Leveraging our Passion, Talent, and Experience
to lead Families to the Answers, Help, and Hope they need!
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If you haven't already, please follow the Moms In Motion facebook page to view this interview regarding ADHD with Dr. Jeffrey Katz. View this timely discussion, Wednesday, October 27th at noon on our facebook page.
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Hey there! It's that time of year again, MCO Open Enrollment!
Here’s a great recap regarding what you should know for the open enrollment season.
If you are considering switching MCOs, I know you will find it helpful.
I know how challenging it can be to make any changes without guidance.
It’s easy to get discouraged and frustrated.
You feel like the person rolling the stone up the hill, only to have it come back down.
You make some progress, and then you slide back.
I get it, I really do.
So I want to share this video with you to help guide you thru this change.
Open enrollment is held once a year and is when individuals have the option to change their health plan for any reason.
Things to consider: comparing plans, tips for choosing plans, health plan benefits, etc.
Here we discuss details!
That’s it! It’s not complicated. Not overly difficult. Especially with some guidance.
I hope this helps you today.
That’s it for now. If you have any questions or concerns, please contact your service facilitator.
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IFSP Funding Announcement |
Funding is open now and applications can be submitted October 7th! Please visit the link for more information and to apply.
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PPL Consumer/EOR/Attendant Updates: |
Paid Sick Leave training for EOR’s & Attendants will be held on 10/12/2021 and 10/14/2021 (via Microsoft Teams). You should have received an email regarding this training.
EORs/Consumers/Attendants, if you have not received the email already, please contact PPL.
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Effective July 1,2021, CSBs were required to review people on the DD Waiver Wait List with new forms that have some revised criteria for the Priority Level and Critical Needs Summary forms. This has caused a delay in assigning the waivers.
If you are on the waitlist you may receive a call from staff of the VA Dept.of Behavioral Health and Developmental Services if your waiver application documents need to be updated. BE SURE to respond asap if you are contacted.
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UPDATED DIRECT PHONE LINES |
To better serve members, CDCN is providing direct phones lines for the following MCOs:
- Virginia Premier: 888-444-2419
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If the Appendix K flexibilities have been beneficial to you during this pandemic, if you've had peace of mind knowing you've been able to keep your family safe, we strongly encourage you to contact your legislators to advocate to make these flexibilities permanent. Your voices matter the most and your legislators will listen!
We have created a page on our website devoted to this effort that has the information you need to contact your legislators.
We look forward to the day when this pandemic has passed, to when it no longer poses a health risk to you for our team to come see you in person again or to have your attendants working in your homes.
We will continue to keep you updated as things change. The safety of the families we serve, of their attendants, and of our team members remains our top priority.
Thank you for your continued patience and for your trust in us to continue to serve you and your family with excellence. Thank you for partnering with us and allowing us the joy of serving you.
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Did you know that the color yellow is worn to recognize Childhood Cancer awareness? Did you also know that September was Childhood Cancer awareness month? Here we're representing in yellow for Childhood Cancer awareness during our September company meeting.
We see you. We hear you. We support you!
As always, your Moms team is here to provide guidance and support.
If you or your loved one have a disability, special needs or medical needs, visit our website for support, resources and tools.
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Do you want to:
- Have a positive impact on people's lives?
- See the joy in someone's face when you tell them about a little resource that will make a big difference in their lives?
- Have the chance to help people in your community on a day-to-day basis?
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Moms In Motion / At Home Your Way
is looking for talented individuals to join our team!
Service Facilitators support eligible individuals and their families in properly using consumer-directed services so they can live in their home with assisted supports. We do this by routinely visiting people in their homes (your home will be your base office). Moms In Motion / At Home Your Way has been a leader in this industry for over nine years. We are a value added provider. We help families to administer their consumer-directed services & link them to additional services.
If you can answer "Yes" to these questions we want you to Join our Team of ACES:
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Do I enjoy ADVOCATING?
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Am I COMPASSIONATE?
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Do I strive for EXCELLENCE in everything I do?
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Do I care about person-centered SERVICE?
Skills and Qualifications include:
- Associate's Degree or greater in Human Services or related field.
- Ability to work independently.
- Ability to communicate effectively both orally and in writing.
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To ensure your Moms In Motion / At Home Your Way application is processed correctly, please use the the links on our Job Opportunities page to apply for the Service Facilitator position in or around your home area.
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Click the image to register |
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For more information, please contact
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Medicaid Application for Children |
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Click the image below to visit the "Applying for Medicaid" section of our website for details on waivers and a comprehensive guide on how to complete the children's medicaid application. |
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Medicaid Application for Adults |
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Click the image below to visit the "Applying for Medicaid" section of our website for details on waivers and a comprehensive guide on how to complete the adult medicaid application. |
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Tell Your Services Facilitator
Changes to your MCO, Health Insurance Premium Payment (HIPP) Program Enrollment, or Medicaid eligibility affects your authorization for Personal Care, Respite, and Companion hours. Moms In Motion needs to know where to send authorization requests to. Your Service Facilitator is often one of the last to know about these types of changes. You must have an authorization in place with the appropriate entity and fiscal agent in order for your attendant to work and get paid. Don't risk a lapse in services.
Helpful links:
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If you receive a balance notice or Explanation of Benefits (EOB) statement:
Moms In Motion's services are covered by DMAS/MCO and considered paid-in-full. No balance billing is permitted by any entity.
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Who to Contact if You Move
- Department of Social Services in your current locality advising them of the move
- Your Service(s) Facilitator
- Your MCO
- Your current Community Services Board
- Advise those at HIPP
- All Doctors offices & Pharmacies
- Social Security Administration if you are receiving benefits like SSI (must be done in person)
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SIGN UP FOR USPS INFORMED DELIVERY here
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Developmental Disability Waivers
The State of Virginia currently offers three Developmental Disability (DD) waivers:
- Building Independence (BI)
- Community Living (CL)
- Family and Individual Supports (FIS)
Moms In Motion is able to facilitate services of Companion (when applicable), Personal Care & Respite under the CL & FIS Waivers.
To learn more about the DD Waivers & the services offered through them, please visit our website for a comprehensive overview.
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MONTHLY DISCUSSION WITH YOUR
SERVICE FACILITATOR
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1. New for this period:
Open enrollment begins in October. Changing your MCO during Open Enrollment is a benefit, and for some, necessary as Health Plans make changes to coverage & available providers.
However, for Consumer-Directed Services, changing your MCO could have a large impact. Communicating in advance with your Service Facilitator your intent to change MCOs is crucial and can minimize the impact.
2. At every visit:
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Your Moms In Motion Service Facilitator will be happy to assist you with anything mentioned in this section. Ask during your next visit! |
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Renewing Your Medicaid
Individuals on the CCC Plus & both of the DD Waivers (CL/FIS) are required to renew their Medicaid annually. A paper renewal application is usually mailed to the primary residence the month before the individual’s renewal month. You will not be required to have another screening.
- When completing the renewal application, only include information regarding the individual requesting Medicaid.
- Write “CCC Plus/Long Term Care” at the top of the form.
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Section 5: Renewal of coverage in future years (optional) – to make it easier to determine your eligibility for help paying for health coverage in future years, you can agree to allow the Medicaid or FAMIS programs or the Marketplace to use income data, including information from tax returns. You will not receive a renewal application. Instead, you will receive notification of the outcome of your renewal. 5 years is the maximum number of years allowed.
You can renew using the following methods:
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By phone:
- Call Cover Virginia at 1-855-242-8282
- TTY: 1-888-221-1590
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By mail or in person: Complete the paper renewal form and return it to your local department of social services.
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Find your local Social Services office here
Failure to complete and turn in your Medicaid renewal application could result in lapse of coverage. Call Cover Virginia at 1-855-242-8282 if you have any questions.
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DURING COVID-19
- Eligibility and Enrollment
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With the announcement of the extension of the federal public health declaration, continuity of coverage must remain until October 22, 2020 for Medicaid members, and no adverse action will be taken on Medicaid cases through that date.
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Do you have an aging loved one on the CCC+ Virginia Medicaid Waiver or one of the 3 DD (CL, FIS, BI) Waivers? Did they suffer a stroke? Do they have chronic diseases such as diabetes or CHF? Are they losing their cognitive abilities through Alzheimer's or dementia?
Did you know that their medical and personal care needs are not the only benefits of their waiver, but that they are also eligible for medically necessary AT, EM & DME? Visit our website for more information!
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Resources for Aging In Place |
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Key Roles in a Medicaid Waiver |
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SERVICE FACILITATOR:
A Consumer-Directed (CD) Services Facilitator (SF) is the DMAS-enrolled provider who is responsible for supporting the individual and family/caregiver by ensuring the development and monitoring of the consumer-directed services plan of care, providing attendant management training, and completing ongoing review activities as required by DMAS for consumer-directed personal care and respite services.
To learn more about the role & responsibilities of the Service Facilitator, please visit our website for an overview.
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EMPLOYER OF RECORD:
The Employer of Record (EOR) is the person who performs the functions of the employer in the consumer-directed model of service delivery. The EOR may be the individual enrolled in the waiver, or a family member, caregiver, or another person.
To learn more about the role & responsibilities of the EOR, please visit our website for an overview.
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FISCAL AGENT(S):
The Fiscal Employer Agent performs payroll activities on behalf of the EOR. This allows the individual to use waiver funds to hire and pay attendants. The Managed Care Organization (MCO) contracts with the Fiscal Employer Agent to ensure that payment to the attendant is accurate based on approved service authorizations and timesheets that have been approved by the EOR. The Fiscal Employer Agent keeps payment records and follows all tax rules on the EOR’s behalf. The EOR employs the attendant(s).
To learn more about Fiscal Agent and their role & responsibility, please visit our website for an overview.
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To learn more about FA Aces$, including how to check your authorizations, click here
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To learn more about FA CDCN, including how to check your authorizations, click here
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To learn more about FA PPL, including how to check your authorizations, click here
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ATTENDANT(S):
The attendant is an individual who provides personal care or supports for the waiver individual. The attendant is the individual hired by the Employer of Record (EOR) who provides CD personal assistance, respite services, or companion services to the individual. The attendant provides services that are authorized by DMAS or its designated service authorization agent. The attendant should have the knowledge, skills, and abilities to perform the functions and duties necessary to support the individual who is receiving services.
To learn more about the role and how to become an Attendant, please visit our website for an overview.
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Moms In Motion is fully aware of how important empowerment is for our clients and their families.
To learn of many numerous resources and tools readily accessible to you, please visit our webpages:
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INFORMATIONAL TOOLS
ListServs
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Join Yahoo ListServ VaWaivers to discuss & share news about Va Medicaid Waivers.
Finding a CD Attendant(s)
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Amazon Prime
Amazon Prime is $5.99 a month for qualifying customers with an EBT or Medicaid card.
Cancel anytime.
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We're expanding our social reach!
Be sure to connect with us now on Instagram and LinkedIn!
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Moms In Motion/At Home Your Way is a Virginia Medicaid Service Facilitation provider for those approved for the CCC+ and DD Waivers (CL/FIS). |
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