Welcome to the claimants and families page of the Birth-Injury Program page. Although most of our communication with families is via more direct means, this page is an ongoing, 24/7 resource.
Additionally, you’ll find information that may not be directly related to Birth-Injury Program benefits and for non-claimants with similar needs.
Please keep in mind this section will be built over time with new information posted as it becomes available. If you have recommendations or suggestions please feel free to let us know and send your inquiries through our Contact Us page.
Family caregivers and (non-family)
Independent Caregivers
- Start here –> Caregiver Setup Instructions
- 2021 Family Care Letter Packet including rates
- Family Care Form for Direct Deposit
- 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 Questionnaire
Program Guidelines
- Program Handbook
- Program Regulations (Virginia Administrative Code)
- Administrative Guidance On Processing Claims
- Previous Guidelines (Superseded by Regulations above)
- Medical Assistance Dog Administrative Guidance
- Wage Benefit Guidance
- Wage Benefit Agreement
Resources & Forms
- Caregiver Timesheet (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)
- Family Contact Form
- Claimant Information Form
Program Policies
Documents & Letters to Families (2017 Transition)
- First Letter – July 11, 2017
- Second Letter – August 4, 2017
- Letter to Insurance Brokers
- Administrative Guidance Regarding changes in the Program’s Manner of Processing Claims
