State Profile · Deep
VIRGINIA
BLast verified 2026-07-03
Deadlines reflect this state’s rules as researched; they can change — always confirm the current deadline with your state agency or Protection & Advocacy office before relying on it.
HOW TO GET SERVICES & APPEAL IN VIRGINIA
How services are run
State agency
Your service plan
Individualized Service Plan (ISP)
Self-direction
Self-Directed Services
If you get denied
Deadline to appeal
30 days from your Notice of Action / Notice of Adverse Benefit Determination
Keep services during appeal
File within 10 days
- Receive Notice of Action / Notice of Adverse Benefit Determination
- FFS/DD waiver: request State Fair Hearing within 30 days (+5 mailing = 35 total)
- Managed care: MCO internal appeal within 60 days (must exhaust)
- State Fair Hearing within 120 days after MCO final decision
- Hearing before DMAS Appeals Division
KEY AGENCIES & RESOURCES
NOTABLE WAIVERS
Family and Individual Supports (FIS) Waiver
SourcePeople with DD living with family or independently.
Waitlist: Priority 1-3 waitlist ~13,000 statewide; slot assignment via regional committees.
Community Living (CL) Waiver
SourcePeople with DD needing 24/7 residential supports.
Waitlist: Priority-based waitlist through CSBs.
Building Independence (BI) Waiver
SourceAdults with DD who live independently with minimal supports.
Waitlist: Priority-based waitlist.
CCC Plus Waiver (Commonwealth Coordinated Care Plus)
SourcePeople of any age needing nursing-facility level care, including tech-dependent children.
Waitlist: NO waitlist — eligibility-based entitlement.
