CCC Plus Waiver

The CCC Plus Medicaid Waiver is for:
-adults 65+ with a medical or nursing need and
-individuals less than 65 years with a disability and a medical or nursing need.

Applying for the CCC Plus Waiver
To request CCC Plus Waiver services contact your local Dept. of Social Services or your local Dept. of Health.  
You may be asked why you/the individual needs the CCC Plus Waiver.  Be prepared to identify the CCC Plus Waiver services that are needed.  
You may not be denied a screening.  If you are denied ask for a letter of denial.
You do not have to have Medicaid to be screened and you do not have to file a Medicaid application to be screened. 
If you are found eligible based on the screening for the Medicaid Waiver, to use it you must apply for Medicaid. 

Representatives from the local Department of Health and local Dept. of Social Services screen individuals to determine if they meet the qualifications to receive this waiver.
An appointment will be scheduled for you to be screened for the waiver. 
The screening team (Health Dept. nurse and Social Services representative) uses a tool called the Uniform Assessment Instrument (UAI) to determine if individuals meet the required functional dependencies, medical/nursing needs and are at risk of nursing home placement.
Screenings may also take place when an individual is hospitalized.  Ask the hospital staff to arrange a screening. 

For more information about the UAI CHILDRENS Screening Criteria starting on page 2 click here.

Medicaid Application and Financial Eligibility

You/the individual must submit a Medicaid application and meet financial requirements.
You do not have to submit a Medicaid application prior to the screening.  
Click to view how to Apply for Medicaid by phone, online or at your local Department of Social Services.  
You may also go to your local Department of Social Services and ask for an application.  

Financial considerations for Medicaid are based on the person's (18+) income not the family’s income!
For adults receiving the Waiver, the 2024 monthly individual income limit is $2,829.  The resource limit is $2,000.00.

When You Are Approved 

When approved for the CCC Plus Waiver then you most likely will  be placed into the CCC Plus Health Plan Program. Individuals enrolled in HIPP are excluded from the CCC Plus Health Plan. 
To learn more about CCC Plus Health Plan Program, click to view the CCC Plus website.

Regulations and Manuals

Click to view the CCC Plus Waiver Regulations
Click to view the CCC Plus Waiver Manual 
Click to view the CCC Plus CMS(federal) Waiver Application

Reimbursement Rates CCC Plus Waiver

Appeal Rights
You have the right to challenge decisions and actions regarding Medicaid.  An Appeal must be requested within 30 days of the decision or action that you disagree with. Click to view Medicaid Appeal information.

The CCC Plus Waiver is administered by the VA Dept. of Medical Assistance Services (DMAS).