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What are Home- and Community-Based Waivers?

Medicaid waivers are a way for Medicaid resources to be used to support people in their communities instead of in institutions. There are six Medicaid waivers in Virginia. Moms In Motion focuses on the three listed below.

What is Consumer Directed vs. Agency Directed Personal Care,
Respite & Companion Care?

Consumer Directed means that the individual (or a representative) is in charge. This allows individuals to maintain Independence and Control. Agency Directed means that the individual selects an agency to provide, train and direct staff.

Waivers that offer Consumer Direction as a service delivery model are the EDCD, DD and ID waivers.

Elderly and Disabled with Consumer Directions (EDCD)

Waitlist: None
Where to go: Local Department of Social Services – Request a Screening for Long Term Care
Qualifying*: Must have Functional & Medical/Nursing Needs (No age requirement. Enrollee can be an infant or 100!)  Must be at risk for Nursing Home Placement.
Services: Personal Care Assistance, Respite Care, Personal Emergency Response Systems (PERS), Adult Day Healthcare.

Individual and Family Developmental Disabilities Support Waiver (IFDDS or DD)

Waitlist: Very Long – 1st Come, 1st Serve Basis
Where to go: Regional Child Development Center
Qualifying*: >=6 years.  IQ >= 70.  Must have a “Level of Care” need. Level of Functioning Survey.
Services: Personal Care Assistance, Respite Care, Companion Services, Supported Employment, Skilled Nursing, Assistive Technology, Environmental Modifications, PERS, etc.

Intellectual Disability Waiver (ID)

Waitlist: Long – Depends on Urgency
Where to go: Local Community Services Board
Qualifying*: >=6 years and IQ <70. Or <6 years and be “at risk of having an intellectual disability.” Level of Functioning Survey.
Services: Personal Care Assistance, Respite Care, Residential Support, Supported Employment, Companion Services, Skilled Nursing, Assistive Technology, Environmental Modifications, PERS, etc.

* For any medicaid waiver, the individual must also qualify financially. When applying for a waiver for a child, only the child’s income/assets are considered. For more info on financial considerations, see WHEN DOES MEDICAID PAY FOR LONG-TERM CARE?, published by the Virginia Poverty Law Center.

Virginia Medicaid Waivers for Persons with Disabilities, Their Families and Caregivers

* The Arc of Virginia has many informative webinars/movies on these topics: Waivers In General; EPSDT