dhcf epd waiver


%���� The EPD waiver program is a Medicaid Waiver choice program for the elderly and individuals with physical disabilities who are able to safely receive supportive services in a home and community-based setting. Table of Contents v . coronavirus.dc.gov In September 2019, the District of Columbia announced that it will be moving towards a fully managed Medicaid program over the next five years. Elderly and Persons with Disabilities (EPD) Proposed Waiver Amendment Pursuant to the Centers for Medicare and Medicaid Service’s new public notice process, the Department of Health Care Finance (DHCF) is required to share with the public any significant … DC Healthy Families program covers doctor visits, vision/dental care, prescriptions and more. endobj DHCF is delaying the effective date of changes under the waiver that would result in service reductions or terminations due to the COVID-19 public health emergency, from October 1, 2020 until at least the end of the public health emergency. The Department is revising its service descriptions for assisted living, homemaker, chore aide, personal care aide, participant directed services, case management, and Read Mayor Bowser’s Presentation on DC’s COVID-19 Situational Update: March 11 The participant or authorized representative can choose a service provider from an available list of approved EPD Waiver Providers. To that end, we are inviting all interested prospective case management agencies to meet with key staff at DHCF to learn more about providing case management services to beneficiaries of the Elderly and Persons with Disabilities (EPD) 1915c Waiver Program. The EPD Waiver is a home and community-based program designed to provide the elderly and persons with physical disabilities with quality health care services in the comfort of their homes and community. endobj DC Medicaid is a healthcare program that pays for medical services for qualified low-income and disabled people. Connecting 911 callers with medical needs to the most appropriate health care. People are enrolled in the EPD Waiver on a first-come, first-served basis, and the EPD Waiver program currently has a waiting list. This page is intentionally blank.   <> Electronic Visit Verification system (EVV) is a system that electronically captures details of home visits and services provided by caregivers while ensuring that beneficiaries are receiving the support they require, and the rendered services are billed accurately. This program helps District residents who are eligible for Medicare pay for their Medicare costs. the Department of Health Care Finance’s (DHCF) administration of the Home and Community- Based Waiver Program for the Elderly and Physically Disabled (EPD Waiver), and in particular the provision of Personal Care Aide (PCA) services to EPD Waiver beneficiaries. <>/Metadata 183 0 R/ViewerPreferences 184 0 R>> DHCF, however, has EPD Waiver Amendment DHCF is in the process of drafting an amendment to its EPD Waiver, with plans to submit this to CMS by May 15, 2015.     INITIATIVE 1.3: Improve Elderly and Persons with Disabilities (EPD) Waiver provider quality. x��\Ys�6~���x�R6M���-��|�3Ie6ތw�!�Z�$n(R! Quality Improvement Organization .   Information Management System under the EPD waiver are living in settings that comply with the provisions of the HCBS federal regulation. stream CMS has approved the District’s proposed EPD Waiver Amendment, effective October 1, 2020. When using this service the participant or his/her authorized representative is the common law employer of their Participant-Directed Worker (PDW). Closing Date: 9... Job ID Number:  8381 DC Entered Phase Two of Reopening on June 22. The EPD Waiver Program allows D.C. residents, who would otherwise require nursing home care, to receive services and supports while living in their home or in assisted living communities. This page is intentionally blank. Registration is now open for the DHCF Health Information Exchange (HIE) Stakeholder Summit, DHCF to host a Health Information Exchange Stakeholder Summit at George Washington University’s Marvin Center Grand Ballroom, Wednesday, September 10, 2014, What:                        Health Information Exchange (HIE) Stakeholder Summit. DHCF will use the nurses that conduct face-to-face, conflict-free, standardized assessments of applicants seeking long term care services and supports described under Appendix During this time, DHCF piloted the PCP process with a number of providers and conducted at least 5 trainings over 250 case managers, ADRC staff, and DHCF staff. Titles Series - Program Coordinator (PACE) CS-301-13 3 0 obj management services, through the Medicaid home and community-based waiver program for individuals who are elderly and/or have physical disabilities (“EPD Waiver”). Closing Date: ... Job ID Number:  8373 The straightforward mission of the agency is to improve the health outcomes of low-income residents of the District by providing access to a full range of preventative, primary, urgent and critical health care services. Closing... Job ID Number:  8450 Health Insurance Counseling Project (HICP) Fact Sheet (PDF) District of Columbia Long-Term Care/Waiver Medicaid Application (2018) Retroactive Medicaid Application for Institutional Care (2018) Resource FAQ Sheet .pdf; EPD FACT Sheet.pdf Status of Medicaid Managed Care Contracts and Issues Involving United Medical Center Not For Profit... Job ID Number:  8412 The waiver is in effect until 11/19/17. Applying to the EPD Waiver Program If you are ready to apply to the EPD Waiver Program, you may do so by following the instructions in this packet.   DHCF-EPD Waiver Transition Work Plan: Overview of Major Tasks 2 Category Action Items Responsible Unit Due Date Current Status CMS rules on PCP. In September 2020, The Department of Health Care Finance (DHCF) and the Department of Behavioral... DHCF Provider Payments Delayed to Monday, January 25, 2021. %PDF-1.7 EPD Waiver Providers [XLSX] Office Hours Monday to Friday, 8:15 am to 4:45 pm Connect With Us 441 4th Street, NW, 900S, Washington, DC 20001 Appendices . District of Columbia Department of Health Care Finance Long Term Care Administration Home Care Agencies (EPD Waiver & State Plan) Personal Care Aide Services ^Not currently accepting new/transfer beneficiaries for PCA Last Update 3/3/2016 Meiger Health 2759 Martin Luther King Jr. Avenue, SE Suite 105 Washington, DC 20032 For more information about the Services My Way Program, please call the Program Coordinator at: 202.698.2000 ServicesMyWay@dc.gov The Services My Way Program is administered by the District of Columbia’s Department of Health Care Finance. Home care health services allow people to safely complete routine daily activities, such as using the toilet, getting the Department of Health Care Finance’s (DHCF) administration of the Home and Community-Based Waiver Program for the Elderly and Physically Disabled (EPD Waiver), and in particular, the provision of Personal Care Aide (PCA) services to EPD Waiver beneficiaries. For those eligible for full Medicaid services, Medicaid pays healthcare providers. Medicaid helps pay for medical services for low-income and disabled people. DC Entered Phase Two of Reopening on June 22. Information and eligibility for applying to the MAGI Medicaid program. The straightforward mission of the agency is to improve the health outcomes of low-income residents of the District by providing access to a full range of preventative, primary, urgent and critical health care services. Introduction to the EPD Waiver Program a. Overview of EPD Waiver Program b. Overview of Financial Eligibility & Level of Care Eligibility a. DHS Makes Financial Eligibility Determinations b. The waiver was approved by CMS for implementation effective 11/20/12. DEPARTMENT OF HEALTH CARE FINANCE (DC MEDICAID) ELDERLY AND INDIVIDUALS WITH PHYSICAL DISABILITIES (EPD) WAIVER PROGRAM What is the EPD Waiver Program? Appendix I – Letter: Prior Authorization for EPD Waiver Services.   EPD-Waiver- Use this application if you are applying for elderly and persons with physical disabilities (EPD) waiver provider. Titles Series - Investigator CS-1810-11   DHCF Coronavirus (COVID-19) related Resources and Guidance for Providers, Beneficiaries and DC residents who are seeking free health care coverage. )+�_�� ��,R�e�$5�ī�>�n4xvY5�$5����i��,������g��Ezv�L�"i��8��|h���4������fg?~ٴ~�����"O8a�8>8|T��w_~`��w��Ӊ�գ��wg?͓i������:.�'=7��I����{���cp�~Ϧ�z,����pb����.�•?~�ĥ�~|������~���G`WeӔ�~�ݖe���壓�w�'#�s� B5�������lx���|n��� ��3��2�'��~~^♬I_-��q�;". Revised April 2017 .  ... Job ID Number:  8435 TEXT DC RIGHTCARE TO 468311 FOR MORE INFORMATION Nine of the rules for the 27 services were published in FY13, and the remaining ones are pending.   Income & Resource Test 1. Closing... about Registration Open for DHCF Health Information Exchange Stakeholder Summit, Read Mayor Bowser’s Presentation on DC’s COVID-19 Situational Update: March 11. <> 4 0 obj Participant-Directed Community Supports are similar to Personal Care Aide (PCA) services in the larger EPD Waiver program. these services in the home, the EPD waiver allows District residents to remain in their homes and in their communities, rather than being forced to live in an in-patient institution. DEPARTMENT OF HEALTH CARE FINANCE PUBLIC NOTICE OF PROPOSED AMENDMENTS Home and Community-Based Waiver for the Elderly and Persons with Physical Disabilities The Director of the Department of Health Care Finance (DHCF), pursuant to authority set forth in an Act to enable the District of Columbia to receive federal financial assistance under Title If you would like assistance with application process, please call us at 202-724-5626. Agency Mission: The mission of the Department of Health Care Finance (DHCF) is to improve health outcomes by providing access to comprehensive, cost-effective and quality healthcare services for residents of the District of Columbia. If you need help with activities of daily living such as eating, dressing, toileting, and bathing, then the EPD program may be of help to you. View the Guidance. The EPD waiver program is a Medicaid Waiver choice program for the elderly and individuals with physical disabilities who are able to safely receive supportive services in 1 0 obj To meet this important goal of allowing people remain in their homes, the EPD waiver program provides, in some instances, up to 24 hours of PCA services per day. DHCF’s Tips for Case Managers I. EPD waiver population and the demand for EPD Waiver services over the next year. To Report Medicaid Waste, Fraud or Abuse call 1-877-632-2873. This waiver is intended to allow beneficiaries who would otherwise require nursing home care to receive care services outside of that environment and to instead remain living in their homes or in assisted living communities. The waiver does so by providing personal care, supportive ser… Eligibility Determination and Enrollment Process for EPD Waiver: Response to G.W.   Office Hours Monday to Friday, 8:15 am to 4:45 pm Connect With Us 441 4th Street, NW, 900S, Washington, DC 20001 Phone: (202) 442-5988 Fax: (202) 442-4790 21st Century CURES Act This program serves residents with no other insurance and not eligible for Medicaid or Medicare. Provider Manual . DHCF is also working to develop participant-directed services under the EPD waiver. EPD Waiver Providers; Electronic Visit Verification - EVV; Informational Bulletins for LTC Providers; Proposed Amendment to the EPD Waiver; Department of Health Care Finance - DHCF. About DHCF. PROVIDER EPD Service(s) Provided ADMINISTRATOR ADDRESS PHONE/FAX NUMBER EMAIL ADDRESS *ABA Home Health Care PCA, Homemaker, Respite Mercy Kungang 821 Kennedy Street, NW Washington, DC 20011 202 -722 -1725 202 -722 -1726 waiver@abahomehealth.com mercyk@abahomehealth.com adomab@abahomehealth.com *Alliance Home Health Care & Equipment To date, 14 rules have been published. Department of Health Care Finance . The District maintains two HCBS waiver programs: the Elderly and Persons with Disabilities (EPD) Waiver, run by the District’s Department of Health Care Finance (DHCF), and the Intellectual and Developmental Disabilities (IDD) waiver, run by the District’s Department of … 2 0 obj Titles Series - Clinical Associate Director MS-301-15 Closing Date: 9/17/19 You must fulfill mandatory requirements and receive a pre-approval notice from DHCF/Long Term Care before initiating this process.