Public Health Emergency, Medicaid, Waivers and Wait List

February 8, 2023 Update

Public Health Emergency End Date
The Public Health Emergency will END on May 11, 2023. When the PHE ends on May 11, the Appendix K flexibility that allows  legally responsible parents of minor children and spouses to provide care and be paid will still be available until 6 months after May 11.  

What happens after May 11? The Virginia General Assembly passed legislation in 2022 that will extend Medicaid reimbursement/pay of parents of children with Waivers under age 18 or spouses of adults with Waivers to provide personal care/personal assistance services that have been and still are available during the pandemic through the Medicaid Appendix K, when circumstances prevent a person from being cared for by a non-parent caregiver. Virginia will have to request and receive approval from the federal government (CMS) for this to be available. VA Medicaid(DMAS) will have parameters around use of this service.  

You may read the legislation language here.

In Case You Missed It:

Medicaid Eligibility Redetermination resumes April 1, 2023
During the Public Health Emergency, the Departments of Social Services(DSS) did not re-determine if people with Medicaid were still eligible for Medicaid. Starting in April the Departments of Social Services(DSS) will start re-determining if people are eligible.  If you have Medicaid and want to keep it make sure that your local DSS has your current address and contact information.

Here are the ways you can do that: 
Online at commonhelp.virginia.gov, or
Call Cover Virginia at 1-855-242-8282 or
Call your local Department of Social Services.

DD Waiver Wait List - IFSP-Funding
Funding is available to apply for if you are on the DD Waiver Wait List.  The Individual and Family Support Program(IFSP) operated by  VA Dept. of Behavioral Health and Developmental Services will begin accepting applications in January, 2023.
 
January 23 - February 22 for Waitlist Priority 1
January 25 - Feb. 24 for Waitlist Priorities 2 and 3.

For information go to: https://tinyurl.com/mlmc-funding.

DD Waiver Waitlist as of January 2023
Total # on Waitlist: 14,478; 53% of the Total are under 18 years of age.
3,232 of the Total are Priority Level 1


Changes effective January 2023

FACE-TO-FACE VISITS RESUME
Effective January 1, 2023 face-to-face visits with I/DD Case Managers/Support Coordinators, Service Facilitators and supervisory visits for personal care will be required.  During VA's Public Health Emergency(PHE) and for a period following the end of VA's PHE, Medicaid allowed visits to take place via telehealth.  

SSI and SSA AND ITS IMPACT
Social Security monthly benefits increased by 8.7% in 2023.  The SSI amount will be $914/month for those who qualify for the maximum amount of SSI. Some Medicaid income resources and standards change in January of each year based on the SSI Federal Benefit Rate.  This includes the income limit for people using the DD and CCC Plus Medicaid Waivers. The income limit is  $2,742.00/month (based on 300% of the maximum SSI amount).   

Minimum Wage Increase
Under Virginia law, the minimum wage increased to $12 per hour on January 1, 2023.   

Public Health Emergency Background

In 2020 due to the COVID-19 Public Health Emergency, Virginia requested and received approval from the federal government to allow parents of minors with a Medicaid Waiver and spouses of people with a Medicaid Waiver, to provide personal care assistance and be paid. Virginia used "Appendix K" to make this request to the Centers for Medicare and Medicaid(CMS) so that families have this flexibility to help during the Public Health Emergency.  

The federal Public Health Emergency(PHE) COVID19 will end on May 11, 2023. 

When the PHE ends on May 11, the Appendix K flexibility that allows  legally responsible parents of minor children and spouses to provide care and be paid will still be available until 6 months after May 11. 

What happens when the six months after the end of the PHE is over? 

The Virginia General Assembly passed legislation in 2022 that will extend Medicaid reimbursement/pay of parents of children with Waivers under age 18 or spouses of adults with Waivers to provide personal care/personal assistance services that have been and still are available during the pandemic through the Medicaid Appendix K, when circumstances prevent a person from being cared for by a non-parent caregiver. Virginia will have to request and receive approval from the federal government (CMS) for this to be available. VA Medicaid(DMAS) will have parameters around use of this service.  

You may read the legislation language here.


STAY INFORMED
The Arc of Virginia will provide updates as information becomes available. Facebook is the first place we alert readers to changes.  Or you may check this webpage anytime.

 

NEED HELP?
IF you are the parent of a minor or spouse and have questions or need assistance with accessing the flexibility for parents/spouses to provide personal care assistance, you may contact The Arc of Virginia ([email protected],  (804)649-8481 x 104) OR send your questions to the VA Dept. of Medical Assistance Services. 

DD Waiver:  [email protected]
CCC+ Waiver:  [email protected]
General Inquiries:  [email protected]

Question and Answer:

Q: Where can I get information about advocacy for the DD Waitlist and other information? 
A: We are glad you asked! Sign up here.

 

     If you have other questions please submit them to

   [email protected] or call 804-649-8481 x 104.