Basic Considerations
To be eligible under the EDWP COA, an A/R must meet the following conditions:
The A/R is admitted to EDWP and receiving a waivered service(s).
The A/R resides in a residential home situation, such as his/her own home, another person’s home or a personal care home.
The A/R meets the Length of Stay (LOS) and Level of Care (LOC) eligibility criteria.
The A/R meets all other basic and financial eligibility criteria.
There is no age requirement for participation in EDWP. A client is not required to be homebound to receive EDWP services.
EDWP Medicaid recipients receive certain waivered services not normally covered by Medicaid, including the following:
Adult Day Health
Alternate Living Services (personal care home placement)
Emergency Response System
Home Health Services/Home Delivered Services
Personal Support Services
Respite Care
To maintain continuous eligibility for EDWP Medicaid, a client must receive waivered services each calendar month.
Individuals who express an interest in Elderly Disabled Waiver services are to be referred to the Area Agency on Aging for assessment. The telephone screening specialist assesses the individual’s suitability for community-based care in lieu of nursing home placement. If the individual meets the EDWP eligibility criteria, the A/R’s name is placed on the EDWP waiting list. When funds become available, the individual is referred to the Care Coordination Agency for a face-to-face assessment.
If the individual is determined eligible at the face-to-face assessment, s/he is admitted to EDWP.
The care coordinator arranges for the provision of the EDWP waivered services to the recipient.
EDWP is a budgeted program, therefore, it is limited to a certain number of clients statewide