DDA Waiver Programs — Annual Redeterminations
The services you receive through the DDA Waiver programs are important and help you to live your best life. Each year, if you want to keep getting these services, you must prove to Medicaid that you still qualify based on your health, finances and other technical requirements. This process is called a Redetermination. Your Coordinator of Community Services (CCS) will help you with this.
Technical eligibility means meeting certain requirements for each specific Waiver program. For the DDA Waiver programs in Maryland, this includes:
1. Living in Maryland
2. Being the right age or having specific service needs
3. Having an approved Person-Centered Plan (PCP)
Medical eligibility means that you need the same level of care that is given to someone in a special facility called an Intermediate Care Facility for Individuals with Intellectual and Developmental Disabilities (ICF/IID). This means you need a lot of care, but you don't have to actually go to one of these facilities or even consider going there to get Waiver services. Holly and Potomac Centers are examples of ICF/IIDs.
Financial eligibility means you can't make more money or have more assets than the limits set by the Waiver programs. Your caregiver or parent's income doesn't count. The Maryland Department of Health’s Eligibility Determination Division (EDD) or Maryland Department of Human Services (DHS) figures out if you are financially eligible. They look at records like bank statements, assets (some things you own), trusts and medical expenses.
For some people enrolled in a DDA Waiver program, the Maryland Medicaid Check-In includes the DDA Waiver Financial Eligibility Redetermination process. Over 4000 DDA waiver participants will need to complete this process.
Important Reminders:
- You'll get many letters or notifications about your redetermination.
- The first letter comes 90 days before your redetermination is due. This letter is like a heads-up to remind you that your redetermination is coming. It gives you time to start preparing and collecting the necessary information.
- It's crucial to wait for a letter from either the Department of Human Resources (DHS) or the Eligibility Determination Division (EDD) before you submit your redetermination information. If you send in your information before they ask for it, it won't be processed because it isn’t due yet.
- Keep an eye out for messages related to redeterminations, and make sure to respond to the DHS or EDD caseworker as instructed in the letter within the specified timeframe or deadline given.
- If you receive a letter about your financial redetermination, let your CCS know. They will help you.
- The DDA is sharing information with CCS about redeterminations that are due in the next 90 days for the people they support. If you have any questions, please reach out to your CCS. They are there to help you.
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