The Commonwealth Coordinated Care Waiver

Personal care and respite services can be provided through either an agency-directed model, where a personal care agency manages the services, or a consumer-directed model, where the individual manages their own care. 

The Department of Medical Assistance Services (DMAS) or its service authorization contractor (Insurance Company) must authorize all waiver services. 

For individuals in the Cardinal Care managed care program, the Managed Care Organization (MCO) provides service authorization functions. 

Aetna

Anthem

Humana

Sentara

United Health Care ( We can only cover a 60 day authorization with this MCO)

• Individuals 65 or older, and those with disabilities of any age, may be eligible.

The waiver covers a variety of services to enable individuals to live at home, such as personal care assistance, homemaker services, and transportation. 

A screening process is required to determine eligibility and identify the specific services needed, using a tool called the Uniform Assessment Instrument (UAI). 

Your local Department of Social Services (DSS) and the local health department conduct the screenings for the CCC Plus Waiver.