Funding by state, answered plainly

Does Medicaid pay for supported homes in Virginia?

How a supported-home bed is funded in Virginia — with the official agency to verify.

Yes — in Virginia, Medicaid pays the support services in a supported home through the three DD Waivers — Community Living (CL), Family & Individual Supports (FIS), and Building Independence (BI) — plus CCC Plus / Cardinal Care for aging/disability (there is a DD waiver waitlist with priority tiers). It generally does not pay room and board (the resident’s SSI usually covers that), and Medicare does not pay for a supported-home bed. Verify eligibility and the waitlist with VA DBHDS / DMAS.

The Virginia waiver that pays

In Virginia, the residential support services in a supported home are paid by the three DD Waivers — Community Living (CL), Family & Individual Supports (FIS), and Building Independence (BI) — plus CCC Plus / Cardinal Care for aging/disability (there is a DD waiver waitlist with priority tiers). Medicaid funds the services; the resident’s SSI pays the room and board. This two-stream model is how a bed gets funded — see Does Medicaid pay for supported homes?

Verify: VA DBHDS / DMAS — dbhds.virginia.gov. Full per-state reference: Medicaid waivers by state.

The waitlist, and how to get on it

In Virginia you apply through your local Community Services Board (CSB), which does the intake screening (VIDES) and, with you, sets a Priority Needs Level (1, 2, or 3) on the DD Waiver waiting list. Slots are assigned by urgency of need (needs-based, not first-come), and your level can change as needs change.

Source: Virginia DBHDS — DD Waiver information.

Where to start

Contact VA DBHDS / DMAS to request an eligibility assessment and apply for the waiver, or ask a care manager or hospital discharge planner to start it. For free options counseling, call your local ADRC via the Eldercare Locator, 800-677-1116. In a crisis, call or text 988.

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Related

About Mai Heaven: this page is educational, not eligibility advice. We build small, permanent supported homes — also called group homes — for adults who are hard to place. Join the waiting list and we’ll reach out when a home opens near you. Need help now? Call or text 988, or dial 211.