Service Facilitation
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Our Process
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Participant selects Divon Destiny
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Eligibility and waiver confirmation
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Initial Service Facilitation visit
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Service plan development
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Ongoing monitoring and support
Divon Destiny provides Service Facilitation in accordance with Virginia Medicaid waiver requirements, including:
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Intake and initial visits
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Service plan development and monitoring
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Guidance for employers of record
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Assistance with hiring, training, and supervising attendants
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Ongoing documentation and compliance support

What to Expect
Participants can expect professional guidance, timely communication, and clear explanations of responsibilities under consumer‑directed services. Our team is available during standard business hours.
Virginia Medicaid participants have freedom of choice when selecting a Service Facilitator. To choose Divon Destiny, contact us directly or notify your case manager or support coordinator.
What You’ll Need
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Active Virginia Medicaid enrollment
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Waiver approval
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Basic contact information
Referral Partners
Service Facilitation Referrals
Divon Destiny partners with case managers, support coordinators, and care teams to deliver compliant, participant‑centered Service Facilitation for CCC Plus and Waiver members.
Why Refer to Divon Destiny:
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DMAS‑approved agency
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Timely response to referrals
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Clear documentation and communication
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Compliance‑focused approach
Referral Process
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Participant selects Divon Destiny
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Referral submitted
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Initial outreach scheduled
Note: Please do not submit PHI through the website form.
Fiscal Agent
What Is a Fiscal Agent?
The Fiscal Agent acts as the employer agent for members who choose consumer-directed services under programs administered by the Virginia Department of Medical Assistance Services (DMAS).
What Do Fiscal Agents Do?
Support members and their attendants by:
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Processing caregiver payroll
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Withholding and filing federal and state employment taxes
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Issuing W-2 forms
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Managing timesheet submission and approval systems
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Providing employer packet enrollment
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Ensuring compliance with Medicaid and labor regulations
Fiscal Agents do not determine service hours — hours are authorized by the Managed Care Organization (MCO) based on assessment and medical necessity.
Consumer-Directed Services
If you choose Consumer-Directed (CD) services:
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You (or your designated Employer of Record) hire, train, and supervise your caregiver.
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Fiscal Agent handles payroll and tax responsibilities.
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Your Service Facilitator ensures services follow Medicaid guidelines and helps maintain compliance.
Important Member Responsibilities
Members enrolled must:
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Complete employer enrollment paperwork
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Ensure attendants complete hiring packets before working
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Approve timesheets timely
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Follow authorized hours limits
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Notify the Service Facilitator of any changes in care needs
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