Do you or a loved one need assistance?

Are you or your family member in need of services such as respite, nursing, personal care, or assistive technology? What about residential supports or employment? 


These, as well as many other services, are covered by Medicaid Waivers, and are available to children and adults with developmental disabilities so they may be served in the community of their choosing instead of a hospital, institution or nursing center. 


Are you concerned about financial eligibility for services? Don't be! The income of family members is not considered when applying for Medicaid through a waiver. 

What waiver programs are available to individuals with developmental disabilities?

There are two types of waiver that families impacted by developmental disabilities may access. The first is the Developmental Disability Waiver. The second, is the CCC Plus Waiver.

The Developmental Disability Waivers

There are three types of Developmental Disability Waivers available to individuals with significant developmental delays.  They include:

  • Building Independence Waiver
  • Family & Individual Supports Waiver
  • Community Living Waiver

Eligibility Requirements for DD Waivers

To be eligible for a developmental disability waiver, you or a loved one must:

  1. Meet Virginia's definition of developmental disability; and, 
  2. Meet the functional criteria for the Virginia Individual Developmental Disability Eligibility Survey; and,
  3. Apply and qualify for Medicaid if you or your loved one is not currently receiving Medicaid benefits.

More information on waivers is discussed below.

Applying for Medicaid Waivers

To apply for a Medicaid Waiver, you must contact your local community services board. They will determine if you or your loved one 

  1. Meet Virginia's definition of developmental disability; and,
  2. Meet the functional criteria outlined by the Virginia Individual Developmental Disability Eligibility Survey. 

section under construction

Family & Individual support waiver

What is the Family & Individual Supports Waiver?

The Individual & Family Supports Waiver is designed for individuals living with their families, friends, or in their own homes, including supports for individuals who have some medical and/or behavioral needs. This waiver is available to both children and adults.

Applying for the Family & Individual Support Waiver

 To apply for the Family & Individual Supports Waiver, you must contact your local community services board. They will determine if you or your loved one 

  1. Meets Virginia's definition of developmental disability; and,
  2. Meets the functional criteria outlined by the Virginia Individual Developmental Disability Eligibility Survey.

What is Virginia's definition of a developmental disability?

 Developmental Disability means…

a severe, chronic disability of an individual that:

  1. Is attributable to a mental or physical impairment, or a combination of mental/physical impairments, other than a sole diagnosis of mental illness.
  2. Is manifested before the individual reaches 22 years of age (18 for ID);
  3. Is likely to continue indefinitely;
  4. Results in substantial functional limitations in three or more areas of major life activity (self-care, receptive and expressive language, learning, mobility, self-direction, capacity for independent living or economic self-sufficiency;
  5. Reflects the individual’s need for a combination and sequence of special interdisciplinary or generic services, individualized supports or other forms of assistance that are of lifelong or extended duration and are individually planned and coordinated.


What is the Virginia Individual Developmental Disability Eligibility Survey (VIDES)?

The VIDES Survey is used for determining initial eligibility for the Developmental Disability Waiver. It is used annually for individuals on the wait list to confirm the individual still meets criteria. There are versions for infants, children and adults. 


If your loved one meets eligibility for the waiver, he or she will be placed on a single, state-wide waiver wait list. 

What is the wait list?

Currently, there are over 11,000 Virginians in need of services provided by Developmental Disability Waivers. Unfortunately, the number of waivers allotted each year are far fewer than the number of individuals in need. So individuals who are found eligible for the waiver are placed on a single state-wide wait list. Waivers are not assigned in chronological order, but based on the support needs of the individuals in waiting.  You can read more about priority levels here.

Responsibilities while on the wait list

  1. Each year, you will receive a letter from the Virginia Department of Behavioral Health and Developmental Services with two forms that must be completed and returned within three weeks.  If you do not return the Individual Choice and the Services Needed forms within the time frame you may be removed from the DD Waiver Wait List.  You should receive this mailing in the month of the year that you were placed on the Wait List.  Contact your Support Coordinator if you have not received your letter or if you have any questions. Make sure your support coordinator always has your current address and phone number.
  2. If you or your loved one  is considered Priority Level One, your needs will be assessed by your support coordinator to generate a priority needs score on the Critical Needs Summary (CNS). The CNS is reviewed and updated annually with your support coordinator AND whenever your needs change which could result inpriority needs score. It is important that you contact your case manager whenever your needs change.  
  3. When waiver slots are available for assignment, individuals with the highest priority needs scores in each Community Service Board service area are considered for a waiver. If you or your loved one are in the pool of individuals with the highest CNS scores, then your case manager/support coordinator will prepare a written summary of your needs and situation on the Slot Assignment Review Form (SARF). It is a good idea to look over the form and tell your support coordinator any important information they may not already have.
  4.  When waiver slots are available for assignment, your anonymous Slot Assignment Review Form is distributed to your local Community Services Board’s Waiver Slot Assignment Committee. The Waiver Slot Assignment Committee scores each individual on the Waiver Slot Assignment Scoring Summary to determine who is assigned a waiver slot. You or your loved one may be presented many times throughout the years before a waiver may be awarded.
  5. Consider additional supports and services while you wait. Many families qualify for the CCC Plus Waiver, which is to provide services to individuals with medical nursing needs and assistance with activities of daily living (ADLs). You can find more information about the CCC Plus Waiver here. Additionally, while you or your loved one waits for services, consider applying for the Individual & Family Support Program (IFSP). The IFSP assists individuals with developmental disabilities and their families with accessing person-centered and family-centered resources, supports, services and other assistance. The program's primary target population is individuals on the waiting list for Virginia's Developmental Disabilities (DD) Medicaid waivers to provide additional support for community living. You can sign up for updates on the IFSP program here.

Services & supports available through the FIS Waiver

There are a variety of services and supports available through the Family & Individual Supports Waiver. They include:

  • Assistive technology (limited to $5000 per year)
  • Benefits planning
  • Community guide
  • Electronic home-based services
  • Environmental modifications
  • Family & caregiver training
  • Non-medical transportation
  • Crisis support options
  • Personal assistance
  • Respite care
  • Individual & group supported employment
  • Skilled nursing & therapeutic consultation
  • Shared & supported living options
  • And more

For a complete list of available services, including descriptions and limitations, click here.

community living waiver

What is the Community Living Waiver?

The Community Living Waiver provides 24 hour, seven days a week support services for individuals with complex medical and/or behavioral needs through licensed services. This waiver includes residential supports and a full array of medical and behavioral supports. This waiver is available to both adults and children. 

Applying for the Community Living Waiver

To apply for the Community Living Waiver, you must contact your local community services board. They will determine if you or your loved one 

  1. Meets Virginia's definition of developmental disability; and,
  2. Meets the functional criteria outlined by the Virginia Individual Developmental Disability Eligibility Survey.

What is Virginia's definition of a developmental disability?

 Developmental Disability means…

a severe, chronic disability of an individual that:

  1. Is attributable to a mental or physical impairment, or a combination of mental/physical impairments, other than a sole diagnosis of mental illness.
  2. Is manifested before the individual reaches 22 years of age (18 for ID);
  3. Is likely to continue indefinitely;
  4. Results in substantial functional limitations in three or more areas of major life activity (self-care, receptive and expressive language, learning, mobility, self-direction, capacity for independent living or economic self-sufficiency;
  5. Reflects the individual’s need for a combination and sequence of special interdisciplinary or generic services, individualized supports or other forms of assistance that are of lifelong or extended duration and are individually planned and coordinated.

What is the Virginia Individual Developmental Disability Eligibility Survey (VIDES)?

The VIDES Survey is used for determining initial eligibility for the Developmental Disability Waiver. It is used annually for individuals on the wait list to confirm the individual still meets criteria. There are versions for infants, children and adults. 

If your loved one meets eligibility for the waiver, he or she will be placed on a single, state-wide waiver wait list. 

The Wait List for Services

Currently, there are over 11,000 Virginians in need of services provided by Developmental Disability Waivers. Unfortunately, the number of waivers allotted each year are far fewer than the number of individuals in need. So individuals who are found eligible for the waiver are placed on a single state-wide wait list. Waivers are not assigned in chronological order, but based on the support needs of the individuals in waiting.  You can read more about priority levels here. 

While on the Wait List

  1. Each year, you will receive a letter from the Virginia Department of Behavioral Health and Developmental Services with two forms that must be completed and returned within three weeks.  If you do not return the Individual Choice and the Services Needed forms within the time frame you may be removed from the DD Waiver Wait List.  You should receive this mailing in the month of the year that you were placed on the Wait List.  Contact your Support Coordinator if you have not received your letter or if you have any questions. Make sure your support coordinator always has your current address and phone number.
  2. If you or your loved one  is considered Priority Level One, your needs will be assessed by your support coordinator to generate a priority needs score on the Critical Needs Summary (CNS). The CNS is reviewed and updated annually with your support coordinator AND whenever your needs change which could result inpriority needs score. It is important that you contact your case manager whenever your needs change. 
  3. When waiver slots are available for assignment, individuals with the highest priority needs scores in each Community Service Board service area are considered for a waiver. If you or your loved one are in the pool of individuals with the highest CNS scores, then your case manager/support coordinator will prepare a written summary of your needs and situation on the Slot Assignment Review Form (SARF). It is a good idea to look over the form and tell your support coordinator any important information they may not already have.
  4. When waiver slots are available for assignment, your anonymous Slot Assignment Review Form is distributed to your local Community Services Board’s Waiver Slot Assignment Committee. The Waiver Slot Assignment Committee scores each individual on the Waiver Slot Assignment Scoring Summary to determine who is assigned a waiver slot. You or your loved one may be presented many times throughout the years before a waiver may be awarded.
  5. Consider additional supports and services while you wait. Many families qualify for the CCC Plus Waiver, which is to provide services to individuals with medical nursing needs and assistance with activities of daily living (ADLs). You can find more information about the CCC Plus Waiver here. Additionally, while you or your loved one waits for services, consider applying for the Individual & Family Support Program (IFSP). The IFSP assists individuals with developmental disabilities and their families with accessing person-centered and family-centered resources, supports, services and other assistance. The program's primary target population is individuals on the waiting list for Virginia's Developmental Disabilities (DD) Medicaid waivers to provide additional support for community living. You can sign up for updates on the IFSP program here.

Services Available through the Community Living Waiver

  • Individual & group supported employment
  • Community engagement & coaching
  • Group day programs
  • Crisis support services, including center and community-based
  • Residential services & supports including group homes & sponsored residential support
  • Assistive technology
  • Benefits coordiantion
  • Environmental modifications
  • Personal assistance & respite care
  • Non-medical transportation
  • Personal Emergency Response Systems
  • Skilled nursing & therapeutic consultation
  • And more

For a full list of services, descriptions & limits, click here.

Building Independence Waiver

coming soon

ccc plus waiver

under construction

What is the CCC Plus waiver?

The Commonwealth Coordinated Care (CCC) Plus Waiver provides individuals the option to receive care in the community rather than a more restrictive setting, such as a nursing facility or other specialized medical facility.


This waiver is a combination of the former EDCD and TECH waivers.

Who is eligible for the CCC Plus waiver?

Your child may be eligible for the CCC Plus waiver if:

  • they have one or more medical nursing needs
  • they are dependent on technological support and require ongoing skilled nursing care
  • their health, safety and welfare would be in jeopardy without nursing or personal care staff
  • they are at eminent risk of placement in a nursing facility

What services are available under the CCC Plus waiver?

How can I apply for the CCC Plus waiver?