Coronavirus, Medicaid, Waivers and Wait List

January 14, 2022 Update:  News, Question and Answers 

NEW
The federal Public Health Emergency extended effective January 16, 2022 for 90 days.  
Many of the flexibilities are extended, including spouses and parents of minors with Medicaid Waivers, may provide personal care/personal assistance for reimbursement. 
To see all of the Dept. of Medical Assistance Services/Medicaid 
COVID-19 Public Health Emergency Flexibilities as of January 14, 2022 click here. 

New
Rental assistance is now allowed for adults using Supported Living - a DD Waiver Service. 
If you are interested in rental assistance and Supported Living contact your Support Coordinator/Case Manager. 
The VA Dept. of Behavioral Health and Developmental Services posted information about this change here.

                                                                                                            

Recent News ICYMI:

Governor’s Proposed Budget for July 2022- June 2024 - Waivers and  Reimbursement Rates

Dec. 16, 2021: The proposed budget includes 1,100 new Developmental Disability Waivers and increased reimbursement rates for many but not all Medicaid Waiver services. 
The VA General Assembly held Virtual Public Hearings on the proposed budget on January 5, 2022, to see testimony from The Arc of Virginia and may citizens go Facebook. 
The General Assembly went into Session on January 12, 2022 for 60 days to finalize a budget. 
***Strong advocacy will be needed during Session to RESCUE the dysfunctional system for people with DD and their families. Please sign up for Advocacy Alerts and News.

Face to Face Visits 

Dec. 20, 2021:  Virginia Medicaid (DMAS) announced another change to Face-to-Face requirements for case management, service facilitation and personal care supervisory visits. If a person with Medicaid or family does not agree to Face-to-Face visits, then telehealth (audio visual) methods may be used for visits. This will be permitted until March 1, 2022 while Emergency Regulations will be developed by DMAS for case management, service facilitation and personal care supervisory visits only. 


Support Payments

November 11, 2021:  DMAS/Medicaid  announced that one-time COVID19 support payments of $1,000 will be made to Home and Community Based Services Consumer Directed and Agency Direct Attendants who provided personal care, respite or companion services between July 1, 2020 - Sept. 30, 2021. This is for services provided through EPSDT, DD and CCC Plus Waivers. DMAS expects that the payments will be made in March 2022.  For Consumer-Directed, the payments will come from the fiscal agent. 

New - DD Waiver Turnover Slots

November 1, 2021: The only Developmental Disability Waivers that may be assigned by CSBs are “turnover” waivers/slots IF a CSB has completed updating their Priority Needs Checklists and Critical Needs Summary forms for all people on the Wait List. Turnover waivers/slots exist when people are no longer using their waiver - they may have moved out of state, died, no longer meet eligibility criteria etc. None of the new (FY22) slots can be assigned until all CSBs are at 100% completion of the forms.

 

Question and Answer
If you have other questions please email questions to [email protected]

Can I continue to get a 90 day supply of my prescriptions from Medicaid?
Not necessarily. Effective October 1, 2021, some prescriptions may still be available for a 90 day supply. Other medicines will only be available in a 34 day supply.       

Are Medicaid Consumer-Directed attendants eligible for Sick Leave? 
Effective November 1, 2021, only Consumer-Directed attendants who work an average of 20 hours per week or at least 90 hours per month are eligible for Sick Leave. 
           ✪ Consumer-Directed care attendants will earn 1 hour of sick leave per every 30 hours worked.
           ✪ Attendants may earn & use up to 40 hours of sick leave per fiscal year (July 1- June 30). 
           ✪ Sick leave will be applied automatically for eligible attendants - no additional steps are necessary for qualified attendants to earn sick leave. 

When will the DD Waivers approved by the VA General be available?
The 95 Community Living Waivers and 890 Family and Individual Services Waivers for July 2021-June 2022 are not available for the Community Services Boards’ Waiver Slot Assignment Committees to assign. We will update when we know the CSBs have their final amount and types of waivers to assign. 

Is it taking longer than usual for the new DD Waivers to be assigned to people on the Wait List?
Effective July 1, 2021, CSBs were required to review all people on the DD Waiver Wait List with revised criteria on the Priority Level and Critical Needs Summary forms. This has resulted in a delay assigning the waivers. The VA Dept. of Behavioral Health and Developmental Services’ staff is helping some CSBs with reviewing and updating information about those on the Wait List.  If you are on the Wait List, you may receive a call from staff of the VA Dept. of Behavioral Health and Developmental Services if your waiver application documents have not been updated by your CSB.  

BE SURE to respond asap if you are contacted. Always keep your CSB representative informed about any changes in your situation including health, living arrangements or other relative changes.   

I am on the DD Waiver Wait List and need a waiver.  What should I do?
Contact your CSB asap. Ask what your Priority Level is. If you are in Priority Level 1 or think that you qualify for Priority Level 1, ask if your application documents have been updated with the new requirements and forms.     

Are there DD Waivers available if there is an emergency?
Yes there are Emergency DD Waivers. For Emergency situations there are 15 Community Living and 10 Family and Individual Services Waivers.

Where can I get information about advocacy for the DD Waitlist and Reimbursement Rates?
We are glad you asked! Sign up here: https://www.thearcofva.org/alerts

    If you have other questions please submit them to [email protected]

********************IN CASE YOU MISSED Previous Important UPDATES***************** 

Pay for legally responsible individuals (parents of minor children and spouses)   

Parents of minors and spouses of those with waivers may continue to be paid. This flexibility has been extended until further notice. 

Adult Dental 

Adults with Medicaid have access to a comprehensive dental benefit as of July 1, 2021. View details of this new benefit: https://www.youtube.com/watch?v=Sdf8WJeVvGE