Medicaid Waiver Virginia | Parent Guide

Understanding Medicaid Waiver Virginia

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.

Types of Waiver Programs

Commonwealth Coordinated Care Plus

• 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).

Community Living Waiver

• 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.

Family and Individual Support (DD)

• 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.

Other online resources for Virginia:

• The Virginia Autism Resource Center has education and training for parents and teachers.
• The ARC of Virginia provides advocacy, employment, and family events
• Developmental Disabilities Waivers

Telephone Resources

Commonwealth enrollment: 1-800-817-6608
Virginia Department of Behavioral Health and Developmental Services: (844)-603-9248

Ordering Goally with a Medicaid Waiver

Talk with your case manager to see if the waiver program you have will cover Goally. If so, have your case manager email us at: [email protected] to place an order on your behalf.