In 2021, the number of available slots is approximately 5,560. Married couples are permitted to have much higher countable assets. The DC Office on Aging offers a single Medicaid waiver that is relevant to aging District residents: the Elderly and Persons with Physical Disabilities Waiver, more commonly referred to as the EPD Waiver or the HCBS Waiver. APPROVAL OF FEDERAL SECTION 1135 WAIVER REQUESTS CMS Response: April 3, 2020 Temporarily suspend Medicaid fee-for-service prior authorization requirements. Both adult day health care and personal care assistance are available under the state Medicaid plan in the District of Columbia. The Medicaid Waiver Program in your local state has an office in every county, and it is usually handled by the Department of Family and Children Services. Medical Assistance Long Term Care Administration General Information Long Term Care Services and Programs EPD Waiver This is a win-win for the state and for program participants. Family members, including the adult children, may be hired and paid to provide care services. The waiver does so by providing personal care, supportive ser… Services My Way allows beneficiaries to "participant direct" their care, or phrased another way, participants have the option to choose from which care providers they receive care services. It is worth noting that this model of care is also referred to as Consumer Directed or Cash and Counseling. This is also referred to as a Medically Needy Spend-Down. The EPD Waiver is a Medicaid waiver program that allows individuals with disabilities and older adults to receive services in a home and community-based setting if they are able to safely do so. 2) Elderly and Persons with Disabilities Medicaid Waiver abbreviated as the EPD Waiver, benefits promoting independent living at home or in assisted living are provided to delay and prevent institutionalization of seniors and disabled individuals. Information about this program is available on the District's Department of Aging and Community Living’s website. To become a provider in the Elderly and Persons with Physical Disabilities (EPD) Medicaid Waiver Program, potential providers must submit a complete Provider Enrollment package with all the required documents. Waiver Program). The DC Medicaid HIV 1115 Waiver Program provides early access to anti-retroviral drug therapy to adult District residents diagnosed with HIV who would not otherwise be eligible to receive Medicaid. This waiver is intended to allow beneficiaries who would otherwise require nursing home care to receive care services outside of that environment and to instead remain living in their homes or in assisted living communities. Asset Rules – “Countable” assets for a single applicant are limited to $4,000. The program permits a State to furnish an array of home and community-based services that assist Medicaid beneficiaries Connect With Us. DC Healthcare Inc. currently provides waiver transportation services tailored to the needs and preferences included in the support plan of an individual. The Conflict-Free Case Management (CFCM) Program will allow ADW, IDDW and TBIW participants to receive case management from one agency and all direct services from a different agency. Income Rules - Monthly income for a single applicant is limited to 3x the Supplemental Security Income / Federal Benefits Rate. DC 30/J r1 Visa Waiver Program request information on the physicians schedule and r on an annual basis r the physicians patient profile by payer class. toileting, and bathing, then the EPD program may be of help to you. Many translated example sentences containing "Medicaid waiver program" – Spanish-English dictionary and search engine for Spanish translations. That said, the year prior, the average rate was $16.75 / hr. The Medicaid Home and Community-Based Serv ices (HCBS) waiver program is authorized in 1915(c) of the Social Security Act. Monday to Friday, 8:30 am to 5:00 pm. Compliance with Medicaid and Children’s Health Insurance Program (CHIP) Law, Regulation, and Policy. Other benefits include adult day health, personal emergency response systems, home modific… Senior citizens living in the District that require assistance with their home may also be interested in the Senior Citizens' Home Repair and Improvement Program. Persons whose income or assets exceed Medicaid's limits, but still cannot afford their care, should consider working with a Medicaid Planner to become eligible. Medicaid Waiver Information The waiver program provides an alternative to institutional residential services by offering a wide range of daily living, respite, vocational, employment, retirement, social, clinical, therapy and adaptive services and supports in the home and community in a variety of settings. This program is provided in order to assist individuals with IDD when it comes to This program helps individuals who would otherwise require nursing home placement to remain living at home. In 2021, this limit is equal to $2,382 / month. Document: 1) Waiver Beneficiary Freedom of Choice Form Step 2: Review Case Management Options However, countable assets exclude an applicant owner-occupied home, given his/her equity interest is valued at less than $906,000. To apply for the EPD Waiver, interested parties should contact the Washington DC Department of Aging and Community Living’s Aging and Disability Resource Center at 202-724-5626. If, for example, the Medicaid applicant lives in assisted living and his/her spouse does not, the non-applicant spouse is permitted to receive some of his/her spouse’s income to continue to be able to afford to live independently. These Long Term Care Services and Supports (LTCSS) help eligible DC seniors continue to live in their own homes or the home of a relative, often effectively delaying more costly nursing home placement. The Substance Use Disorder (SUD) Waiver addresses the immediate and long-term physical, mental and social needs of individuals with substance use disorders, and promotes and sustains their long-term … Email: dds@dc.gov. Effective July 2020 – June 2021, this figure is $2,155 / month. This waiver is intended to allow beneficiaries who would otherwise require nursing home care to receive care services outside of that environment and to instead remain living in their homes or in assisted living communities. This is called the Minimum Monthly Maintenance Needs Allowance and is the minimum amount of income to which a non-applicant spouse is entitled. Services for People with Intellectual and Developmental Disabilities, Services for the Blind and Visual Impaired, DC Supporting Families Community of Practice, Randolph Sheppard Vending Facility Elected Blind Vendor Committee, Approved IFS Waiver (DC.1766.R00.00) - Effective Nov. 1 2020, Approved IDD Waiver Amendment   (Nov. 1 2020), Home and Community Based Services (HCBS) Waiver Program, Questions and Answers About (HCBS) Settings Rules. The waiver does so by providing personal care, supportive services, and personal emergency response services, which increase the program participant’s independence. This also includes your bill of rights and responsibilities as a home and community-based services customer. From a financial perspective, the District considers the applicant's income, financial resources or "countable assets", and past asset transfers, dating as far back as 60 months preceding one's date of application. Assisted Living Services (Room and board are not covered by this waiver program), Chore Services (Washing windows, nailing down loose flooring, etc. Information for Service Providers - DDA Our goal is to help families find the means to pay for senior care by providing objective information and interactive tools on our ad-free, easy-to-use and comprehensive website. The DC Department of Health Care Finance (DHCF) is the Single State Medicaid Agency of the District. At the time of this writing, the average rate for home care across the District of Columbia in 2019 is not available. All requirements of the Medicaid and CHIP programs expressed in federal law, regulation, and policy statement, not Fax: (202) 730-1843. (This figure is effective January 2021 – December 2021). DHCF's responsibilities include the administration of the Medicaid program and this waiver. However, the income and asset limits are less stringent for the Medicaid waiver program. An option, Services My Way, allows program participants to hire the individual of their choosing, including adult children, to provide personal care services. This is in addition to the $4,000 in assets the applicant spouse is able to keep. EPD Waiver qualifications consider both the functional ability and the financial status of the applicant. In addition, HIV-infected adult Each waiver is approved with a limited number of available participant slots. Under certain circumstances, the applicant spouse may transfer as much as $3,259.50 / month in income to his/her non-applicant spouse. The EPD Waiver contains an option called "Services My Way" for program participants who live in their homes. In previous years, a waiting list has existed for the EPD Waiver. Apply to Direct Support Professional, Policy Analyst, Service Coordinator and more! All supports and services provided through the DDA service delivery system are funded through the waiver program. This authority can be found at D Adult Day Health Program (ADHP) - ADHP offers a range of therapeutic, rehabilitative and support services, including nursing and rehabilitation services, assistance with life activities, social work services, dietary services and transportation provided for … The Medicaid Home and Community-Based Services (HCBS) waiver program is authorized in §1915 (c) of the Social Security Act. Prioritization on the wait list is based on a first-come, first-serve basis, not based on urgency of need. To become eligible for Medicaid, you have to be able to prove that you have a certain level of financial need. Under the Employment First philosophy, competitive, integrated employment is the first and overwhelmingly preferred option for working-age youth and adults with disabilities. This is called a community spouse resource allowance, and in 2021, the spouse who is not applying for benefits is permitted up to $130,380 in assets. A married applicant whose spouse is not also receiving Medicaid assistance is permitted to give his/her non-applicant spouse a monthly spousal allowance. DC Medicaid is a healthcare program that pays for medical services for qualified people. (Spouses cannot be hired to provide care). This is because Medicaid rules allow a non-applicant spouse to claim a larger part of jointly held assets. Medical Assistance Long Term Care Administration General Information Long Term Care Services and Programs EPD Waiver Office Hours. ), Community Transition (From a nursing home facility back into the community), Environmental Accessibility Adaptations (Home modifications, such as making the home wheelchair accessible), Homemaker Services (Light housekeeping and meal preparation), Personal Emergency Response Services (PERS), Respite Services (up to 480 care hours per year). Other exempt items include most home furnishings, some personal items, a car, and up to $10,000 for burial funds. Therefore, it is likely safe to assume the hourly cost continues to be close to this figure. DDS is working to implement this through training sessions and other agency wide initiatives. LONG-TERM CARE/WAIVER MEDICAID APPLICATION Instructions This application is for individuals who would like to apply for Medicaid assistance to pay for Long-Term Care services and supports to include assistance with paying for a nursing home or an intermediate care facility for the Developmentally Disabled (ICF/DD) and the Home and Community-Based Services (HCBS) Waiver Program. Residents of the District of Columbia must have a medically documented need for nursing home level care and be over 65 years of age or over 18 and be officially disabled. Medicaid waivers, unlike regular Medicaid or nursing home care, are not entitlement programs. This is because Medicaid rules allow a non-applicant spouse to claim a larger part of. Caretaker Child Exception While not specifically a Medicaid program, the caretaker child exception is a Medicaid exemption that allows an adult child to be “paid” for providing care assistance for an aging parent. A complete handbook for the program that offers very detailed information, including a step-by-step description of the application process, is available for download here. “Countable” assets for a single applicant are limited to $4,000. Married couples are permitted to have much higher countable assets. 62 Medicaid Waiver jobs available in Washington, DC on Indeed.com. Other exempt items include most home furnishings, some personal items, a car, and up to $10,000 for burial funds. Must be a resident of the District of Columbia; Must be DC Medicaid eligible with income of 300% of SSI (less than $2,130.00 per month in … The waiver program provides an alternative to institutional residential services by offering a wide range of daily living, respite, vocational, employment, retirement, social, clinical, therapy and adaptive services and supports in the home and community in a variety of settings. DC Healthy Families Right Rx Initiative Pregnancy Resources Health Homes What is Medicaid? However, countable assets exclude an applicant owner-occupied home, given his/her equity interest is valued at less than $906,000. Who is eligible for the EPD Waiver Program? This “Look Back” Period is intended to prevent applicants from giving away or selling assets under fair market value in order to reduce assets for qualification purposes. Home and Community Based Services - DC Medicaid DHCF administers several Waiver programs which include the Intellectual and Developmental Disabilities (IDD) Waiver, Elderly and Physical Disabilities (EPD) Waiver, and the Water Filter Program. 2. This is because most seniors prefer to live in, and receive assistance in their homes, and the state saves money by payi… DC Healthy Families Right Rx Initiative Pregnancy Resources Health Homes What is Medicaid? EPD Waiver Services. The federal government reimburses the District of Columbia 70 cents for every one dollar spent for qualifying services and supports for people enrolled in the HCBS waiver program. For persons with high, recurring care costs, which consume the majority of their monthly income, the Medically Needy pathway can apply. To qualify for the EPD Waiver program, you must: • Be a U.S. citizen or have a qualified immigration status for Medicaid; • Be a resident of the District of Within broad Federal guidelines, States can develop home and community-based services waivers (HCBS Waivers) to meet the needs of people who prefer to get long-term care services and supports in their home or community, rather than in an institutional setting. Department on Disability Services. The home is also exempt, regardless of applicant circumstances, if a non-applicant spouse lives in the home. You can call their office to get help with your services, or they could tell you the status of your application. 1 Overview of Medicaid Waiver Programs in Connecticut Department of Social Services (DSS) Waivers Connecticut Home Care Program for Elders - Serves elders (65 years of age and older) who are either at risk of institutionalization It helps pay for medical services for low-income and disabled people. D.C. offers an alternative pathway to Medicaid eligibility called the Medically Needy pathway. Will Medicaid sell a recipient's house if they go into the Waiver Program or in a Nursing Home? For those eligible for full Medicaid services, Medicaid pays healthcare Provides adult day health, case management, homemaker, personal care aide, respite, assisted living, chore aide, community transition services, environment accessibility and adaptation services, individual directed goods and services, participant-directed community support services for aged individuals 65-no max age and individuals with physical disabilities ages 18-64 The home is also exempt, regardless of applicant circumstances, if a non-applicant spouse lives in the home. Read Mayor Bowser’s Presentation on DC’s COVID-19 Situational Update: March 11. In 2009, nearly one million individuals were receiving services under HCBS waivers. Prior to submitting an application prospective provider must send a letter of interest to DDA to enroll as a Home and Community Based Services (HCBS) Medicaid Waiver Provider to letterofintent.potentialproviders@dc.gov In the subject line of the email please include the name your company followed by Letter of Intent. Person-centered thinking is a philosophy behind service provision that supports positive control and self-direction of people’s own lives. Section 1135(b)(1)(C) allows for a waiver or Phone: (202) 730-1700. However, the hourly cost of home care in the Washin… In 2021, should the difference between care expenses and monthly income be less than $689.54 (the medically needy income limit for an individual), it is likely the individual will qualify. The District of Columbia recovers the cost of medical assistance from the estates of persons age 55 or older when receiving medical assistance at Long Term Care facilities, home and community based Waiver services, all Medicaid services and prescription drugs services. Each beneficiary of the EPD Waiver has different care requirements and will be approved for different care and support services by their case manager. The program permits a State to furnish an array of home and community-based services that assist Medicaid beneficiaries to live in the community and avoid institutionalization. The DC Office on Aging offers a single Medicaid waiver that is relevant to aging District residents: the Elderly and Persons with Physical Disabilities Waiver, more commonly referred to as the EPD Waiver or the HCBS Waiver. In the states that relatives are able to provide a “foster home”, the program could be available via a HCBS Medicaid waiver or the state’s regular Medicaid plan. 250 E Street, SW, Washington, DC 20024. There is a part of the program that will pay for in-home care called the Home and Community-Based Services Waiver Program. Under the EPD Waiver, the following forms of assistance are available. District of Columbia Elderly and Persons with Physical Disabilities (EPD) Medicaid Waiver / Services My Way Program.