Virginia Long-term Care (EDCD Waiver) Program

Question

Accepted Answer

ENROLLMENT INTO THE EDCD WAIVER

Department of Medical Assistance Services Link:
https://www.dmas.virginia.gov/#/ltss (https://www.dmas.virginia.gov/#/ltss)

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).
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EDCD AVAILABLE SERVICES:
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 • Personal Care Aide Services
           What Is Personal Care? A Simple Guide to PCA Services  [click to view PDF] (https://drive.google.com/file/d/1q2EmMYwhHIGFarhqDrtMFN5a-lIU2U42/view?usp=sharing)
 • Respite Care
 • Personal Emergency Response System (PERS)

RESOURCES

Vietnamese Office

4312-D Evergreen Ln #L3-2
Annandale, VA 22003

(703) 506-3333

Annandale Office

4324 Evergreen Ln #D
Annandale, VA 22003

(571) 297-4747

Main Office

14631 Route 29, Suite #401
Centreville, VA 20121

(571) 297-4747

Maryland Office

901 Russell Ave #150
Gaithersburg, MD 20879

(301) 966-7000