What Is a Services Facilitator in Virginia Medicaid CCC Plus?

A Services Facilitator is a company registered with Virginia Medicaid that someone can select to manage their "Consumer-Directed services." Under Consumer-Directed services, the person receiving care chooses and hires their own caregiver (which can be a family member, a friend, or a professional).

What Does a Services Facilitator Do?

A Services Facilitator:

• Confirms Consumer-Directed documentation is completed
• Completes scheduled check-ins required by CCC Plus
• Verifies the caregiver does not bill more than the approved weekly hours
• Updates Consumer-Directed documentation when the individual's condition changes

They do not provide hands-on care or manage day-to-day caregiving.

Do Families Choose the Services Facilitator?

Yes. Families choose from a list of Medicaid-approved Services Facilitator providers.

For guidance, see: How to Choose a Services Facilitator in Virginia

For a side-by-side comparison, see: Virginia Services Facilitators Compared

When Is a Services Facilitator Chosen?

A Services Facilitator is chosen after:

• Medicaid financial eligibility is approved
• A screening confirms CCC Plus level of care
• The family selects Consumer-Directed services instead of using an agency (Read: Agency Care vs. Consumer-Directed Care)

The Services Facilitator must be in place before paid Consumer-Directed in-home care begins.

Who Pays the Services Facilitator?

Virginia Medicaid pays the Services Facilitator directly.

There is no fee to the caregiver.

There is no fee to the family.

Why Is a Services Facilitator Required?

When Medicaid pays a family caregiver under CCC Plus, someone must make sure the rules are followed. A Services Facilitator:

• Confirms Consumer-Directed paperwork is completed
• Submits the Plan of Care that authorizes weekly hours
• Ensures approved hours are on file so payroll can process payment
• Completes required check-ins at least every 90 days
• Verifies the caregiver does not bill more than the approved weekly hours
• Updates documentation when care needs change

They do not provide hands-on care. They do not manage day-to-day caregiving. They do not issue paychecks.

Payroll is handled by the Medicaid fiscal employer agent (read: Definition of Fiscal/Employer Agent (FEA)).

Common Questions

Can the Services Facilitator tell families who to hire?

No. Families choose the caregiver.

Can a family change the Services Facilitator?

Yes. Families can switch to another approved provider. To learn more, see: How to Choose a Services Facilitator in Virginia