Announcement
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Welcome to the admitted claimants and their families page of the Birth-Injury Program. You will find below:
Program Forms
- Claimant Information Form (PDF download)
- Family Contact List Form
- 2025 Claim Reimbursement Form
Program Appeals Process
- For details about the Program appeals process, please see page 10 of the Program Handbook
Family Caregivers and (non-family)
Independent Caregivers
- Start here –> Caregiver Setup Instructions
- Caregiver Timesheet (Family or Independent Caregiver) (PDF download)
- Timesheet Monthly Date Ranges (2025)
- Frequently Asked Questions and Answers
- Direct Deposit Form (PDF download)
Caregiver Forms
- Monthly Care Summary (PDF download)
- Competency Certification – PDF Online Update Soon!
- Liability Form – Caregiver – PDF Online Update Soon!
- Liability Form – Parent of Claimant – PDF Online Update Soon!
- Background Certification for Parent/Guardian Caregiver
- Background Certification for Single Parent/Guardian Caregiver
- Background Certification for Independent Caregiver
Wage Benefit
Program Handbook & Documentation
- Program Handbook (Under review, forthcoming changes)
- Program Regulations (Virginia Administrative Code)
- Administrative Guidance On Processing Claims
- Previous Guidelines (Superseded by Regulations above)
- Medical Assistance Dog Administrative Guidance
Program Policies
Documents & Letters to Families
2024
2017
