Medicaid Waivers and Wait List
Medicaid Waiver Amendments
There was a 31 day public comment period that ended on Sept. 6, 2024 for the Medicaid Waiver amendments.
It is expected that the amendments will go into affect on Jan. 1, 2025 pending approval by the Centers for Medicare and Medicaid.
You may view the Waiver amendments below:
Building Independence(BI) Waiver Amendment
Community Living(CL) Waiver Amendment
Family and Individual Support(FIS) Waiver Amendment
To view the public comments submitted go to Virginia Town Hall
AMENDMENTS:
1. Combining the annual service limits for Assistive Technology and Electronic Home-Based Services into one annual 10,000 limit to be shared between the two services. (BI, CL, FIS Waivers)
2. Permit the allowance for individuals offered a Developmental Disabilities Waiver slot to delay enrollment into the waiver for up to 1 year. (BI, CL, FIS Waivers)
3. Disregard Social Security Disability Insurance (SSDI) benefits above the maximum Social Security Insurance (SSI) benefit limit as determined by the Social Security Administration for purposes of pre-eligibility treatment of income. (BI,CL, FIS Waivers)
4. Amend the rules for when a Legally Responsible Individual (spouse or parent of a minor) is a paid aide/attendant for personal care/personal assistance. (CL, FIS, CCC+ Waivers)
5. Add nursing facilities and Program for the All-Inclusive Care for the Elderly (PACE) providers to screen individuals in the community for waiver enrollment (CCC+ Waiver)
6. Remove educational requirements for Services Facilitation providers (CL, FIS, CCC+ Waivers)
7. Update language to match with the newest version of the Supports Intensity Scale assessment instrument for service plans (BI, CL, FIS Waivers)
8. Update language that the Virginia Individual Developmental Disability Eligibility Survey (VIDES) is used for level of care for both waiver and the alternative institution placement (BI, FIS Waivers)
9. Align quality measures across the Developmental Disabilities Waivers (BI, FIS, CL Waivers)
10. Update language for who is responsible for conducting the annual level of care review (CCC+ Waiver)
DD Medicaid Waiver Wait List - September 2024
Total # on Waitlist: 15,555
Of the Total: 3,658 are in Priority Level 1
Of the Total: 53% are under 18 years of age.
In Case You Missed It!
The Budget was Approved!!!
On May 13, the Virginia Public Budget was approved for July 2024 - June 2026!
The most exciting and historic item in the budget is that 3,440 people in Priority Level 1 will receive a DD Waiver over the next two years!!!
Add 3,440 Developmental Disability Waivers for Priority Level 1
1,720 new DD Waivers in July 2024 and July 2025. There will be a total of 3,096 new Family and Individual Supports waiver slots and 344 new Community Living waiver slots funded over the two years.
NEED HELP?
If you have questions about Medicaid/Cardinal Care you may email:
DD Waiver: ddwaiver@dmas.virginia.gov
CCC+ Waiver: cccpluswaiver@dmas.virginia.gov
EPSDT: epsdt@dmas.virginia.gov
General Inquiries: dmasinfo@dmas.virginia.gov