Elderly Persons with Disabilities Program UnitedHealthcare Community Plan

The Elderly and Persons with Physical Disabilities (EPD) waiver program is authorized under the Home and Community-Based Services (HCBS) waiver program in §1915(c) of the Social Security Act. The EPD waiver program provides in-home, long-term services and support (LTSS) to the enrollees who would otherwise qualify for nursing facility care.

These enrollees are referred to the DHCF to determine eligibility and availability. If deemed eligible, the health plan will continue to cover all medically necessary covered services for the enrollee unless/until the enrollee is disenrolled from the Medicaid program.

EPD enrollees will receive the same Medicaid benefits as all other District Dual Choice program enrollees. Additionally, the following waiver benefits are available to enrollees who qualify for EPD Waiver enrollment when the services are determined necessary and approved:

L. S. Caldwell & Associates, Inc. (LSC) is charged with the responsibility of supporting UnitedHealthcare’s efforts to ensure the enrollment process for District of Columbia residents is seamless. LSC has a dedicated team of processors that reach out to dual choice program members interested in the EPD waiver program to assist with the application process. Once the has connected with the potential enrollee and completed the application interview our EPD team uploads the application directly to the districts processing portal and reports the application submission to UHC. In addition to initial applications our EPD team processes applicants that are recertifying their information to continue with the additional benefits they are currently receiving under the program. Lastly, the EPD team works to track the progress of all application submissions throughout the process to final approval has been met.