Waiver Services

Virginia’s Medicaid Waivers pay for a variety of supports and services for children and adults with developmental disabilities and their families who need long-term support systems to live successfully in the community rather than in institutional settings. 

States apply for Medicaid Waivers to the federal Medicaid agency known as the Centers for Medicare and Medicaid Services (CMS). This enables states to waive the requirements that individuals must reside in an institution in order to receive Medicaid funding for services.

A Developmental Disabilities (DD) Waiver is an individualized bundle of services and support options which can be used in homes, communities, and work environments to support the health, safety, and welfare of persons with developmental disabilities. 

ASCV WORKSHOP: Medicaid waivers provide services and supports at home and in the community to children and adults with developmental disabilities who meet functional and financial eligibility requirements. This workshop is for individuals and families interested in learning the basics about DD Waivers, eligibility, and how to apply.


  • Information & Referral – Our Information & Referral service provides one-on-one guidance to caregivers, individuals with autism, and professionals on a variety of topics (typically by phone and email) to connect them with the best possible local, state, and national resources.



To apply for the Developmental Disability Waiver services, contact your local Community Services Board. The Community Services Board (CSB) staff will determine if you meet the definition of a developmental disability, and 2) meet the functional criteria as assessed on the Virginia Individual DD Eligibility Survey (VIDES) screening tool. 


  • Chesterfield: 804-748-1227
  • Colonial Heights, Emporia, Hopewell and Petersburg, the counties of Dinwiddie, Greensville, Prince George, Surry and Sussex: 804-862-8002
  • Goochland and Powhatan: 804-556-5800
  • Hanover: 804-365-4222
  • Henrico, Charles City, New Kent: 804-727-8500
  • King William: 804-639-9882
  • Louisa: 434-995-8941
  • Richmond City: 804-819-4000


The Waiver Assignment Process is coordinated by your local Community Services Board. Waivers are assigned based on support needs, and when a Waiver slot is not available, the individual is placed on a waiting list. It is not a chronological waiting list.

You can read more about the criteria for each “Priority Level” of the waiting list HERE.

Possible Resources While on the Waiting List: 

Waiting List Advocacy Tips

  • Review the VIDES, Priority Level Determination, Critical Needs Summary and Slot Assignment forms
  • Review the completed documents for accuracy; request copies for your records
  • Communicate changes in your situation in a timely manner to your case manager
  • Respond to annual inquiry notification

Additional Waiver Resources:

Didn’t find what you were looking for?  Still have questions?  Please reach out to us via email or by calling 804.259.3188.