ID Waiver Services

  1. Home
  2. /
  3. ID Waiver Services

Lauren Tate, AFS Coordinator
New River Valley Community Services
700 University City Boulevard
Blacksburg, VA 24060
Phone: 540-961-8313
Fax: 540-961-8465

What can I do to get someone on the ID (Intellectual Disabilities) Waiver waiting list?
Call Lauren Tate at the number listed on this page for more information.  An ID Waiver Support Coordinator/Case Manager will then assist with determining an individual’s eligibility and enrollment process.  An assessment for active case management needs will also be made, as well as referrals to any other services that an individual may qualify for.

ID Waiver Support Coordination & Case Management
In order to receive ID Waiver services, an individual must meet eligibility requirements and a “slot” (an opening of Waiver services available to an individual) must be available. Currently the number of slots is limited by the availability of funding for ID Waiver services. There is a waiting list for ID Waiver slots. Funds are managed at the state level and the appropriation of additional funds to grow the Waiver is dependent upon General Assembly action. The CSB awards slots based on critical need criteria when new slots become available or an old slot becomes vacant.

There is an additional resource that provides options for community living to participants who live in nursing facilities, long-stay hospitals, and facilities–Intermediate Care Facilities for Individuals with Intellectual Disabilities/Mental Retardation and Related Conditions through the Money Follows the Person program.  Individuals in nursing facilities, long-stay hospitals and/or ICF/IID’s must still meet the diagnostic eligibility listed below for the ID Waiver.

An individual is deemed eligible for ID Waiver services based on:
Diagnostic Eligibility: Individuals six years of age or older must have a psychological evaluation completed by a licensed professional that states a diagnosis of intellectual disability/mental retardation and reflects the individual’s current level of functioning. Individuals under age six must have a psychological or standardized developmental evaluation that states that the child has current level of functioning.

Functional Eligibility: All individuals receiving ID/MR Waiver services must meet the indicated dependency level in two or more of the categories on the “Level of Functioning Survey.”

Financial Eligibility: An individual’s financial eligibility for Medicaid. Some individuals who would not ordinarily qualify financially for Medicaid may be eligible by receipt of ID Waiver services.

Documented Choice between institutional care and community-based Waiver services

Waiting List Information
Urgent Waiting ListThe individual, who meets diagnostic and functional eligibility criteria, is considered to be at significant risk, in need of services in 30 days or less and the individual would accept services if they are offered. He/she must meet at least one of the following criteria:

1. Primary caregiver is 55 years of age or older;
2. The individual is living with a primary caregiver who is providing the service
voluntarily and without pay and the primary caregiver indicates that he or she can
no longer care for the individual with intellectual disability;
3. There is a clear risk of abuse, neglect, or exploitation;
4. One primary caregiver, or both caregivers, has a chronic or long-term physical or
psychiatric condition or conditions which significantly limits the abilities of the
primary caregiver or caregivers to care for the individual with intellectual disability;
5. The individual is aging out of a publicly funded residential placement or otherwise
becoming homeless (exclusive of children who are graduating from high school);

6. The individual lives with the primary caregiver and there is a risk to the health or
safety of the individual, primary caregiver, or other individuals living in the home
due to either of the following conditions:
a. The individual’s behavior or behaviors present a risk to himself or others which
cannot be effectively managed by the primary caregiver even with generic or
specialized support arranged or provided by the CSB; or
b. There are physical care needs (such as lifting or bathing) or medical needs that
cannot be managed by the primary caregiver even with generic or specialized
supports arranged or provided by the CSB.

Non-Urgent Waiting ListThe individual must meet the diagnostic and function eligibility criteria, need services within 30 days and does not meet any of the urgent criteria.

Planning List – for those individuals that neither meet the Urgent or Non-Urgent Criteria.

What services are offered in Virginia?
The following ID/MR Waiver services are available in Virginia to individuals meeting specific service criteria who have been assigned an ID/MR Waiver slot.  (Services are dependent upon provider availability)

  • Residential Support Services (In-home or congregate settings)
  • Day support (center-based or community settings)
  • Supported employment
  • Prevocational services
  • Personal assistance
  • Respite
  • Companion (18 years or older)
  • Assistive technology
  • Environmental modifications
  • Skilled nursing services
  • Therapeutic consultation
  • Crisis stabilization
  • Personal emergency response systems (PERS)
  • Transition Services
  • Service Facilitation for Consumer Directed services

Additional Information
Virginia Medicaid funds certain community-based care alternatives to institutional care through waivers.  In Virginia the ID/MR Waiver is administered by the Department of Medical Assistance Services (DMAS). Day-to-day ID/MR Waiver operations are managed by the Department of Behavioral Health and Developmental Services (DBHDS).  Locally, ID/MR Waiver services for individuals are coordinated by support coordinators/case managers employed by Community Service Boards (CSB’s).  Actual services are provided by the CSB’s and private providers across the state of Virginia.

Additional Resources
Department of Behavioral Health and Developmental Services

DBHDS Office of Developmental Services contacts

DBHDS website for Settlement information

Money Follows the Person

Department of Justice