How to apply for Commonwealth Coordinated Care Plus Waiver (Medicaid Long-Term Care at Home) in Virginia

Who it's for

The CCC Plus waiver lets Virginians who need nursing-facility-level care get that care at home or in the community instead — personal care, adult day health care, respite, medication monitoring, and more. For 2026, monthly income must be $2,982 or less (300% of the SSI rate; all income counts) and countable resources $2,000 or less for one person. A screening by the local community-based team or hospital team decides whether the level-of-care need qualifies. Start with the local Department of Social Services or apply through CommonHelp.

What you'll need

• Medicaid financial application (income and resource documentation)
• LTSS screening (Virginia Uniform Assessment Instrument) through the local screening team

Where to apply

What to say when you call

"Hello, I'm calling to ask about Commonwealth Coordinated Care Plus Waiver (Medicaid Long-Term Care at Home). I'd like to know whether I may qualify, what documents I need, and whether I can apply online, by mail, by phone, or in person. I understand I may need medicaid financial application (income and resource documentation), lTSS screening (Virginia Uniform Assessment Instrument) through the local screening team — is anything else required? What is the best next step?"

Tip: have a pen ready, ask for the person's name, and write down any case or reference number they give you.

Step by step

1. Confirm you meet the basic financial limits: monthly income of $2,982 or less and countable resources of $2,000 or less for one person. Married applicants should know that spousal impoverishment rules apply — ask the agency for details.
2. Contact your local Department of Social Services or call 1-855-242-8282 to start the process. You can also apply online through CommonHelp.
3. Complete the Medicaid financial application. Gather documents that show your income and resources, such as bank statements, Social Security award letters, and any other proof of income or assets.
4. Arrange a level-of-care screening through the local community-based team or hospital screening team. This screening uses the Virginia Uniform Assessment Instrument to decide whether your care needs qualify for the waiver.
5. Submit your financial application and make sure the screening team has what they need to complete your assessment. Keep copies of everything you submit.
6. Follow up with your local Department of Social Services or call 1-855-242-8282 if you have questions about your application status. Processing times vary, so ask the agency for an estimate.

What to expect: After you apply, the Virginia Department of Medical Assistance Services and the screening team will review both your financial information and your level-of-care screening results before making a final decision — approval is not guaranteed and depends on meeting all requirements. Because a nursing-facility level-of-care screening is required, this program may show as a "may qualify" result until that screening is complete. If approved, your eligibility will be reviewed every year, so watch for renewal notices and respond promptly to avoid a gap in coverage.

Renewals

annual