Virginia Transition Services Policy Manual
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The Virginia ADM-1.0 Administration Policy establishes the framework for compliance with 12VAC30-120-2010, which governs documentation standards for transition services under Virginia’s Medicaid waiver programs. This policy ensures that providers deliver essential support to individuals transitioning from institutional settings, such as nursing facilities or intermediate care facilities, to community-based living arrangements. Transition services are designed to promote independence, safety, and successful integration into the community while adhering to the Department of Medical Assistance Services (DMAS) guidelines and federal Home and Community-Based Services (HCBS) requirements.
Providers must maintain comprehensive documentation for all transition services, including prior authorizations, individualized transition plans, itemized expense records, and verification of service completion. Allowable expenses include security deposits, utility setup fees, essential household furnishings, moving costs, and health and safety assurances. These services are limited to a $5,000 lifetime maximum per individual and must be expended within nine months of authorization. Documentation must demonstrate that all expenditures are reasonable, necessary, and directly aligned with the individual’s plan for supports.
This policy emphasizes the importance of accurate record-keeping to support reimbursement claims, facilitate audits, and ensure compliance with Medicaid requirements. By adhering to 12VAC30-120-2010, providers can deliver high-quality transition services that empower individuals to successfully move into community settings while maintaining full regulatory compliance.