To apply for this program, please call 434-972-4010 between the hours of 8am – 4:30pm, Monday through Friday.

Please ask for the Adult Services Intake Worker. Permission to be screened for this program must be obtained by the adult or a substitute decision maker if the adult does not have the capacity to consent.

Be prepared to share information about your medical conditions and history, medications, physicians, income, and other services. You will be asked questions about your mobility, required level of assistance and/or supervision with bathing, dressing, toileting, feeding and medication administration. Refer to the Uniform Assessment Instrument (PDF) for more information.

Once we have the information for the long-term care referral, you will be assigned a case worker and the information will be shared with the Thomas Jefferson Health Department. Long Term Care Supportive Services (LTSS) requires a screening team to conduct the assessment, which is comprised of a social worker from a local department of social services and nurse from the local health department. You will be contacted to schedule an appointment with the screening team.

Once the screening is scheduled, the screening team will come to the home and obtain required information on the UAI. Consent to exchange information with medical providers, local departments of social service, and other required individuals will be obtained. You will also be asked to choose a provider so that once services are approved, the screening team can forward the UAI to the designated agency or facility.

Since this is a Medicaid funded program, the adult must apply for Medicaid. For information and resource allocation used to determine eligibility, please visit the websites listed below.

• Department of Medical Assistance Services (DMAS)
• Commonwealth Coordinated Care Plus (CCCP)
• Cover Virginia

No. Individuals will not be required to be financially eligible for receipt of Medicaid or to have applied for Medicaid in order to be screened for LTSS for admission to either a nursing facility or for home- and community-based services. However, a Medicaid application will be required to determine eligibility for services.

In order to qualify for LTSS, you must meet the functional and financial criteria. For the functional component, you will be notified in writing from the Health Department. For Medicaid, you will receive notification from the local department of social services.

If you were denied long-term care services for not meeting the functional criteria, you will receive instructions on how to appeal the screening team’s decision.  If you do not agree with the Medicaid determination, contact your local department of social services and request information on how to appeal the decision.