Entering the New DD Waiver Program

Entering the DD Waiver Program (Eligibility Criteria, VIDES)

  • Call your local Community Services Board (CSB) and request DD waiver services or request a screening for the DD Waivers. Find your CSB location here:
    http://www.vacsb.org/directory.html
  • At local CSB, eligibility will be determined, and you will most likely be placed on a waiting list for services.
  • DD waiver waiting list (chronological) and the ID waiver waiting list (urgent and non-urgent) will be consolidated into one needs based list broken into three prioritization categories.

Eligibility Determination Process:

1) Assessment: Virginia Individual DD Eligibility Survey (VIDES)

  • A representative, usually a case manager, from the CSB will meet with the individual and family to determine eligibility.
  • The VIDES is the screening tool used to determine eligibility.
  • To receive a waiver slot, the VIDES is updated within six months, therefore you may need to have this assessment done again before receiving a slot.
  • If on the waiver, the VIDES is done every year to maintain eligibility for the waiver.

NOTE If you are have an ID/DD Waiver or are on the waiting list and the VIDES assessment results in not being eligible for the ID/DD Waiver, contact The Arc of Virginia.  The Arc is closely monitoring this issue.  We will work with you to resolve the issue.  Email: lcantrell@thearcofva.org or call (804) 649-8481 x 112.

2) Proof of Diagnosis

DBHDS in consultation with DMAS is writing a guidance document for case managers detailing the relevant sources of documentation needed. We will add this information as soon as it is available.

3) Financial Eligibility

To receive waiver services the individual must meet Medicaid Long-term Eligibility Requirements.  The monthly income must not exceed more than 300% of the SSI amount for an individual or $2,163.00.  There are no income eligibility requirements for children receiving the waiver.  The local Department of Social Services determines Medicaid eligibility.    http://www.dss.state.va.us/localagency/

Virginia Individual DD Eligibility Survey: VIDES

The VIDES replaces the current Level of Functioning (LOF) Survey.  The VIDES is a deficit based assessment.  When describing the individual’s support needs consider how the individual would function if the caregiver was not present.

The VIDES has three different assessments based on the age of the individual.

  • Infant (ages under 3 ) : Must meet the criteria for two or more of five categories: Health Status, Communication, Task Learning Skills, Motor Skills, Social/Emotional  VIDES Infant
  • Child (ages 3 up to 18): Must meet the criteria for two or more of eight categories: Health Status, Communication, Task Learning Skills, Personal/Self Care, Motor Skills, Behavior, Community Living Skills, Self-Direction VIDES Child
  • Adult (ages 18 and older): Must meet the criteria in 3 or more of eight categories : Health Status, Communication, Task Learning Skills, Personal/Self Care, Motor Skills, Behavior, Community Living Skills, Self-Direction VIDES Adult

VIDES Assessments:

http://www.dbhds.virginia.gov/professionals-and-service-providers/developmental-disability-services-for-providers/waiver-services

Appeal Rights for the VIDES

DBHDS is currently making a standard guidance document for individuals and families detailing the right to appeal and the process.

NOTE If you are have an ID/DD Waiver or are on the waiting list and the VIDES assessment results in not being eligible for the ID/DD Waiver, contact The Arc of Virginia immediately.  The Arc is closely monitoring this issue.  We will work with you to resolve the issue.  Email: lcantrell@thearcofva.org or call (804) 649-8481.

If determined not to meet eligibility criteria – you should receive right to appeal notification from your local CSB.

If you do not receive information (standard letter) detailing your right to appeal and the process, call your CSB and request to speak with the ‘Waiver Expert’.

https://docs.google.com/document/d/1Ljn1XfAuDVEiCMRIvPItckflAPapWAnAQNewsrnGUKg/edit

If you still do not receive information on your appeals rights, contact DBHDS Regional Support Specialist (RSS), tasked with trouble-shooting issues concerning eligibility.