Funding Resources

INSURANCE OPTIONS

Beginning January 1, 2012, Virginia implemented an autism insurance mandate.  The mandate does not apply to individual or small group policies, plans or contracts, companies with less than 50 employees nor state employee insurance.  The mandate states that insurance companies have to provide coverage for the diagnosis and treatment of autism spectrum disorder (ASD) in individuals from age 2 to 6, subject to an annual maximum benefit of $35,000 of coverage for applied behavior analysis.  Treatment for ASD includes applied behavior analysis when provided or supervised by a board certified behavior analyst, who shall be licensed. In 2016, the cap was extended to included children up to 10 years of age. 

 

  1. PRIVATE INSURANCE: Check with your individual provider on coverage limits for treatment services like speech therapy, occupational therapy, ABA, and more.  If you do not yet have insurance some local insurance companies are: Anthem Blue Cross, Aetna, Optima and United Healthcare.
  2. FAMILY ACCESS TO MEDICAL INSURANCE SECURITY PLAN (FAMIS): FAMIS is a low cost medical insurance program for children of working families in Virginia.  Based on income, families with uninsured children may enroll in FAMIS.  The program covers families that do not qualify for Medicaid.  Contact 866-873-2647 or visit www.famis.org

 

FEDERAL/STATE FUNDING

  1. MEDICAID: Medical assistance pays for medical expenses and some services in the community for certain people who are blind, aged, and/or disabled.  Individuals must meet income and asset guidelines.  Contact your local department of social services or the statewide information and referral system 1-800-230-6977.
  2. WAIVERS: MEDICAID HOME & COMMUNITY BASED SERVICE WAIVER: If your child has a disability, s/he may be eligible for a Medicaid Waiver, even if your household does not meet Medicaid eligibility requirements.  The Medicaid Waiver Technical Assistance Center provides information, materials, workshops, and advocacy meetings about the Virginia Medicaid Home and Community Based Services. It is administered by the Endependence Center in Norfolk.  For individual assistance, information, and MENTORS ON Virginia Medicaid Waivers, contact the Technical Assistance Center, Phone: (866)-323-1088 or (757) 461-8007 (Norfolk); Email: VaWaivers@endependence.org NOTE: As of July 1, 2016 the Medicaid Waiver system has changed in terms of both categories and eligibility. You can find out more on the resource page of our website or at the DBHDS website

EPSDT – Early Periodic Screening, Diagnosis and Treatment

EPSDT is available to children under the age of 21 who are eligible for Medicaid and/or Medicaid Waiver.  Personal care, nursing, therapies, and other Medicaid services not typically provided to adults are available to children.  Contact:  local department of Social Services or the Statewide Information and Referral System, (800)-230-6977

SOCIAL SECURITY BENEFITS FOR CHILDREN WITH DIABILITIES

Children under the age of 18 can quality if he/she meets Social Security’s definition of disability (marked and severe functional limitations) for children and if his/her income and resources fall with the eligibity limits.  Contact 800- 772-213 or visit www.socialsecurity.gov

CARE CONNECTION FOR CHILDREN (CCC)

CCC is a program for children under the age of 21 who have a physically based medical condition that has lasted or is expected to last up to 12 months.  Uninsured or underinsured children receiving services with CCC may be eligible for the Children with Special Health Care Needs Pool of Funds, which may pay for medications, therapies, diagnostic evaluations, medical equipment and hospitalization.  CCC is comprised of six regional programs that offer information and referral and care coordination services.  Contact 804-864-7706 or visit http://www.vdh.virginia.gov/livewell/programs/ccc/

FINANCIAL SERVICES THROUGH STATE FUNDED PROGRAMS

  1. EARLY INTERVENTION PROGRAM: INFANT AND TODDLER CONNECTION: A System of services and supports designed to promote the greatest possible developmental outcomes for Virginia’s infants and toddlers (birth to age 3) with developmental delays or disabilities.  The system has been established in accordance with the Individuals with Disabilities Education Act (IDEA), Part C – Early Intervention: Administered by the Department of Behavioral Health and Developmental Services (DBHDS) through your local Community Services Board (CSB). Contact: (800) 234 1448 Website: www.infantva.org
  2. VIRGINIA DEPARTMENT OF EDUCATION (VDOE) - Office of Special Education and Student Services: Funds and provides special education programs for children with disabilities, ages 2 (second birthday falls on or before Sept. 30) through 21 who have not reached 22 on or before Sept. 30) (2-21 inclusive).  These services may be provided in a general education or special education classroom, home, hospital, separate school, or other setting.  Website:  http://www.doe.virginia.gov/special_ed/index.shtml 
  3. VIRGINIA DEPARTMENT OF REHABILTATIVE SERVICES (DRS): DRS provides services to individuals with disabilities across Virginia Virginia to become more independent and self-sufficient.  Services include employment and vocational, assistive technology, community based services, independent living services, and disability determination.  Contact: 1 800 552 5019 or Website:  www.vadrs.org

GRANTS and SCHOLARSHIPS

  1. Act Today: Grant $11-$5,000 that covers ABA, Speech Occupational, Social Programs, AIT, Fencing for home, Medications and Biomedical Treatment: www.act-today.org/act-today-grant-program.php
  2. College Funding for Students with Disabilities: www.washington.edu/doit/brochures/academics/financial-aid.html
  3. Friends of Autism: Family Grant program with guidelines www.friendsofautism.org/family-grant-program
  4. Schwallie Family Scholarship:  OAR provides $3,000 scholarship to be used toward postsecondary or vocational program (4yr college, 2yr college or trade/technical/vocational school) http://researchautism.org/how-we-help/scholarships/
  5. United Healthcare: Grant that covers for medical expenses that insurance does not www.uhccf.org
  6. Virginia Law – Auxiliary Grants Program:  law.lis.virginia.gov/vacode/title51.5/chapter14/section51.5-160
  7. Scholarships for Individuals with Disabilities pursuing college: http://www.affordablecolleges.com/resources/scholarships-students-with-disabilities/