Virginia currently has three Medicaid waivers that can serve children, and all of them are home and community based 1915(c) waivers. All waivers are based only on child income without regard to parent income. For more information, see Virginia’s Long Term Care and Waivers Service page. For Developmental Disability waivers, see this information.

Virginia merged previous waivers, including the Technology Assisted Waiver and the Elderly or Disabled Waiver, together into Commonwealth Coordinated Care Plus. This waiver also includes a managed care component.

Advocacy Organizations in Virginia:

Last updated 11/2/23

Programs in Virginia

  • Target Population: Children and adults who are technology dependent, physically disabled, aged, or have other health disabilities.
  • Ages: all ages
  • Levels of Care: Nursing Facility, Hospital
  • Income Waiver: The waiver is based on the child’s income only. Parent income is not counted.
  • Waiver Type: 1915(c) with 1915(b) managed care component
  • Spots: 50,040
  • Expiration Date: 6/30/2022; renewal in progress with pending amendment
  • Description from medicaid.gov: Provides adult day health care, personal assistance services, respite care, services facilitation, assistive technology, environmental modifications, personal emergency response system, private duty nursing, and transition services to individuals ages 65 or older, individuals with physical or other disabilities ages 0-64 years, and individuals who are technology dependent ages 0 or older who meet a hospital or nursing facility level of care.  This waiver operates with a concurrent 1915(b)(1), 1915(b)(4), and 1115 authority.
  • Online State Information: Commonwealth Coordinated Care Plus
  • Official Federal Information: 1915(c) and 1915(b)
  • How to Apply: Enroll online or contact your contact your local department of social services (LDSS) or the local health department (LHD).
  • Waiting List: This waiver does not typically have a waiting list.
  • Target Population: Children and adults with developmental and intellectual disabilities, including autism.
  • Ages: all ages
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: The waiver is based on the child’s income only. Parent income is not counted.
  • Waiver Type: 1915(c)
  • Spots: 12,480
  • Expiration Date: 6/30/2024
  • Description from medicaid.gov: Provides group day services, group home residential, individual supported employment, personal assistance services, respite, consumer-directed services facilitation, assistive technology, benefits planning, center-based crisis supports, community coaching, community engagement, community guide, community-based crisis supports, companion services, crisis support services, electronic home-based services, employment and community transportation, environmental modifications, group supported employment, in-home support services, peer mentor supports, personal emergency response system, private duty nursing, shared living, skilled nursing, sponsored residential, supported living, therapeutic consultation, transition, and workplace assistance services to individuals with autism, intellectual disabilities, or developmental disabilities ages 0 or older who meet an ICF/IID level of care.
  • Online State Information: My Life My Community from DBHDS and Navigating DD services
  • Official Federal Information
  • How to Apply: Find your local Community Service Board by answering the questions and then call or visit to get on the waiting list.
  • Waiting List: There are 22,831 individuals with developmental disabilities on Virginia’s waiting list.
  • Target Population: Children and adults with developmental or intellectual disabilities, including autism.
  • Ages: all ages
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: The waiver is based on the child’s income only. Parent income is not counted.
  • Waiver Type: 1915(c)
  • Spots: 5033
  • Expiration Date: 6/30/2028
  • Description from medicaid.gov: Provides group day services, in-home support services, individual supported employment, personal assistance services, respite, services facilitation, assistive technology, benefits planning, center-based crisis supports, community coaching, community engagement, community guide, community-based crisis supports, companion services, crisis support services, electronic home-based supports, employment and community transportation, environmental modifications, group supported employment, individual and family/caregiver training, peer mentor supports, personal emergency response system, private duty nursing, shared living, skilled nursing, supported living residential, therapeutic consultation, workplace assistance, and transition services to individuals with autism, intellectual disabilities, or developmental disabilities ages 0 or older who meet an ICF/IID level of care.
  • Online State Information: My Life My Community from DBHDS or Navigating DD services
  • Official Federal Information
  • How to Apply: Find your local Community Service Board by answering the questions and then call or visit to get on the waiting list.
  • Waiting List: There are 22,831 individuals with developmental disabilities on Virginia’s waiting list.

Additional Information

  • Parents/guardians of minors were able to be paid for personal care in all waivers during the pandemic. Virginia is in the process of making these changes permanent. There are new regulations including the following: Parents can work 40 hours per week. In addition, parents must show documentation that they are searching for non-related attendants, demonstrate their child has exceptional care needs, and cannot receive respite if they are a paid caregiver. When a parent or legally responsible individual is the personal care attendant, families must find an employer of record outside the home but within a 50 mile radius. (A parent or legally responsible individual living in the home can be the employer of record when another legally responsible individual in the home is NOT the personal care attendant.) Additional information is available here. These policies will go into effect 3/2024.
  • These policies are already federally approved for the Family and Individual Support Waiver and are pending for the Community Living Waiver and Commonwealth Coordinated Care Plus Waiver as of 11/2023.