, developmental pediatrician, or a primary care physician.   It is important that the doctor fills out the form properly! HERE IS A SAMPLE DMAS-7 that is already filled out that you can show to your doctor to guide them. If you already have an authorization in place for Respite, you can use your respite hours until your personal care hours are authorized in order to bridge any sort of gap. Without the DMAS-7 from the doctor there may be a delay in approval of authorizations and/or attendants may not be paid on time. It is important for parents to advocate to their doctor what supports their child needs, so no attendant hours are lost.   Three New Services Added to the Developmental Disabilities Waivers Effective September 1, 2018, three new services are available under the Developmental Disabilities Medicaid Waiver program as stated in a Medicaid Memo. These new services can be utilized on the three types of DD Waiver which are, Building Independence (BI), Family and Individual Supports (FIS) and Community Living (CL). Read an extensive services and supports DD Waiver comparison guide in a previous Moms In Motion Newsletter.   The new services are: Community Guide There are two categories of Community Guides, General Community Guide and The Housing Guide. Community Guide Services include direct assistance to promote an individuals’ self-determination through using community resources that lead to connection to and independent participation in integrated, independent housing or community activities. Housing supports will assist an individual move to independent housing by helping with transition and tenancy sustaining activities. The community housing guide will collaborate with the support coordinator, regional housing specialist, and others to enable the individual achieve and sustain integrated, independent living.   Peer Mentoring Peer Mentor Supports provide information, resources, guidance, and support from an experienced, trained peer mentor to an individual receiving any of the three DD Waivers. Peer mentoring is delivered by individuals with developmental disabilities who are or have received services, and have shared experiences with the individual. Peer mentors will provide support and guidance. The service is designed to foster connections and relationships which build individual resilience. Peer mentors will share their successful strategies and experiences in navigating a broad range of community resources with individuals. Peer Mentor Supports may be authorized for up to six (6) consecutive months, and the cumulative total across that time frame may be no more than 60 hours in a plan year.   Benefits Planning Benefits planning is an individualized analysis and consultation service provided to assist individuals receiving DD Waiver services and Social Security benefits (SSI, SSDI, SSI/SSDI) to understand their benefits and explore the possibility of work, to start work, and the effect of work on local, state, and federal benefits. This service includes education and analysis about current benefits status and implementation and management of state and federal work incentives. This service results in the development of written resource documents to assist individuals and their families/legal representatives to better understand the current and future benefits of employment. This Benefits Planning service also provides information and education to working individuals to make successful transition to financial independence. Read more details about these services and learn how to access them, here.     Maximizing Your Benefits   Save on Heating Your Home The Virginia Low Income Home Energy Assistance Program assists low-income households, particularly those with the lowest incomes that pay a high portion of household income for home energy. Colder temperatures are here! Do you qualify? Check it out today.   In order to qualify for this benefit program, you must be a resident of the state of Virginia and you must need financial assistance for home energy costs. A person who participates or has family members who participate in certain other benefit programs, such as the Supplemental Nutrition Assistance Program (SNAP), Supplemental Security Income (SSI), Temporary Assistance for Needy Families (TANF) or certain needs-tested Veterans may be automatically eligible for this benefit. The program is comprised of four components: Fuel Assistance Crisis Assistance Cooling Assistance Weatherization   Medicaid Expansion Coverage will begin January 1, 2019 for those who apply and are able to enroll for Virginia’s New Health Coverage for Adults. Applications have been accepted since November 1, 2018. Now thousands of Virginians aged 19-64 will be able to apply for low or no-cost health coverage so they don’t have to worry about getting sick or having an accident! Visit Cover Virginia’s webpage for information on: Who qualifies Call center phone number Complete an online application Locations to mail or drop off a paper application Eligibility Screening Tool FAQs    New Federal Housing Vouchers for People with Disabilities In September, The U.S. Department of Housing and Urban Development (HUD) issued a Notice of Funding Availability (NOFA) for the Section 811 Mainstream Housing Choice Voucher Program which impacts non-elderly persons with disabilities. The Department of Housing and Urban Development (HUD) awarded $98.5 million to 285 public housing authorities across the U.S. to provide new, permanent affordable housing vouchers to nearly 12,000 non-elderly people with disabilities. The housing assistance is provided through HUD’s Section 811 Mainstream Housing Choice Voucher Program which provides funding to housing agencies to assist non-elderly people with disabilities who are: transitioning out of institutional or other separated settings; at serious risk of institutionalization; homeless; or at risk of becoming homeless. This program helps to further the goals of the Americans with Disabilities Act by helping persons with disabilities live in the most integrated setting. The program also encourages partnerships with health and human service agencies with a demonstrated capacity to coordinate voluntary services and supports to enable individuals to live independently in the community. 2018 Awarded Housing Vouchers Listed by State Related News Article from November 12, 2018: A ‘game changer’ Proposed Medicaid benefit would cover housing services   The VT Autism Clinic and Center for Autism Research’s Mobile Autism Clinic   The Center’s newest outreach initiative is housed in a 29-foot RV that will expand more Autism services into several counties within Central Appalachia. The mission of the Virginia Tech Autism Clinic/Center for Autism Research/Mobile Autism Clinic (VTAC/CAR/MAC) is to merge science with service. The MAC will be equipped with computers, internet access, and video recording equipment, and will offer space to conduct parent/family mediated interventions for Autism. Regular visits to these communities by Center faculty and staff in the MAC will provide parents and caregivers with trainings on evidence-based treatment, with the goal being to empower families with additional skills on how to better support their children with Autism. The MAC focuses specifically on under-served areas of rural Appalachia in further Southwest Virginia. The Mobile Autism Clinic alternates locations on Friday afternoons, spending one in Galax, Virginia and the other in Marion, Virginia.  Overview of MAC services: Treatment services for Autism Spectrum Disorder are based on a variety of empirically supported intervention techniques. All services are provided by graduate student clinicians in the Department of Psychology at Virginia Tech, supervised by a licensed clinical psychologist. Individualized treatment approaches are developed for each child/family based on evidence-based behavioral strategies from Applied Behavior Analysis, developmental approaches, and Pivotal Response Treatment.  Some common themes clinicians work on are social skills, challenging behaviors, managing anxiety, stress and/or anger management and various parent trainings. They are now offering diagnostic evaluations for those who are suspected to have Autism Spectrum Disorder.   Treatment Sessions in the MAC: The initial session is an hour and a half intake with parent/caregiver(s) and child.  Future appointments may be for the parent/caregiver only or may include the child, depending on needs of the family and goals that have been discussed with the clinician. They currently use a therapy/consultation model where we will meet with the family (parent/caregiver and/or child) in-person once per month for therapy/training sessions and then continue the discussion via pre-arranged phone/Skype consultation meetings in between the MAC visits. The goal is to empower caregivers/parents with skills they can use for the long term at home. Each family session is currently $15, and less for phone consultation meetings. Parent/caregiver needs to bring documentation, evaluations, etc. to the initial intake appointment.  Diagnostic Evaluations in the MAC: Diagnostic evaluations/assessments for Autism Spectrum Disorder range from 3 to 9 hours, depending on what is requested or needed. They use gold-standard evidence-based tools for conducting diagnostic evaluations. Fees for diagnostic evaluations/assessments are determined on a sliding scale, based on family income. The VT Autism Clinic and Center for Autism Research look forward to hosting their Annual Autism Conference on Friday, April 26, 2019 in Blacksburg at the Inn at Virginia Tech.   Virginia Birth-Related Neurological Injury Compensation Program Babies can be born with serious birth-related neurological injuries. The Virginia Birth-Related Neurological Injury Compensation Program helps parents take care of these children for life. This program is designed to assure access to obstetrical services for all Virginia residents. The program covers what insurance and other programs don’t. Expenses such as medical expenses, hospital expenses, rehabilitation expenses, in-home nursing care and much more. With soaring medical malpractice insurance rates, insurance companies are on the brink of eliminating coverage. Virginia has worked with all stakeholders, including physicians, associations, insurers, lawyers and others to develop an innovative solution, the Virginia Birth-Related Neurological Injury Compensation Program.   The Program was a first of its kind nationally. Located in Richmond, a nine-member volunteer board of directors governs the organization. The Governor of Virginia appoints all board members. Although started by the Virginia General Assembly, the Birth-Injury Program is an independent organization. The Virginia Birth-Related Neurological Injury Compensation Program has distinguished itself by assuring superior care for admitted children.     PPL – Waiver Fiscal Agent/”Payroll” Check out Moms In Motion’s: PPL and Attendant Resource Page   Check out PPL’s: Overview, Program Documents and Training Resource Page Request a Pre-populated Packet Attendant Application (Link to submit) Online Enrollment for Consumers and Providers (EORs and Attendants) Submit an Online Timesheet Tutorial (Prompt to run Adobe Flash) Attendant Payroll Schedules for 2018 – March 2019  A – Central VA & Tidewater   B – Northern VA, Piedmont & Southwest  Employee of Record (EOR) Manuals  July 2009   March 2015   Your Moms In Motion Service Facilitator will be happy to assist you with anything mentioned in this section. Ask during your next visit!     Advocacy   How, When and What to Know to Get Involved in Legislative Advocacy Season   January and in the beginning of February is the time to make your voice heard! Don’t miss this years chance to advocate about what your family needs to thrive. Communicate to your Legislators in the General Assembly and to your Representative in Congress. There are events to do this in person or in a group, which is a great way to network with parents. You can also try to schedule a one-on-one meeting with your Legislator in their local office. You can also email and send them a tweet. It is so important that the people that influence the state budget know about the lives of individuals and families with loved ones with disabilities. Chances to make your voice heard: Public Budget Hearings Across the State DD Advocacy Day in Richmond Independent Living (IL) Day in Richmond Mental Health Advocacy Day in Richmond All events above and information about the proposed state budget will be posted on the Moms In Motion’s Calendar, Facebook, and Twitter when details become available, so be sure you are following us! Useful Tools: Tips on How to be an Effective Advocate  Read a blog written by a parent which explains why it’s so important to advocate: The 5 Reasons it’s Difficult to be Employed and Raise a Child with Special Needs  Find your Legislator  Find your Congressperson  The Arc of Virginia will post a detailed summary of how the proposed budget will impact people with disabilities     Spotlight On…   Respite for Parents and Caregivers   Respite care is, very simply, substitute care. A respite caregiver is a person who takes over when the primary caregiver takes a break. As a parent raising a child with a disability, you might find that “me time” is more fantasy than reality. Sure, you’d love some time to yourself, or one-on-one time with a spouse, partner, friend, or another child. When your child has special needs, handing over responsibility can be a real challenge. You might feel as if you are the only person who can do the job, and doubt that anyone else could meet all of your child’s needs. But remember, you’re not superhuman. There’s only so much you can give before you will feel mentally, emotionally, and physically drained. When you take time off to recharge, you’ll be able to give more and enjoy doing it. …Your child will benefit too! Respite care provides parents and other caregivers with short-term personal care services that offer temporary relief, improve family stability, and reduce the risk of abuse or neglect. You may also find that just a few hours away can make a world of difference to your health and outlook.   Respite comes in many shapes and sizes, here are two articles that feature respite services in Virginia: Area nonprofit offers retreats for parents of special-needs children Caregiver respite inn to open in New Market You may be able to look up your respite hours in your MCOs fiscal agent web portal. Please ask your Moms In Motion Service Facilitator how you can access your respite hours!   Hire Autism Hire Autism is a non-profit in Northern Virginia that helps people ages 16 and up on the autism spectrum to get placed into the work place. Hire Autism is a pilot program of the Organization for Autism Research (OAR). Started in 2017, the Hire Autism program helps individuals find jobs that match their interests and skills by offering an autism-friendly application process that showcases their strengths to employers who are looking to be matched with quality candidates. Hire Autism provides individualized support to job seekers, such as resume building, cover letter writing, interview practice, customized job recommendations. They also maintain an active job database and keeps contact with potential employers. Hire Autism is proud to cultivate relationships with employers as well as educating them on Autism and best practices for managing and working with individuals on the autism spectrum!   More resources: Community Coach Program is a service on all three DD Waivers that provides one-on-one by a community coach to an individual in an integrated employment or self-employment situation at or above minimum wage in a job that meets personal and career goals. A coach will assist with the job search and job application process. Once hired, the coach helps help train job duties until the individual is able to do the tasks independently or if appropriate, will provide constant coaching, instruction and monitoring. The coach’s job is to report to Medicaid and develop the skills of the individual for success at the work place. Read Moms In Motion’s Employment Resource Page     Moms In Motion in the Community   Thank you for believing in us! Moms In Motion would like to express our appreciation to the following organizations and individuals who have shared Moms as a resource with families they know. Thank you to: Animated Child  Located in Montclair, Virginia, Animated Child is an inclusive and innovative enrichment center for children ages 2-13. They encourage children’s natural curiosity, independence and creativity. Animated Child engage children in every element of intelligence to highlight their own unique way of learning. By exploring in what ways a child is smart versus how smart they are, children are empowered to recognize ability within themselves. Animated Child focuses on science, technology, engineering, art and math. Their classrooms are inclusive!   “The Buzz” about Moms In Motion! A father of an individual Moms In Motion serves, stated that he had been so pleased with the services he received from his Service Facilitator, Mezie Anyanwu. On his voicemail to the Family Resource Specialist team, he talked at length about the compassion, dedication and respect he has felt as a parent from Mezie for his child.     2018 Moms In Motion Company Retreat!   More pictures…   We had a successful company retreat in Williamsburg! Two-thirds of the company met at The Great Wolf Lodge in October to learn, network and to create change so Moms In Motion can best serve you. It was a few days not to forget as Moms In Motion team members used their time to the fullest. From the awards banquet, to the team brain storming session, from the DBHDS workshop, to the deeply inspiring speech by Moms In Motion’s Founder, this was one company retreat sure to be cherished!     Job Opportunities at Moms In Motion         Join Our Team!     Do You Want To: have a positive impact on people’s lives?  see the joy in someone’s face when you tell them about a little resource that will make a big difference in their lives?  have the chance to help people in your community on a day-to-day basis?  Apply Today to Become a Service Facilitator    Moms In Motion / At Home Your Way is looking for talented individuals to join our team! We are hiring Service Facilitators all across the state of Virginia. Apply today! Service Facilitators support eligible individuals and their families in properly using consumer-directed services so they can live in their home with assisted supports. We do this by routinely visiting people in their homes (your home will be your base office). Moms In Motion / At Home Your Way has been a leader in this industry for over nine years. We are a value added provider. We help families to administer their consumer-directed services & link them to additional services.    If you can answer “Yes” to these questions we want you to Join our Team of ACES: Do I enjoy ADVOCATING? Am I COMPASSIONATE? Do I strive for EXCELLENCE in everything I do? Do I care about person-centered SERVICE? Skills and Qualifications include:  Associate’s Degree or greater in Human Services or related field. Ability to work independently. Ability to communicate effectively both orally and in writing.    We are currently hiring in all locations in Virginia including the following:   Abingdon / Bristol / Washington County Danville / Pittsylvania Counties Lynchburg Albemarle / Charlottesville Counties Deerfield Madison County Alexandria Eastern Shore Manassas Alleghany County Fairfax County Monterey Amelia / Cumberland / Powhatan Counties Fauquier County Nelson County Arlington / Falls Church / McLean Fluvanna County Orange County Bedford County / Vinton Frederick County / Winchester Page County Bland / Smyth / Wythe Counties Fredericksburg Prince William County (Dumfries / Triangle / Woodbridge) Branchville / Emporia / Jarrett Counties Giles County / Pulaski County / Radford Richmond Brunswick / Greenville Counties Goochland / Louisa Counties Roanoke Campbell County Greene County Shenandoah County Caroline County Halifax / South Boston Counties Southampton County Carroll County / Floyd County / Galax / Grayson / Hillsville Hampton Roads Spotsylvania County Clifton Forge / Covington Harrisonburg Stafford County Colonial Heights / Dinwiddie / Petersburg Counties    Henry County / Martinsville Staunton Craig County / Roanoke County / Salem    Lee County / Norton / Russell County/ Scott County / Wise County Warren County Craigsville / Goshen    Loudoun County Waynesboro Culpeper Lunenburg / Mecklenburg Counties    To ensure your Moms In Motion / At Home Your Way application is processed correctly, please use the the links on our Job Opportunities page to apply for the Service Facilitator position in or around your home area.   Share this section with your network, friends and colleagues by copying this link: https://conta.cc/2AtA0Zv Email questions to: HR@MomsInMotion.net   Service Facilitators make a positive difference   in the lives of the individuals and families they serve. Moms In Motion is the Biggest because we are the Best! Come Work with the Best 🙂      Events  Consumer Direct Care Network Town Hall Meetings for EOR Training CDCN will provide similar trainings, as well as assist with filling out required paperwork for Employers and their Employees. All Service Facilitators are encouraged to stay through the afternoon sessions to help Employers understand the enrollment process. Dec 7 & 8 Roanoke Jefferson Area Transition Council Supports and facilitates the smooth transition of students with a wide range of disabilities from public education into their communities through information sharing and programs. Dec 10 2pm Charlottesville Employment 1st Family Listening Session Each 2 hour session on each day will include a brief presentation for families on employment 1st policies and the partners involved in supporting people with intellectual and developmental disabilities receive employment supports. Sessions at different times for your convenience. Dec 11 Virginia Beach & Dec 12 Williamsburg Medicaid Expansion Information Sessions Learn more about Medicaid Expansion from a Community Based Eligibility Worker and Senior Benefits Program Specialist with the City of Fredericksburg’s Department of Social Services, discuss and answer questions. Two times. Dec 13 Fredericksburg RAAC Lunch & Learn A family education session where families bring lunch and meet to share successes and challenges, ask questions, and connect with one another. Dec 27 12pm Fredericksburg Wrightslaw Special Education Law & Advocacy Conference Don’t miss this incredible chance to learn from a revered expert! Focus will be on Special Education law, rights and responsibilities, Introduction to tactics & strategies for effective advocacy, smart IEPs and much more. Apr 5 9am Manassas   These events and others can be accessed at Moms In Motion’s Calendar! Tools You Can Use CCC Plus Waiver Application Process Resource Page by Moms In Motion.   Searchable Resource List by Moms In Motion.   Acronym List by Moms In Motion. What do those letters mean?   Guide to a Better Future for Youth and Adults with Disabilities by The Arc of Northern Virginia.    Why, When, and How Can I Get the IEP Revised? Consenting to an IEP does not mean you are stuck with it, or that it will be appropriate for an entire year.   Navigating the Developmental Disability Waivers: A Guide for Individuals, Families and Support Partners.   Supported Decision-Making: Alternatives to Guardianship Video Series 2018 Directory of Services for People Who Are Deaf, Hard of Hearing and Deafblind by the Virginia Department for the Deaf and Hard of Hearing (VDDHH).   Health Insurance Premium Program (HIPP) and HIPP for Kids informational 3 minute video  by The Arc of Northern Virginia.          Waivers   Moms In Motion’s Waiver Facebook Group Discuss and ask questions about Virginia’s Medicaid Waivers, etc. (must have Facebook account)   Your Moms In Motion Service Facilitator is ready to answer your questions. Our team of Family Resource Specialists are also here to help you too!      VaWaivers is used to discuss and share news about Virginia Medicaid Waivers.     www.VaMedicaidWaivers.org The Medicaid Waiver Information Center provides information, materials, workshops, and advocacy meetings about Virginia Medicaid Home and Community-Based Waiver Services.   Finding Attendants   Read about becoming a Consumer Directed Personal Care Attendant and find who to contact for employment options.  Blog with videos, etc, to explain to another what an attendant is and highlight characteristics of a top quality attendant.   The Arc of Northern Virginia has put together an incredible document to introduce individuals to consumer direction. Starting on page 8 of the document, there are very valuable insights into finding and managing qualified care providers. (Remember they are located in Northern Virginia so the reimbursement rate is only relevant to Northern Virginia.)    Other strategies to find attendants: Relevant departments of local colleges. (OT, PT, etc) Local Department of Social Services and Centers for Independent Living likely has a list of people interested in working as attendants. Ask your school’s paraprofessionals. Virginia Employment Commission  Utilize sites such as: Craig’s List Care.com MySupport  SitterCity  MyChoice4Care  Indeed

Moms In Motion is a Service Facilitation provider for Medicaid EDCD/CCC+, CL & FIS Waiver enrollees.      MomsInMotion.net