Guest guest Posted August 27, 2001 Report Share Posted August 27, 2001 Here's some more info on Medicaid waivers: Waivers are an optional program that affords States the flexibility to develop and implement alternatives to institutionalizing Medicaid eligible individuals. States may request waivers of certain federal rules which impede the development of Medicaid community based treatment alternatives. The program recognizes that many individuals who would otherwise be institutionalized can be cared for in their homes and communities at a cost no higher than that of institutionalized care. The services must be administered with an even hand, comprehensive, effectively working plan for placing qualified persons with disabilities in less restrictive settings. The waiting list must move at a reasonable pace. Waivers were established originally as a means to slow down Medicaid spending (cheaper to provide services in the community vs institution). To be eligible ( in VA) you must meet Medicaid eligibility ( don't have to be on Medicaid) which means PWD cannot have an income higher than $1,536.00 per month and parental income does not count, regardless of child's age. PWD must also fit criteria for Level of Functioning criteria to determine the level of care that is needed. Does this clear anything up or make things more confusing? ;-) Cheryl in VA Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 27, 2001 Report Share Posted August 27, 2001 In a message dated 8/27/01 9:55:32 AM Central Daylight Time, wildwards@... writes: > PWD must also fit criteria for > Level of Functioning criteria to determine the level of care that is needed. > Does this clear anything up or make things more confusing? ;-) > > Cheryl in VA HI Cheryl I am wondering what about the kids who are Health Impaired (or have that label) and not cognitively delayed? Illnesses like Aids, Epilepsy, Diabetes etc........ let's say a parents Insurance company will not cover their child, does this waiver help them? Kathy mom to Sara 9 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 27, 2001 Report Share Posted August 27, 2001 In a message dated 8/27/01 9:55:32 AM Central Daylight Time, wildwards@... writes: > PWD must also fit criteria for > Level of Functioning criteria to determine the level of care that is needed. > Does this clear anything up or make things more confusing? ;-) > > Cheryl in VA HI Cheryl I am wondering what about the kids who are Health Impaired (or have that label) and not cognitively delayed? Illnesses like Aids, Epilepsy, Diabetes etc........ let's say a parents Insurance company will not cover their child, does this waiver help them? Kathy mom to Sara 9 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 27, 2001 Report Share Posted August 27, 2001 In a message dated 08/27/2001 11:10:10 AM Eastern Daylight Time, B4alltoday writes: << I am wondering what about the kids who are Health Impaired (or have that label) and not cognitively delayed? Illnesses like Aids, Epilepsy, Diabetes etc........ let's say a parents Insurance company will not cover their child, does this waiver help them >> Level of functioning is the determining factor .... our latest waiver in VA, for people who had DD manifest before the age of 22, would cover these (we have separate waiver for Aids) if the child has a low enough level of functioning, that their life skills are impaired. Remember, this waiver is to help those who would qualify for life in an institution. Cheryl in VA Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 27, 2001 Report Share Posted August 27, 2001 In a message dated 08/27/2001 11:10:10 AM Eastern Daylight Time, B4alltoday writes: << I am wondering what about the kids who are Health Impaired (or have that label) and not cognitively delayed? Illnesses like Aids, Epilepsy, Diabetes etc........ let's say a parents Insurance company will not cover their child, does this waiver help them >> Level of functioning is the determining factor .... our latest waiver in VA, for people who had DD manifest before the age of 22, would cover these (we have separate waiver for Aids) if the child has a low enough level of functioning, that their life skills are impaired. Remember, this waiver is to help those who would qualify for life in an institution. Cheryl in VA Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 29, 2001 Report Share Posted August 29, 2001 In a message dated 8/26/01 3:48:25 PM Eastern Daylight Time, writes: > .) As soon as Jimmy's trach was > out and healed, we were taken off the program because his reduced medical > Sheila is on Home and Community based Waiver program--it took about a year to get it approved, but it was retro to the application date. It pays for all types of things, including medical. It is not just for the medically fragile child. We live in New York state. nancy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 29, 2001 Report Share Posted August 29, 2001 In a message dated 8/26/01 3:48:25 PM Eastern Daylight Time, writes: > .) As soon as Jimmy's trach was > out and healed, we were taken off the program because his reduced medical > Sheila is on Home and Community based Waiver program--it took about a year to get it approved, but it was retro to the application date. It pays for all types of things, including medical. It is not just for the medically fragile child. We live in New York state. nancy Quote Link to comment Share on other sites More sharing options...
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