Regardless of age, the request for enrollment into the EDCD waiver originates from four different possible sources: acute care hospitals, nursing facilities, the local department of social services (LDSS) or the local health department (LHD) in the locality where the individual resides. All individuals must be Medicaid eligible and have a Virginia Universal Assessment Instrument (UAI) completed by their local preadmission screening team (which consists of a representative from the LDSS and the LHD) within their community, or by an acute care hospital discharge planner if the individual is hospitalized. There is no cost to be screened to determine eligibility for the EDCD waiver. There may be a patient pay for services based on the individual’s earned and unearned income. The local department of social services eligibility worker will determine if an individual has a patient pay responsibility.
Individuals receiving waiver services may also be eligible for other supportive Virginia Medicaid services and should contact their local Department of Social Services in their locality to obtain details and assistance.
Children under the age of 21 may receive services through the Early Periodic Screening, and Diagnosis and Treatment program (EPSDT), click on the link below for more information