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CCC Plus Waiver Fact Sheet _______

posted Sep 5, 2017, 11:03 AM by Holly Prochaska   [ updated Sep 5, 2017, 11:41 AM ]
Virginia Department of Medical Assistance Services
- Effective July 1, 2017 
(downloadable PDF at bottom of page)

What is CCC Plus Waiver?
The Commonwealth Coordinated Care (CCC) Plus Waiver [1915 (c)] provides care in the community rather than in a nursing facility (NF) or other specialized care medical facility. This new waiver combines Elderly or Disabled with Consumer Direction (EDCD) and Technology Assisted (TECH) waivers. 

Eligible Population
Individuals who: 
• Meet the NF level of care criteria (i.e., they are functionally dependent and have a medical nursing needs); or 
• Individuals who are dependent upon technological support and require substantial, ongoing skilled nursing care; and 
• The health, safety, welfare of the individual must be safely maintained in the home when the nurse or personal care aide is not present; and 
• Are determined to be at imminent risk of NF placement; and 
• Are determined that community- based care services under the waiver are the critical services that enable the individual to remain at home rather than being placed in a NF. 

Covered Services
• Personal Emergency Response System (PERS), includes Medication Monitoring
• Respite Services (Agency- and Consumer- Directed)
• Services Facilitation
• Transition Services 
• Adult Day Health Care
• Assistive Technology (AT)
• Environmental Modification (EM)
• Personal Care Services (Agency- and Consumer- Directed)
• Skilled Private Duty Nursing (RN and LPN) 

Waiver Enrollment
Local and hospital screening teams conduct screenings and assess the individual prior to the provision of services. 

Service Limitations
• Respite – 480 hours per fiscal year
• EM - $5,000 per individual per State fiscal year
• AT - $5,000 per individual per State fiscal year
• Private Duty Nursing – cannot exceed more than 112 hours per week 
• Transition Services - $5,000 per individual per lifetime    

Reimbursement Rates 
Waiver reimbursement rates can be found on the DMAS website at: 

Regulatory Basis: 12VAC30-120-900 et seq.; 12VAC30-120-1700 et seq. 
Holly Prochaska,
Sep 5, 2017, 11:21 AM