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Virginia Long-term Care (EDCD Waiver) Program

ENROLLMENT INTO THE EDCD WAIVER
All individuals enrolled in the EDCD Waiver must meet the nursing facility level of care (LOC). Prior to enrollment into the waiver, individuals for whom there is a reasonable indication that services may be needed in the future may request and receive an individual LOC evaluation. This initial evaluation is part of the pre-admission screening (PAS) that is conducted by community or Hospital based teams.

All preadmission screenings include a face-to-face assessment with the individual and family or caregivers, as appropriate, to determine the individuals’ needs based on functional criteria, medical and nursing needs, and the risk for placement into an institution in the absence of waiver services. This standardized assessment is documented on the Virginia Uniform Assessment Instrument (UAI), which guides the team in identifying the individual’s appropriate LOC requirements based on medical needs and circumstances.

Medicaid shall not pay for any home and community-based care services delivered prior to the individual establishing Medicaid eligibility and prior to the date of the preadmission screening by the Preadmission Screening Team or DMAS-enrolled hospital provider and the physician signature on the Medicaid Funded Long Term Care Services Authorization Form (DMAS-96).

EDCD AVAILABLE SERVICES:

  • Personal Care Aide Services
  • Respite Care

Intake Line for Long-Term Care Service in Northern VA area

All information about home care assessment and coordination of care / Apply for Long-Term Care Medicaid / Aging, Disability and Caregiver Resources:

(Option #1: Manassas, Gainesville, Haymarket / Option #2: Woodbridge, Dumfries)

Commonwealth Coordinated Care Plus (CCC Plus)

Compare Plans

You have the right to choose a different health plan. You know your health needs best, so it’s better if you choose!

https://www.cccplusva.com/choose/compare-plans

SafeLink Wireless (Free Mobile Phone for Seniors)

https://www.safelinkwireless.com

CCC Plus Transportation Contacts (Updated on 03/01/2021)

https://www.dmas.virginia.gov/media/3147/ccc-plus-transportation-contacts.pdf

Legally Responsible Individuals (LRIs)

Site Link:

https://www.dmas.virginia.gov/for-providers/long-term-care/waivers/legally-responsible-individuals/

Home Doctor Information (Home Bound Patient Only)

Medical House Call (INOVA)

https://www.inova.org/our-services/senior-services-inova/medical-house-calls

Primary Care at Home (Capital Caring)

https://www.capitalcaring.org/get-help/our-services/primary-care-at-home/

Virginia Medicaid Eligibility

Main Resource Link

https://www.medicaid.gov/medicaid/eligibility/index.html

Medical Assistance Programs

https://www.dss.virginia.gov/benefit/medical_assistance/index.cgi

Medicaid Income Limit

https://coverva.org/en/our-programs

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