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

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.

Renewals

annual