Final Regulations Published on Alzheimer’s Assisted Living Waiver

The Department of Medical Assistance Services (DMAS) published a set of final regulations for the Alzheimer’s Assisted Living (AL) Waiver in the Virginia Register that will become effective on July 5, 2012.  The regulatory action updates the Alzheimer’s AL Waiver requirements to bring them into alignment with the current Department of Social Services licensing standards.  The changes are expected to increase the available provider pool and encourage participation in the waivered program.  

Eligible individuals must meet nursing facility level of care, have a diagnosis of Alzheimer’s or a related dementia,  must be receiving an Auxiliary Grant and living in or seeking admission to a safe, secure unit of a DMAS-enrolled assisted living facility.  A DMAS Alzheimer’s Assisted Living Waiver Fact Sheet 2012 describes the program, definitions and covered services.  DMAS will reimburse the Assisted Living Facility a per diem vendor payment of $47.50 per day for the Waiver services in addition to the Auxiliary Grant monthly payment which will increase on July 1st to $1,150 for all areas of Commonwealth except in Planning District Eight in Northern Virginia where a 15 percent differential applies.  A summary of the Waiver regulations describes the 2012 amendments to the program.  

Regulatory changes include the following:

  • Removes the use of an RN as the only licensed health care professional required and substitutes Licensed Health Care Professional acting within their scope of practice as defined in DSS licensing regulations. 
  • Amends the requirement for an RN or LPN to administer all medications except on the 11-7 shift.  The change permits a Registered Medication Aide to administer medications on all shifts.
  • Reduces group activities from 19 hours to 16 hours and modifies the required one-on-one hours.  The change also allows volunteers to provide the activity.
  • Expands the criteria of eligible staff to provide direct care from only a Certified Nurse Aide (CNA) to include geriatric assistants, home health aides and personal care aides.

Questions about the program should be directed to Steve Ankiel, Long Term Care Division, DMAS, 600 East Broad Street, Richmond, VA 23219, by telephone at 804.371.8894 or by email