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What is the EDWP Program?

EDWP (Elderly and Disabled Waiver Program)

SOURCE + CCSP (Traditional/Enhanced) are part of the EDWP. Both SOURCE and CCSP assists individuals who are elderly and/or functionally impaired to remain in their homes and/or communities. For eligible consumers, EDWP offers community-based services as an alternative to nursing facility placement. The Department of Community Health (DCH) administers and operates the EDWP.

Services We Offer Through This Program

Personal Support Services

  • Assistance with meal preparation, hygiene and nutrition
  • Light housekeeping, necessary errands, and other support services
  • In-home respite care provided by an aide

Who is Eligible for EDWP?

The eligibility criteria for EDWP include the following:

  • Functional impairment caused by physical limitations NOTE: Alzheimer's and dementia are physical conditions
  • Unmet need for care
  • Approval of an intermediate level of care (LOC) certification for nursing home placement
  • Approval of care plan by client's physician
  • Medicaid eligible or potentially eligible after admission to EDWP
  • Client chooses community-based, rather than institutional services
  • Services fall within the average annual cost of Medicaid reimbursed care provided in a nursing facility. Health and safety needs can be met by EDWP
  • Participation in one waiver program at a time
  • Medicare home health services or hospice (Medicare or Medicaid) does not meet consumer need for services
  • Home Delivered Meals is not the only service need
  • The home environment is free of illegal behavior and threats of bodily harm to other persons
  • A client is not required to be homebound to receive EDWP services.

How does one obtain EDWP Services?

  1. The individual contacts the Area Agency on Aging (912-437-0800) for an EDWP assessment for Traditional/Enhanced care. The individual with active full Medicaid can contact the AAA or a SOURCE site for assessment.
  2. If the individual is eligible for EDWP, the Care Coordinator and the member/representative collaborate to determine which services the applicant needs.

How are Services Arranged?

  1. The Case Management arranges for EDWP service agencies to provide the needed services. Service agencies are approved Medicaid providers who bill the Department of Community Health directly for services rendered to EDWP clients. Care coordinators also arrange for client services through other service agencies and fund sources.
  2. If the individual is not a Medicaid recipient, she/he applies for Medicaid at the local county office of the Division of Family and Children Services.
  3. The Case Management maintains regular contact with EDWP clients to assure that services are appropriate and that individuals' needs are met. Client/family representative participates in the development of the client care plan.

Financial Eligibility Requirements

The following information summarizes the financial eligibility criteria for the EDWP.

  • SSI Category: Persons who receive Supplemental Security Income (SSI) and are eligible for medical assistance. The Social Security Administration takes applications for SSI.
  • Medical Assistance Only (MAO) Category: Persons who do not receive cash benefits under the SSI program may qualify for medical assistance under another Medicaid category. The county  Departments of Family and Children Services take applications for MAO. MAO participants may have to pay toward the cost of services.

   

SSI Income Limits:

Waiver Medicaid/MAO Income Limits

SSI & Waiver Medicaid Resource Limits

Individual

Below $841/month

$2,523/month

$2,000 or less

Couple (both in EDWP)

Below $1,261/month

$2,523/month per individual

$3,000 or less

Individual in EDWP, But married

Below $1,261/month

$2,523/month

$2,000 or less for SSI 

$137,400 (combined) or less for EDWP Medicaid

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