New DD Waiver Slots Roll Out Across the State
As you know, during the 2018 General Assembly Session, 1,695 new DD Waivers were approved. These slots will be divided between State Fiscal Year 2019 & 2020. Follow the links below to find information on how those slots are broken down between the Community Living Waiver, Family & Individual Supports Waiver, and the Building Independence Waiver, as well as a list of assignments to each Community Service Board (CSB).
Link to DD Slot Allocation Chart
Link to Slot Distribution by CSB
2018 Individual and Family Support Program
Applications may be submitted from October 10-November 10, 2018. This is a first come first served program.
For more information on how to apply for IFSP click here
Individuals on the DD Waiver Wait List are eligible to apply for the Individual and Family Support Program (IFSP). The IFSP is designed to assist individuals 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. Individuals may apply online for up to $1,000 worth of supports and services.
DD Waiver Adds Three New Services
Three new services were added to the Developmental Disabilities Medicaid Waiver program. The new services are Community Guide, Peer Mentoring and Benefits Planning. All three of these services are available in the three types of DD Waivers: Building Independence, Family and Individual Supports and Community Living.
To read more about the new services click here.
Electronic Visit Verification, “EVV” is Coming
The Dept. of Medical Assistance Services (DMAS) is tentatively requiring EVV for Agency and Consumer Directed personal care, respite care, and companion services provided beginning October 1, 2019.
Background:
The 21st Century CURES Act 2016 requires that Electronic Visit Verification (EVV) be implemented by January 2020 for certain Medicaid services. EVV is a technology system used to verify electronically that a caregiver provides Medicaid personal care services. The 2017 Virginia Appropriations Act expanded the use of EVV to include consumer directed personal care, respite and companion services.
EVV systems must be able to verify:
- Type of service performed;
- Individual receiving the service;
- Date of the service;
- Location of service delivery (in the individual’s home or community);
- Individual providing the services;
- Time the service begins and ends.
EVV is to provide a level of assurance that the caregiver is onsite to provide the services identified in the plan of care. It is a tool to reduce fraud, waste and abuse which promotes the integrity of the system.
The Arc of Virginia worked with DMAS and other key stakeholders advocating for the EVV system to respect the privacy, dignity and independence of individuals receiving services in a manner that ensures community integration and is minimally burdensome. The Arc of Virginia’s efforts will continue to focus on promoting the engagement and involvement of people with disabilities and their families in developing Virginia’s EVV program and in providing timely and effective communication with stakeholders.
Click for more information about EVV.
More Changes for DD and CCC Plus Waivers, EPSDT and Medicaid Works
Fiscal/employer agent (F/EA) changes for consumer directed personal care, respite and companion services in the Medicaid DD and CCC Plus Waivers, EPSDT and Medicaid Works programs will begin on January 1, 2019.
DMAS issued a contract award to a new F/EA for participants using Consumer Directed (CD) services reimbursed through fee for service (not managed care). This includes services provided through the DD CL and FIS waivers, as well as those excluded from the CCC Plus managed care program including HIPP participants. Consumer Direct Care Network (CDCN) is the new fiscal agent effective January 1, 2019. In October DMAS, PPL and CDCN will be contacting EORs, Services Facilitators, participants and attendants about the change, transition process and Town Halls.
- Effective January 1, 2019, managed care organizations (MCOs) for the CCC Plus and Medallion 4.0 (EPSDT) programs will subcontract with their own F/EA vendor to provide services for their members. Aetna Better Health of Virginia, Anthem HealthKeepers Plus, Optima Health, United Healthcare, and Virginia Premier Health Plan will continue to use PPL as their F/EA vendor.
- Aetna Better Health of Virginia will subcontract with Consumer Direct Care Network for new enrollments beginning in the Roanoke and Southwest regions.
- Magellan Complete Care will subcontract with ACES$ Financial Management Services.
Each MCO will make information available about their F/EA vendor during the open enrollment period. Existing members/EORs and services facilitators will receive communications detailing enrollment changes and instructions for the new vendors.
More details in DMAS Medicaid Memo
DD Waiver
Supports Packages
As a Pilot Program for Service Packages rolls out across the State, The Arc of Virginia will be working to bring information to individuals and families on how these packages may impact your services and how they can work for your life.
2019 Advocacy Agenda
We are working now to develop the final 2019 Legislative Agenda. Watch for updates on how you can be involved along with the details of the DD Advocacy Days for 2019!!
Make your Voice Heard in the 2018 Midterm Elections!
Lyft & Uber are offering Free or Reduced Rides to the Polls! Click below for details!
Ride to the Polls
