Department of Medical Assistance Services
WAIVER SERVICES AND RATES
WAIVER SERVICES AND RATES IMAGE

ANNOUNCEMENTS:
Changes re: the Personal Care Aide (PCA) Program as it applies to the EDCD Waiver
EDCD Waiver Regulations – Effective February 13, 2015
Services Facilitator Training – March 2015
NEW! EFFECTIVE JULY 1, 2016 the Individual and Family Developmental Disabilities Support Waiver (DD Waiver) will be transitioning from KEPRO to the Department of Behavioral Health and Developmental Services (DBHDS)! KEPRO’s last day to receive DD Waiver service authorization requests is June 30, 2016. All cases received on June 30, 2016 will be processed by KEPRO. If you have a case that was pended by KEPRO you must respond back to KEPRO via the provider web portal Atrezzo, by the required timeframe noted on the pend request. As of 7/1/2016, the Department of Behavioral Health and Developmental Services (DBHDS) will begin accepting all DD Waiver requests. All requests for services submitted on or after 7/1/2016, must be submitted to DBHDS. Please refer to the Department of Medical Assistance Services (DMAS) memo dated (5/18/2016), and the DBHDS memo dated (5/17/2016), for information pertaining to this change. You may also contact the DMAS Helpline at 1-800-552-8627 or 804-786-6273. For additional information regarding upcoming individual and family training offered by DBHDS, and frequently asked questions pertaining to the transition. Please click the link below to access the DBHDS website:
DBHDS Website
CONSUMER-DIRECTED EMPLOYER OF RECORD MANUAL – (REVISION MARCH 2015)
Consumer-Directed Employer of Record Manual (Revision March 2015)
OVERVIEW OF WAIVER SERVICES
The Medicaid home and community based waivers are programs offered to eligible individuals who require assistance with activities of daily living and/or supportive services and would prefer to live in their own home or the community rather than in a facility setting.
There are six Medicaid waivers that are administered by the Commonwealth of Virginia: Three waiver programs (EDCD, Technology Assisted, and Alzheimer’s Assisted Living) are managed by the Department of Medical Assistance Services (DMAS). Three waiver programs (Day Support, Developmental Disability, and Intellectual Disability), are managed by the Department of Behavioral Health and Developmental Services (DBHDS), in collaboration with DMAS. The DMAS Long Term Care Division staff is responsible for the development, oversight, and quality management review of all six waivers. The LTC Division staff responds to requests for policy interpretation and technical assistance to providers.
Alzheimer’s Assisted Living (AAL) Waiver
Day Support
Elderly or Disabled with Consumer Direction (EDCD)
Individual and Family Developmental Disabilities Support (DD) Waiver
Intellectual Disability (ID)
Technology Assisted (Tech)
WAIVER STATS
Medicaid Waiver Services - Monthly Updates
SFY 2017 WAIVER RATES
Alzheimer’s Assisted Living Waiver
Elderly or Disabled With Consumer Direction
Individuals and Families Developmental Disability Services
Intellectual Disability
Technology Assisted
Day Support
OTHER SERVICES
Personal Emergency Response System (PERS)
Assistive Technology and Environmental Modifications
For Consumer Directed Services Fiscal Agent, visit the Public Partnerships, LLC, website at this link
MANUALS AND FORMS
Developmental Milestones Assessment for Children under the Age of Six and at Developmental Risk
Virginia Medicaid Provider Manuals
Virginia Medicaid Forms