A. In order to receive payment from the AG for care in an ALF or an AFC home, an individual applying for AG shall have been assessed by a qualified assessor using the UAI in accordance with 22VAC30-110 and determined to need residential or assisted living care or AFC.
B. As a condition of eligibility for the AG, a UAI shall be
completed on an individual prior to admission, except for an emergency
placement as documented and approved by a Virginia adult protective services
worker; at least once annually; and whenever there is a significant change in
the individual's level of care, and a determination is made that the individual
needs residential or assisted living care in an ALF
or, AFC home,
or SH setting.
C. The ALF
or, AFC, or SH provider is
prohibited from charging a security deposit or any other form of compensation
for providing a room and services to the individual. The collection or receipt
of money, gift, donation or other consideration from or on behalf of an individual
for any services provided is prohibited.
D. In order to receive payment from the AG for care in the SH
setting, an individual shall be evaluated by a qualified assessor in accordance
with § 51.5-160 E of the Code of Virginia. Eligible individuals shall be
notified of the SH setting option and the availability of approved SH providers
at the time of their first assessment and annual level of care
assessment. The individual may select, subject to availability, SH or
ALF at any time after the first assessment or any subsequent annual
reassessment as long as the individual meets the criteria for residential or
assisted living level of care
and subject to the availability of the
selected housing option.