CCC Plus Waiver

Overview

The Commonwealth Coordinated Care Plus waiver is a Home and Community-Based Services (HCBS) waiver offering supports and services to the following groups of individuals:

1.      Older adults;

2.      Individuals who have a physical disability; and/or

3.      Individuals who are chronically ill or severely impaired, having experienced loss of a vital body function, and who require substantial and ongoing skilled nursing care.

These individuals, in absence of services approved under this waiver, would require admission to a Nursing Facility, or a prolonged stay in a hospital or specialized care Nursing Facility.

For anyone interested in obtaining the CCC Plus waiver, you must take the following steps:

The individual may request a LTSS Screening through their local Dept. of Social Services. A Community Based Screening Team (i.e.: Social Worker and Health Dept. Nurse), will meet with the individual and a family member/caregiver, if available, to assess the individual’s need for the CCC Plus waiver. If an individual is hospitalized and needs a screening, this can be done in the hospital by a discharge planner; and

The individual must be eligible for Medicaid in order to receive and have waiver services paid by Medicaid.

The individual may:

Complete a Medicaid electronic application online at CommonHelp.virginia.gov.

Call the Cover Virginia Call Center at 1-833-5CALLVA (1-833-522-5582, TDD: 1-888-221-1590) to complete the application over the phone, or

Contact their local Dept. of Social Services agency to request a Medicaid paper application and request the Appendix D, which is specific to the long-term services and supports.

Once approved for Medicaid eligibility, screened and approved for the CCC Plus waiver, the individual may choose the desired waiver services. The screening team will assist the individual with locating providers in their area.

For anyone interested in applying for one of the DD (Developmental Disability) waivers, contact your local Community Services Board to inquire further, you can also visit the DD Waivers page.

Announcements

E-MAIL IN BOX - For Consumer Directed Services Questions related to time sheets and service authorizations for fee for service CCC Plus waiver members, submit your question to: cdsf@dmas.virginia.gov

E-MAIL IN BOX - For CCC Plus Waiver Questions related to program criteria and clarification of policy for fee for service members, submit your question to: cccpluswaiver@dmas.virginia.gov

NOTE: For CCC Plus Waiver members participating in a managed care health plan, submit your question to: cccplus@dmas.virginia.gov

Questions about Legally Responsible Individuals (LRI)? Please visit the LRI webpage for information.

Models of Care in the CCC Plus Waiver

Personal care and respite services can be provided in two different models under the CCC Plus Waiver:  Agency direction or consumer direction.  Waiver members may choose either consumer-directed or agency-directed care, or both.

In the agency-directed model, care is provided through a personal care agency where the member receives services from a trained aide, hired by a personal care agency and supervised by a nurse.  The personal care agency is responsible for all employer-related functions.

Consumer-directed (CD) services is a model of service delivery that empowers the member receiving services to employ an attendant to provide care. The member or their designated representative performs all of the employer responsibilities including hiring, training, managing, and if necessary, terminating the attendant. The Services Facilitator provides information and assists the member and their family/primary caregiver with learning the responsibilities of a CD employer of record. Services that can be directed by the member are personal care/personal assistance and respite services.

For more information on Consumer-Directed Services, please visit the CD Services page.