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Learning how to access available services for adults and children with disabilities in Virginia can be a complicated and difficult process for families to navigate. Most families will access services for children through three state agencies: their local Department of Social Services (DSS), the Department of Medical Assistance Services (Medicaid), and through their local Department of Health.

The child will be screened through the local Community Services Board (CSB) or the local Department of Health to determine what types of waiver services he or she may be eligible for. A request for screening should be made to the local CSB to determine if a child qualifies for one of the Developmental Disability Waivers.

Things to Remember:

Virginia’s Waiver programs

Virginia Medicaid provides options for two types of waivers:

1. Developmental Disability Waivers (DDW)

Virginia has three waivers that are focused on those individuals that have a diagnosis of developmental disability. The three waivers that provide a continuum of services are: The DDW Program provides supports and services options for successful living, learning, physical and behavioral health, employment, recreation and community inclusion. This program does have a waiting list and the slots are allocated based on urgency of need. Note: DD Waivers are administered jointly with the Virginia Department of Behavioral Health and Developmental Services (DBHDS).

2. Commonwealth Coordinated Care (CCC) Plus Waiver

Effective July 1, 2017, the Elderly Disabled and Consumer Directed (EDCD) and Technology Assisted waivers were combined into the new CCC Plus Waiver. The CCC Plus Waiver is part of Medicaid's managed care program: CCC Plus Health Plan. It serves all ages and does not have a waiting list. The CCC Plus Waiver provides supports and services options for successful living, nursing, respite, assistive technology and environmental modifications.

Accessing the programs:

DD Waivers

To be eligible for DD waiver:

To apply for the Developmental Disability Waiver services contact the child's local Community Services Board. The Community Services Board (CSB) staff will determine if the child:
  1. meets the definition of a developmental disability and
  2. meets the functional criteria as assessed on the VIDES screening tool.

CCC Plus Waiver

The Screening for Long-Term Services and Supports (LTSS), formerly known as Pre-Admission Screening (PAS), is required for individuals who, at the time of application for admission to a skilled nursing facility, skilled care facility, nursing or nursing care facility, or nursing home, are eligible for medical assistance or will become eligible within six months following admission. Long term services and supports include various supports and services.

LTSS are provided to an adult or child who requires a level of care equivalent to that received in a nursing facility (NF). LTSS help meet medical, nursing, or personal care needs. These services can be provided at home, in the community, or in a facility. The Department of Medical Assistance Services (DMAS) oversees the Medicaid LTSS Screening Process in Virginia in partnership with the Virginia Department for Aging and Rehabilitation Services (DARS), Virginia Department of Health (VDH), the Virginia Department of Social Services (VDSS), Acute Care Hospitals, and Rehabilitation Hospitals within the Commonwealth. The Medicaid LTSS Screening is a process to:

For information about the CCC Plus Waiver, reference the [PDF] Fact Sheet.

Additional Resources

The ARC of Virginia: Home Page
SOAR365: Home Page
Find a Community Service Board: Community Services Boards
Medicaid’s Role for Children with Special Health Care Needs: A Look at Eligibility, Services, and Spending
VCU Center for Family Involvement: VCU Center
Got Transition: Youth Health Care Transition

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