Welcome to the claimants and families page of the Birth-Injury Program website. Although most of our communication with families is via more direct means, hopefully this page will serve as an added and always available resource.
Additionally you’ll find information which may not be directly related to Birth-Injury Program benefits, but that may be useful or of interest.
A third purpose of this page is for non-claimants with similar needs. It’s our hope the information on this site, and the entire website, will be helpful to families not in the Program but with similar needs.
Please keep in mind this section will be built over time with new information posted as it’s available. If you have recommendations or suggestions please feel free to let us know.
Documents & letters to families regarding 2017 transition
- First Letter – July 11, 2017
- Second Letter – August 4, 2017
- FAQ Document
- Letter to Insurance Brokers
- Administrative Guidance Regarding changes in the Program’s Manner of Processing Claims
Documents for family caregivers and non-family
independent caregivers.
- Instructions
- Frequently Asked Questions and Answers
- Caregiver Timesheet – for Family or Independent Caregiver
- Monthly Care Form
- Competency Certification
- Liability Form – Caregiver
- Liability Form – Parent of Claimant
- Background Certification for Parent/Guardian Caregiver
- Background Certification for Single Parent/Guardian Caregiver
- Background Certification for Independent Caregiver
Actuarial Questionaire
Program Guidelines & Policies
- Program Regulations (In the Virginia Administrative Code)
- Administrative Guidance On Processing Claims
- Previous Guidelines (Superseded by Regulations above)
- Handbook
- Van Policy (61 K)
- Program Investment Policy (2.7MB)
- Medical Assistance Dog Administrative Guidance
- Wage Benefit Guidance
- Wage Benefit Agreement
Resources & Forms
- Caregiver Timesheet – for Family or Independent Caregiver
- Monthly Care Summary
- Current Claim Reimbursement Form (Excel file)
- Current Reimbursement Form (PDF)
- 2018 Claim Reimbursement Form (Excel file)
- 2018 Reimbursement Form (PDF)
- 2017 Reimbursement Form
- 2016 Reimbursement Form
- 2016 Reimbursement Form (Excel file)
- 2015 Reimbursement Form
- 2015 Reimbursement Form (Excel file)
- Generator Policy Statement
- Family Contact Form
- Claimant Information Form
