Medicaid reimbursement check
Are you capturing everything Medicaid actually owes your home?
Many of the supplies a DD-waiver home runs on are reimbursable under Virginia's HCBS waivers. But coverage isn't automatic, it depends on paperwork most homes get wrong in the same few places. This takes about two minutes and tells you where your home likely stands.
Question 1 of 4
Which of these does your home regularly use?
Check all that apply. These are the categories most commonly reimbursable under Virginia Medicaid.
Question 2 of 4
For those supplies, do your residents have a current Certificate of Medical Necessity on file?
The CMN (form DMAS-352) is a practitioner-signed document. It's the single most common gap.
Question 3 of 4
How are you getting these supplies today?
Where the supplies come from determines whether the reimbursement path is even open.
Question 4 of 4
When you add a new resident, does someone check their supply reimbursement paperwork right away?
Coverage can't be backdated, so the first days matter more than most homes realize.
How the rule actually works
Under Virginia Medicaid, covered supplies need a Certificate of Medical Necessity signed by a licensed practitioner, and the reimbursement claim runs through a DME provider, not the home itself. The certificate has to be dated on or before the supplies are delivered, and the documentation of medical need stays valid for a limited window before it needs renewing.
That timing is where homes lose money: supplies used before the paperwork is in place can't be billed after the fact.
We keep it from falling through the cracks
The paperwork itself runs through a DME partner, first choice being our own sister company, Premier Home Medical. What we do is stay on top of the whole process: getting the intake started, keeping the partner and the doctor's office moving, and making sure monthly refills never get forgotten. That follow-through is exactly what most suppliers stopped doing. It's the reason things stall. The fastest way to see where your home stands is a short call.
or call 540-947-3093This tool is general information about Virginia Medicaid DME reimbursement, not billing or legal advice. Coverage depends on each resident's eligibility and documentation. We'll help you check your specific situation.
