A&S Facilitation Advocates

How to Get Started

The first step in accessing CCC Plus waiver services is to request a Long-Term Services and Supports (LTSS) screening through your local Department of Social Services. This screening is sometimes referred to as a UAI (Uniform Assessment Instrument) and is used to determine your eligibility for long-term care services.

If you qualify, you will receive a copy of your approved UAI. This assessment allows you to explore several care options, including:

Agency-Directed Care
An approved agency provides and manages a personal care aide to support your daily needs.

Consumer-Directed Care
You select the caregiver — often a trusted family member or friend — who will provide your personal care services. (This is what A&S Facilitation Advocates can support.)

Nursing Facility Placement
For individuals who require a higher level of medical support, nursing facility care may be recommended.

Important to Know

Receiving an approved UAI does not automatically mean you are enrolled in the CCC Plus Waiver. Enrollment occurs only after the required documentation is completed and submitted to your insurance provider by your Service Facilitator. Services cannot be reimbursed until waiver enrollment is officially approved, so it is important to complete this process before care begins.

What Happens Next?

The next step is scheduling an intake appointment with your Service Facilitator. During your initial intake appointment, your Service Facilitator will work with you to develop a person-centered plan of care tailored to your needs. This plan is submitted to your insurance provider, who will determine the number of care hours authorized each week. Your Service Facilitator will guide you and your caregiver through every step of the process — including completing the necessary paperwork to ensure services are approved and caregivers are paid appropriately.

Department of Social Services Directory

Find your local department of social services for your LTSS screening.

Find My DSS

What does a Service Facilitator Do?

We help individuals approved for CCCPlus Waiver or EPSDT services coordinate and manage their Medicaid long-term care supports.

Out role includes:

Developing and monitoring the service plan.
Assisting with service authorizations
Supporting Employer of Record responsibilities
Coordinating with providers and fiscal agents
Completing require assessments and documentation

We ensure services are appropriate, authorized, and aligned with each person's goals while helping families navigate the process with confidence.

Fiscal Employer Agent

After your Service Facilitator intake appointment is completed, a referral will be submitted to your insurance provider’s Fiscal Employer Agent (FEA). The Fiscal Employer Agent is responsible for managing employer-related responsibilities such as processing payroll, withholding and depositing taxes, verifying timesheets, and completing required background checks for caregivers.

You will have the option to complete the enrollment process either online or using paper forms. The online option is typically faster and can help prevent delays in starting services.

For questions or support related to processing your employment and enrollment paperwork, please contact the Fiscal Employer Agent:

Helping Virginia Families Keep Loved Ones at Home.

How to Get Started

Important to Know

What Happens Next?

Department of Social Services Directory

What does a Service Facilitator Do?

Fiscal Employer Agent

Consumer Direct Care Network

Consumer Direct Care Network

Consumer Direct Care Network

Public Partnership

Consumer Direct Care Network

Consumer Direct Care Network

Helping Virginia Families Keep Loved Ones at Home.

How to Get Started

Important to Know

What Happens Next?

Department of Social Services Directory

What does a Service Facilitator Do?

Fiscal Employer Agent

Consumer Direct Care Network

Consumer Direct Care Network

Consumer Direct Care Network

Public Partnership

Consumer Direct Care Network

Consumer Direct Care Network

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