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PEATC Factsheet for Virginia's Parents: Virginia's Medicaid Waiver Redesign


On 1 September 2016 Virginia launched its new Developmental Disabilities Medicaid Waiver Program. The Family & Individual (FIS) Waiver, the Community Living (CL) Waiver, and Building Independence (BI) Waiver, all now fall under the umbrella of the Developmental Disabilities Waiver Program. The Developmental Disabilities (DD) Waiver serves individuals of any age with a developmental disability. The new DD Waiver Program also covers children from birth through 9 years of age with a substantial developmental delay or specific congenital or acquired condition.

The Family & Individual supports (FIS) Waiver (Formerly the DD Waiver) is for individuals living with their families, friends, or in their own homes. This includes those that need some medical or behavioral needs. This waiver is for both children and adults.

The Building Independence (BI) Waiver (Formerly the Day Support Waiver) is for adults 18 years of older that own, lease or control their living arrangements.

The Community Living (CL) Waiver (Formerly the ID Waiver) is available to adults and some children. It provides 24/7 services and supports for those with complex medical and/or behavioral needs through the use of licensed services. This includes residential supports as well as medical, behavioral, and non-medical supports.


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