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Caring for a loved one, you are not alone.

  Call us 1.804.625.1130

How can we help?

We provide Service Facilitation for Consumer Directed(CD) services.  Our supportive services are designed to offer assistance for the elderly  and disabled for the hiring, training, supervising, and firing responsibilities of the attendants, who perform basic health-related services.  Theses services may be necessary to remain at or return home rather than entering an institution.  Services may include assist with activities of daily living(ADL) such as bathing, dressing, toileting, transferring, grooming. 

Screenings/

Assessments

Before being approved for  Consumer Directed Services, a screening/assessment is done to determine the need for services. The screening/assessment are:

  • Provided for citizens who are age 65 or older, disabled adults, children who require community based care and require 24hr care in a nursing home facility.
  • Completed by a family services specialist and a health department nurse.
  • Used to determine the individual’s medical needs for care.
  • Provided at no cost.

To setup a screening/assessment for long-term care (LTC), call your local health department. 

This screening assessment can also be completed while in the hospital.

During the Initial Face to Face
Home Visit

Together with the services facilitator, a plan will be developed that outlines the individual's personal goals and the daily tasks the attendant will perform based on the individual's needs, including informal community supports. The service plan will detail the types of services to be provided, the amount, frequency, and duration of each service, and the type of provider responsible for delivering each service. Payment is only authorized for services included in the service plan.

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Click here Employer of Record Manual to read more about Consumer Directed Care

Not Sure what the Difference is Between Medicaid and Medicare

Navigating the world of healthcare can be confusing, especially when it comes to understanding the differences between Medicaid and Medicare. Both programs provide essential health coverage, but they serve different populations and have distinct eligibility requirements and benefits. Let's break down the key differences between these two vital programs.

What is Medicaid?

Medicaid is a joint federal and state program that provides health coverage to low-income individuals and families. It is designed to assist those who may not have the financial means to afford healthcare.

 

Here are some key points about Medicaid:

  • Eligibility: Medicaid eligibility varies by state but generally includes low-income families, pregnant women, elderly adults, and individuals with disabilities. Some states have expanded Medicaid under the Affordable Care Act (ACA) to cover more low-income adults.

  • Coverage: Medicaid covers a wide range of health services, including hospital care, physician services, nursing home care, and home health care. It also covers long-term care services, which are not typically covered by Medicare.

  • Cost: Medicaid is typically free or low-cost for eligible individuals. Some states may require small co-payments for certain services.

  • Administration: Medicaid is administered by state governments within federal guidelines, leading to variations in coverage and eligibility from state to state.

What is Medicare?

Medicare is a federal program that provides health coverage primarily to individuals aged 65 and older, regardless of income. It also covers certain younger individuals with disabilities and those with End-Stage Renal Disease (ESRD). Here are some key points about Medicare:

  • Eligibility: Medicare is available to individuals aged 65 and older, as well as younger individuals with disabilities or ESRD. Eligibility is generally based on work history and contributions to the Medicare system through payroll taxes.

  • Coverage: Medicare is divided into four parts:

    • Part A: Hospital insurance, covering inpatient hospital stays, skilled nursing facility care, hospice care, and some home health care.

    • Part B: Medical insurance, covering outpatient care, doctor visits, preventive services, and some home health care.

    • Part C: Medicare Advantage, which is an alternative to Original Medicare (Parts A and B) offered by private insurance companies. It often includes additional benefits like vision, dental, and prescription drug coverage.

    • Part D: Prescription drug coverage, helping to cover the cost of prescription medications.

  • Cost: Medicare is not entirely free. Most people do not pay a premium for Part A if they or their spouse paid Medicare taxes while working. Part B requires a monthly premium, and there may be additional costs for Parts C and D, depending on the plan chosen.

  • Administration: Medicare is a federal program, so its coverage and eligibility requirements are consistent across all states.

Key Differences

  1. Eligibility: Medicaid is based on income and other factors, while Medicare is primarily based on age and work history.

  2. Coverage: Medicaid covers a broader range of services, including long-term care, while Medicare focuses on hospital and medical insurance with optional prescription drug coverage.

  3. Cost: Medicaid is typically free or low-cost for eligible individuals, whereas Medicare involves premiums, deductibles, and co-payments.

  4. Administration: Medicaid is administered by states with federal oversight, leading to variations in coverage, while Medicare is a federally administered program with consistent coverage nationwide.

 

Understanding these differences can help individuals determine which program they may be eligible for and how to best utilize the benefits available to them. Both Medicaid and Medicare play crucial roles in providing healthcare coverage to millions of Americans, ensuring access to necessary medical services and improving overall health outcomes.

Are you eligible for Medicaid?

To find out about Medicaid eligibility, you can visit the official Medicaid website or your state’s Medicaid agency website. These sites provide detailed information on eligibility criteria, application processes, and required documentation.

Additionally, you can contact your local Department of Social Services or call the Medicaid helpline for personalized assistance. For example, in Virginia, you can apply online at CommonHelp or call the Cover Virginia Call Center at 833-522-5582.

Medicaid Dental Benefits for Adults
Dentist Appointment

 

The “Smiles For Children” program offers dental coverage for adults aged 21 and older, including tooth extractions and medically necessary treatments. To be eligible for coverage, your dentist must be a participant in the“Smiles For Children” program.

 

For more information, call Smiles For Children at 1-888-912-3456 or TTY 1-800-466-7566.

 

Need Transportation?

Call ModviCare

formally, LogistiCare

Medicaid Approved Transportation

866-810-8305

Other Helpful Organizations Numbers

American Red Cross             804-780-2250

Legal Aide                                  800-868-1012

Meals on Wheels                    804-521-5200

Poison Control                        800-222-1222

Salvation Army                       804-225-7470

Social Security Office          866-679-7228

Dept. of Vital Records          804-662-6200

Report Fraud and Abuse     800-371-0824

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