Action | Three Waivers (ID, DD, DS) Redesign |
Stage | Proposed |
Comment Period | Ended on 4/5/2019 |
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12VAC30-122-90. Waiting list; criteria; slot assignment; emergency access; reserve slots.
12VAC30-122-120. Provider requirements.
12VAC30-122-180. Orientation testing; professional competency requirements; advanced competency requirements.
12VAC30-122-190. Individual support plan; plans for supports; reevaluation of service need.
12VAC30-122-200. Supports Intensity Scale® requirements; Virginia Supplemental Questions; levels of support; supports packages.
12VAC30-122-210. Payment for covered services (tiers).
12VAC30-122-240. Services covered in the Building Independence Waiver.
12VAC30-122-250. Services covered in the Community Living Waiver.
12VAC30-122-260 – Services covered: Family and Individual Support Waiver.
12VAC30-122-270 - Assistive technology service.
A.(ii)- STRIKE “with the environment in which they live” and ADD a new (iii) “actively participate in other waiver services that are part of their plan.” Renumber the current item (iii) to item (iv). AT should be available to support any service in a person’s ISP. It should not be limited to the environment in which the individual lives. It should be available to support an individual in any approved service and promote inclusion in all aspects of an individual’slife.
12VAC30-122-280 - Benefits Planning Services (reserved).
This service is now available (Medicaid Memo Sept. 4, 2018). It should be included in the final DD Waiver regulations out for publiccomment.
12VAC30-122-300 - Community-based crisis support service.
A- After barriers add “or to support an individual’s participation when there is an ongoing barrier to participation” Seedefinition.
C.3- Strike “This service shall not be provided within a group setting.” This sentence is not necessary and has the potential the individual from learning how to interact and communicate with others in a community engagement setting – the entire purpose of the service. Requiring the service to be one-on-one issufficient.
12VAC30-122-320 - Community Guide Service. (reserved);
This service is now available (Medicaid Memo Sept. 4, 2018). It should be included in the final DD Waiver regulations out for publiccomment.
12VAC30-122-340 - Companion service.
C.1- Strike second sentence and limiting the service to eight hours per 24-hour day. While the occasions might be rare, this service can support those who can otherwise function reasonably independently at a modest cost – the 8 hour per day limitation can interfere with that. The waivers already allow a combination of various services to flexibly accommodate an individual’s needs. Companion services are inexpensive and there may be times when an individual requires more than eight hours of this service in a given day. The authorization should be an annual amount or hours that can be used as the individual needs them. Eight hours per day is an arbitrarycap.
D.4.b- Replace with “Providers that are licensed by DBHDS, a supervisor meeting the requirements of 12VAC35-105 shall provide supervision of direct support professional staff.” This brings it in line with other similarservices.
12VAC30 – 122-350 - Crisis Support service.
The three-levels described here are not included in the other two crisis support services – they should beconsistent.