Virginia Regulatory Town Hall
Department of Medical Assistance Services
Board of Medical Assistance Services
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9/28/22  6:27 pm
Commenter: Jill's House

Draft DD waiver manual: Respite Provisions

In Chapter IV, p. 212 regarding the submission of quarterly reviews, the proposed language states: 

The content of each review must be discussed with the individual and family member/caregiver, as applicable and submitted to the Support Coordinator within 10 calendar days following the end of each ISP plan quarter. . .


 However, the licensing regulations for respite provide in 12VAC35-105-675.D.3 a 15 day window for submitting quarterly reviews as follows:


 Documentation of the quarterly review shall be added to the individual's record no later than 15 calendar days from the date the review was due to be completed, with the exception of case management services. Case management quarterly reviews shall be added to the individual's record no later than 30 calendar days from the date the review was due.


As providers we need consistency between DBHDS and DMAS in order to eliminate confusion.


Jill's House appreciates the clarity provided in the manual that Quarterly Reviews are not required during quarters in which respite was not provided.

CommentID: 162635