State Medicaid Waiver Directory
Find your state's Katie Beckett waiver, TEFRA pathway, HCBS programs, and Medicaid eligibility rules for children and adults with disabilities. Each guide covers waitlists, application steps, income limits, and parent caregiver pay options.
For informational purposes only — not legal, medical, or financial advice. Medicaid rules, eligibility, and waitlists change frequently. Always verify with your state's official Medicaid agency before making decisions. Cross-check with Medicaid.gov's official waiver page.
Virginia
Program Overview
Overview
Virginia has a Department of Behavioral Health and Developmental Services (DBHDS) and a Department for Aging and Rehabilitative Services (DARS). Virginia's DD Waivers and Family and Supported Living programs are primary routes for children with developmental disabilities.
Katie Beckett or similar pathway
Virginia has not adopted the Katie Beckett/TEFRA state plan option. Families access services for children through Virginia Medicaid and its 1915(c) waiver programs — the CCC Plus Waiver (nursing-facility level of care, all ages) and the Individual and Family Developmental Disability Support (IDD) Waiver — which have their own financial and level-of-care rules. Contact your local Community Services Board or Virginia DMAS and ask how financial eligibility is counted for each waiver.
Child-relevant waivers
The Building Independence Waiver, Community Living Waiver, and Family and Individual Support Waiver are the primary routes through DBHDS for individuals with developmental disabilities. Virginia also has the Commonwealth Coordinated Care Plus (CCC Plus) Waiver, which is a major HCBS waiver for older adults, individuals with physical disabilities, and individuals who are chronically ill or severely impaired and require substantial ongoing skilled nursing care. The CCC Plus Waiver is designed for individuals who would otherwise require a nursing facility placement.
Eligibility
Who qualifies
DBHDS waivers serve individuals with intellectual disabilities or developmental disabilities who meet level-of-care criteria. The CCC Plus Waiver serves adults and individuals with physical disabilities or chronic illness who require nursing-facility level of care.
Financial and income rules
Virginia Medicaid financial eligibility applies. Waiver-specific rules also apply.
Level of care
Level-of-care criteria are established through DBHDS intake and assessment.
Age rules
DBHDS waivers serve individuals of various ages including children.
Getting Started
How to apply
Contact the local Community Services Board (CSB) for DBHDS waiver intake in Virginia.
Documents needed
Disability documentation, assessments from the CSB, and financial information are typically required.
Waitlist information
Virginia DBHDS waivers have historically had significant waitlists.
Practical next step
Contact your local Community Services Board for DBHDS DD waiver intake. For the CCC Plus Waiver (physical disability or nursing-facility-level need), request an LTSS Screening through your local Department of Social Services or call Cover Virginia at 1-833-522-5582. For non-Medicaid supports, contact DARS or PEATC.
Services & Support
Services available
DBHDS waivers can cover residential services, supported employment, day services, and in-home supports.
Parent caregiver pay
Virginia made pandemic-era paid parent caregiving permanent through amendments to the Family and Individual Support, Community Living, and CCC Plus waivers. Legally responsible individuals (parents or legal guardians of minors, and spouses) may provide personal care that is extraordinary in nature, up to 40 hours per week, or up to 40 hours per week for each child when caring for multiple children. A Services Facilitator assists families with consumer-direction responsibilities.
Equipment exchange & assistive technology
Virginia Assistive Technology System (VATS — dars.virginia.gov/assistive-technology) — free device demonstrations, short-term loans, reuse programs, and the Assistive Technology Funding Collaborative. Available statewide.
Additional notes
Virginia's services are coordinated through local Community Services Boards (CSBs) for DD waivers. The CCC Plus Waiver is a separate program administered by DMAS for individuals with physical disabilities, chronic illness, or nursing-facility-level care needs. Families should contact their local CSB first for DD-related intake, and contact DMAS or the local Department of Social Services for CCC Plus Waiver screening.
State-Specific Resources
Virginia Department of Aging and Rehabilitative Services (DARS) — Vocational Rehabilitation
Virginia DARS (dars.virginia.gov) provides vocational rehabilitation and independent living services for people with disabilities. Services include vocational evaluation, job training, assistive technology, job placement and coaching, and specialized services for those who are blind or low vision. Services are free and available statewide. DARS also serves transition-age youth (ages 14+).
Virginia Assistive Technology System (VATS) — Device Loans & Demonstrations
VATS (dars.virginia.gov/assistive-technology) and the Assistive Technology Loan Fund Association (ATLFA) provide free device demonstrations, short-term equipment loans for trial, device reuse programs, and the Assistive Technology Funding Collaborative to help secure funding for AT devices. Available statewide.
Virginia Early Intervention and Education (ITCVA) — Birth to Age 3
Virginia's Infant Toddler Connexus (ITCVA, itcva.online) provides early intervention services to infants and toddlers birth through age 2 with developmental delays or disabilities. Services are provided in homes and communities and are family-focused. Referrals can be made by anyone.
Parent Educational Advocacy Training Center (PEATC) — Family Advocacy
PEATC (peatc.org) provides free training, information, and advocacy support to families of children with disabilities birth to age 26. Services include help with IEPs, 504 plans, special education rights, transition planning, and education advocacy. Phone: (703) 923-0010 · Toll-free: (800) 869-6782.
disability Law Center of Virginia (DLCV) — Legal Advocacy & P&A
DLCV (dlcv.org) is Virginia's Protection and Advocacy agency, providing free legal services, advocacy, and information on disability rights, education rights, employment issues, assistive technology access, and abuse/neglect.
Virginia Paid Family and Medical Leave (PFML) — Effective April 1, 2028
Virginia will establish a Paid Family and Medical Leave program effective April 1, 2028. The program will provide up to 12 weeks of paid leave at 80% of wages for birth, bonding with a new child, or caring for a seriously ill family member. The program will be administered by the Virginia Employment Commission.
Sources
Recent news for Virginia
Richmond Times-Dispatch · October 2, 2026 · Medicaid & Waivers, Funding & Budget
A political race in Virginia has become highly competitive, with Medicaid policy serving as a central point of contention for voters.
Community Tips & Experience
Comments reflect the personal experiences and opinions of individual community members only. They do not represent the views, positions, or endorsements of National Disability Resource Project or any of its staff, volunteers, or affiliated members. Always verify information with official agencies and qualified professionals before making decisions.
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