Are you or your family member in need of services such as Respite Care, Personal Care, Technology, Supportive Employment, Residential Services, Nursing or behavioral supports?

If Virginia’s Medicaid Waivers pay for a variety of supports and services for children and adults with disabilities. This is wonderful for families who need long term support within their community. 

 For children and adults with disabilities and or  long term care needs, family income is not considered.

        What are the Medicaid Waivers?

    Virginia offers multiple Medicaid waiver programs. Two waiver programs that are most popular are: 

   Commonwealth Coordinated Care Plus Waiver:  Effective July 1, 2017, the EDCD and Technology Assisted waivers were combined into the new  CCC Waiver .  

The  CCC  Plus Waiver is part of a new Medicaid managed care program: Commonwealth Coordinated Care Plus Health Plan .  

 Individuals may be on the DD Waiver Wait List and receive waiver services from the CCC Plus waiver program.

Crisis services for all ages with developmental disabilities and behavioral or mental health challenges, provide prevention and stabilization supports. 

The Individual and Family Support Program (IFSP) provides funding for those on the wait list for the Developmental Disability Waiver Program. 

Appeal Rights : You have the right to challenge decisions and actions regarding Medicaid. An Appeal must be requested within 30 days of the decision or action that you disagree with. 

Eligibility Requirements and How To Apply

To be eligible for the CCC Plus Waiver:

• You must have a medical or nursing need(s).

• If under age 65, you must also have a disability. (Note: mental illness solely does not qualify as a disability for this waiver).

You must meet the criteria for the screening process.

To utilize the waiver, individuals must apply for and qualify for Medicaid if not already enrolled in Medicaid. You do not have to be enrolled in Medicaid when you apply for a waiver.

To apply for the CCC Plus waiver, contact your local Departments of Health OR Social Services. Requests for the waiver may also occur if the individual is hospitalized

 Developmental Disability   Waiver Program serves individuals of any age with a developmental disability and children (birth through age 9) with a substantial developmental delay or specific congenital or acquired condition.  Within the Developmental Disability Waiver Program, there are three waivers that provide a continuum of services:

• Building Independence (BI),
• Family & Individual Support (FIS)
• Community Living (CL).

The Developmental Disability (DD) Waiver Program provides supports and services options for successful living, learning, physical and behavioral health, employment, recreation and community inclusion.

                                  Eligibility Requirements, How to Apply & Waiver Assignment Process

     To be eligible  for the waiver:

• You must meet Virginia’s Definition of Developmental Disability.
• You must meet the functional criteria for the VA Individual Developmental Disability Eligibility Survey (VIDES).
• To utilize the waiver you must apply and qualify for Medicaid if you are not already enrolled in Medicaid. 

  To apply contact your local  Community Services Board.  The Community Services Board (CSB) staff will determine if you  meet the definition of a developmental disability and meet the functional criteria as assessed on the VIDES screening tool.

Emergency Waivers  are assigned by the VA Dept. of Behavioral Health & Developmental Services (DBHDS) to individuals who meet the  Emergency Waiver Criteria .  There are a limited number of emergency waivers.