Virginia Waiver Services

Guide to the Virginia Waiver Services

Navigating Virginia’s Medicaid Waiver services can feel overwhelming, but having the right information makes all the difference. This page is designed as a simple guide to help you understand what Waivers are, who is eligible, and how to get started.

What is a Waiver?

A Medicaid Waiver is a program that helps pay for services so individuals with disabilities can live in the setting that best meets their needs, rather than in more restrictive settings, such as nursing facilities or institutions. Waivers “waive” certain Medicaid rules, making it possible to receive care in flexible, person-centered ways that promote independence and community inclusion. In Virginia, the two main Waivers for individuals with developmental disabilities are:

  • Community Living (CL) Waiver – provides a full range of residential, medical, and behavioral supports for individuals who need 24/7 assistance. Previously known as the ID/DD waiver.
  • Family and Individual Supports (FIS) Waiver – offers supports for individuals living with family, friends, or on their own, including respite, employment, and community engagement services.
Community Service Board Directory

Who is Eligible?

To qualify for a Disability Waiver in Virginia, a person must meet three criteria:

  1. Have a documented developmental disability (diagnosed before age 22)
  2. Need support with everyday activities (such as personal care, communication, mobility, or health needs)
  3. Meet Medicaid financial eligibility requirements

Eligibility is based on both medical and functional needs.

Where Do I Start?

Your journey begins by contacting your local Community Services Board (CSB). They will:

  • Complete a screening to determine eligibility
  • Add you to the Waiver waiting list (called the Waiver Slot Assignment Waiting List, or SAWL)
  • Assign you a Support Coordinator when a slot becomes available

Find your local CSB here 

Virginia Waiver Services Overview

What Services Can a Waiver Pay For?

Depending on which Waiver a person receives, services may include:

  • Residential services (group homes, supported living apartments)
  • In-home supports
  • Respite care for families and caregivers
  • Employment and day services
  • Behavioral or therapeutic supports
  • Skilled nursing or medical care (CL Waiver)
  • Transportation
  • Environmental modifications or assistive technology

Every person’s plan is individualized, so services may look different from one person to another.

 See the full list of Waiver services on DBHDS

 

Who Helps Me Access Services?

There are a few key partners who guide the process:

  • Support Coordinator (Case Manager): Your primary contact, usually through your local Community Services Board (CSB). They help with screening, planning, and connecting you to services.
  • Service Providers: Organizations like Richmond Residential Services, Inc. (RRSI) that deliver services such as residential care, respite, payee support, and more.
  • Community Services Boards (CSBs): The official point of entry into Waiver services in Virginia.

Need More Help?

For more information, visit:
DBHDS Waiver Information Hub
The Arc of Virginia – advocacy and family support
Virginia Medicaid – eligibility and enrollment details

Final Tip:

Getting Waiver services can take time, but you are not alone. Stay in touch with your CSB, ask questions often and lean on trusted providers like RRSI.  We’ll walk with you every step of the way.