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Virginia · Official-source organizer

Virginia Medicaid waiver checklist

Use this official-source checklist to choose the Virginia DD or CCC Plus path, document intake, and keep every assessment, notice, and next action together.

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Step 1

Choose the Virginia DD or CCC Plus pathway

Virginia groups its Medicaid HCBS pathways into three Developmental Disability waivers and the CCC Plus waiver. DD waivers serve people with developmental disabilities; CCC Plus serves older adults and people with physical disabilities, chronic illness, or substantial skilled-nursing needs. Confirm the pathway with the administering agency before starting intake.

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Step 2

For a DD waiver, contact the local CSB or BHA

The first DD-waiver step is an intake with the Community Services Board or Behavioral Health Authority serving the applicant's locality. Ask for a DD eligibility screening and record the date, staff member, and documents requested.

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Step 3

Complete the DD eligibility and needs assessment

The local board documents developmental-disability eligibility and functional support needs. Virginia uses the VIDES process for eligibility and a Supports Intensity Scale assessment for nearly everyone receiving DD waiver services. Keep copies of evaluations and every assessment notice.

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Step 4

Record DD waitlist priority and every annual contact

Virginia's DD waivers have a waiting list and slots are assigned by urgency of need. Ask the support coordinator to confirm the applicant's priority category, contact information, and what must be updated when circumstances change.

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Step 5

For CCC Plus, request an LTSS screening

Request a Long-Term Services and Supports screening through the local Department of Social Services. A community screening team assesses whether the applicant meets the level-of-care pathway; a hospital discharge planner can arrange screening for someone who is hospitalized.

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Step 6

Apply for Virginia Medicaid

CCC Plus services require Medicaid eligibility. Virginia lists online, telephone, and local-social-services application routes. Save the application confirmation and any request for the long-term-services Appendix D.

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Step 7

Build one official-document inventory

List the diagnosis and evaluation records, functional assessments, Medicaid notices, proof of identity and residency, and correspondence the agency requests. This is an organizer list—not a promise that any document proves eligibility.

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Step 8

Track every notice, deadline, and service-plan decision

Keep the sent date, received date, contact person, outcome, and next action for each agency communication. Follow the deadline printed on any Virginia notice and use the appeal instructions on that notice if you disagree with a decision.

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Save the dates, documents, and calls behind every step

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Official sources

Last reviewed by WaiverPath: September 3, 2026.

WaiverPath is not a government agency, law firm, Medicaid provider, or benefits advisor. We help you organize information, documents, and follow-up tasks. Always verify requirements with the official agency or a qualified professional.