Virginia Regulatory Town Hall View Comments

Department of Medical Assistance Services

Board of Medical Assistance Services

Guidance Document Change: To notify providers of procedural changes for enrollment in the Developmental Disabilities (DD) Waivers, effective December 20, 2019, which includes the Community Living (CL), Family and Individual Support Waiver (FIS), and the Building Independence (BI) Waiver

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11/18/19 10:03 am

Commenter: Valley Associates for Independent Living

Comments on Medicaid memo - changes to CCC+ to DD waiver transition process

Between pages 1 and 2, there is a change in language. Page 1 talks about the care coordinator overseeing this transition and page 2 does not discuss the care coordinator's role at all but, rather, refers to the service facilitator.
While we appreciate that there is proposed a 30 day continuity of care service authorization requirement, it should be noted that many individuals will also need to switch fiscal agents which is likely to take longer than 30 days. This means that attendants are likely to see a delay in payment regardless of the continuity of care.
On page 2, bullet point 3 indicates that continuity of care service authorization requests ought to be noted on top of the DMAS-97 A/B. What is the purpose of this as opposed to having a note in the justification in WaMS? Additionally, is it required that a new DMAS-97 be written if the new 97 is still active and accurate?
Page 2, bullet point 6 discusses "required assessments and documentation." Please be more specific. Is this referring to the DMAS-99 and Part V?
Also, page 2, bullet point 6 references this documentation must be submitted by the 20th of the month. Does this mean the 20th day of the continuity of care period?
As support coordinators for the DD waiver, we frequently do not know who the care coordinator is for our individuals. How are we expected to be able to coordinate with them for transition if we do not know who this is?

CommentID: 76918