Long-Term Services & Supports

Medicaid covers Long-Term Services and Supports (LTSS, sometimes also called Long-Term Care) provided in a nursing facility or a community-based setting to individuals whose physical or mental condition requires nursing supervision and assistance with activities of daily living. An authorization (screening) is needed to determine the level of care required and if Medicaid will cover the cost of LTSS. In addition to the non-financial requirements for Medicaid, income and resources are evaluated to determine eligibility.

Certain members who receive Medicaid coverage of LTSS are required to pay a portion of the cost of those services. This is called the member’s patient pay.

Long-Term Services and Support

Long-Term Services and Support Factsheet

Long-Term Services and Support Renewal Factsheet

Medicaid Waivers

Virginia Medicaid offers two types of waivers, Developmental Disability (DD) Waivers and the Commonwealth Coordinated Care (CCC) Plus Waiver.

The CCC Plus Waiver provides community-based LTSS, such as nursing, respite, assistive technology and environmental modifications, to eligible individuals. It serves all ages and does not have a waiting list.

DD Waivers provide services that support the successful living, learning, health, employment, recreation and community inclusion of individuals with a diagnosis of developmental disability. This program does have a waiting list, and the slots are allocated based on urgency of need.

Medicaid Waiver Factsheet

[PDF] English

DD Waiver