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Elderly or Disabled with Consumer Direction (EDCD) Waiver

The EDCD Waiver got its start in Virginia in 2005, merging two existing waivers. It's design is to prevent nursing home placement by providing significant care in the applicant's home.

Available services are:

» Personal Care Aide Services
» Adult Day Health Care
» Respite Care
» Personal Emergency Response System (PERS)
» Medication Monitoring
» Consumer-Directed Services

Clients must be screened by a social worker, nurse and physician to obtain this waiver. The criteria are:

  • An applicant must need human (not solely mechanical) assistance with 2-4 activities of daily living*, as well as be semi-dependent in behavior and orientation (often, but not exclusively, due to dementia), as well as semi-dependent in joint motion or semi-dependent in medication administration OR
  • Dependent in 5-7 ADLs plus dependent in mobility OR
  • Semi-dependent in 2-7 ADLs, as well as dependent in mobility, as well as dependent in behavior and orientation (often, but not exclusively, severe dementia) AND
  • Have medical nursing needs to be provided by a skilled nurse beyond custodial care. Examples of these needs, but not an exclusive list, are: dialysis, catheter care, respiratory therapy, skin care for those who are bedbound, chemotherapy, oxygen AND
  • Applicants must be at imminent risk for nursing home placement without the provision of the waiver services mentioned above AND
  • Be a safe plan of care for the applicant, as this waiver does not provide 24-hour care for clients

Please be reminded that to pass a screening, which is done by the local DSS social work and nurse team in the applicant's home or is done by local hospital staff when an applicant is a hospital in-patient, is a person who has nursing-home level of care needs.

This waiver also requires that the applicant be qualified for Medicaid (for a single person this will require less than $2,000 in liquid assets). If an individual's income is over $1,100/month, there may be a fee associated with these services.

This is a brief overview of a complex program. For more information or to request a screening, please contact your county department of social services.

*Activities of Daily Living the screeners will evaluate are: Bathing, Dressing, Transfer, Toileting, Feeding Self, Incontinence of Bowel, Incontinence of Bladder

» Available services under all waivers [PDF - 15KB]
» For parents of children with special needs [PDF - 24KB]
» Acronym List/Abbreviation Cheat Sheet [.xls - 21KB]
» Virginia Medicaid Waivers for Persons with Disabilities, Their Parents and Caregivers [PDF - 136KB]
» Medicaid Application [PDF - 145KB]