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Virginia Application and Authorization for Waiver of Fee Cap

State:
Virginia
Control #:
VA-DC-40-A
Format:
PDF
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Description

Application and Authorization for Waiver of Fee Cap Virginia Application and Authorization for Waiver of Fee Cap is an application form created by the Virginia Department of Social Services (DSS) to enable individuals living in Virginia to request a waiver of the fee cap for certain services. This waiver allows individuals to access a greater amount of services and assistance than what is normally available. This form applies to individuals receiving services from the Department of Medical Assistance Services (DMS) and Long Term Care (LTC) services. There are three types of Virginia Application and Authorization for Waiver of Fee Cap: Personal Care Services Waiver, Home and Community-Based Services Waiver, and End-Stage Renal Disease (ESD) Waiver. Each type of waiver provides a different type of service and assistance.

Virginia Application and Authorization for Waiver of Fee Cap is an application form created by the Virginia Department of Social Services (DSS) to enable individuals living in Virginia to request a waiver of the fee cap for certain services. This waiver allows individuals to access a greater amount of services and assistance than what is normally available. This form applies to individuals receiving services from the Department of Medical Assistance Services (DMS) and Long Term Care (LTC) services. There are three types of Virginia Application and Authorization for Waiver of Fee Cap: Personal Care Services Waiver, Home and Community-Based Services Waiver, and End-Stage Renal Disease (ESD) Waiver. Each type of waiver provides a different type of service and assistance.

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Virginia Application and Authorization for Waiver of Fee Cap