Case management services are provided to individuals with mental health, substance use, and intellectual/developmental disability needs. Our case managers understand the possible impacts of not only these areas of need, but also how physical health and environmental stressors can affect a person’s overall well-being. Case managers strive to connect individuals and families to community resources, needed services, and monitor for satisfaction of services and supports. Case managers also are continually monitoring and assessing for any additional areas of need and supports.
Criteria for Admission: intellectual disability – diagnosis/documentation of significant limits in intellectual and adaptive functioning that is completed between the ages of 6 and 18 years of age. Developmental disability - diagnosis/documentation of severe, chronic disability due to a mental and/or physical impairment and resulting in substantial functional limitations, that is completed before 22 years of age.
1. Building Independence Waiver. This waiver is for adults, 18-years and older, who are able to live independently. People with this waiver usually own, lease, or control their own living arrangements, and they don’t need supports all the time.
2. Family and Individual Supports Waiver. People with this waiver may live with their family, friends, or in their own homes. Some people may need supports with some medical and/or behavioral needs. This waiver is available to both children and adults.
3. Community Living Waiver. People with this waiver usually require supports in their homes all the time. This waiver is available to both children and adults.
To find out if you are eligible for one of these Waivers, the first step is to contact your local Community Services Board (CSB), such as Horizon Behavioral Health. Staff will assess whether an individual meets the criteria for the services based on criteria established by the Department of Behavioral Health and Developmental Services (DBHDS). Everyone found eligible for waiver services is added to a waitlist, and it is important to note that not everyone who requests an ID/DD Waiver will be found eligible. A Waiver Slot Committee, made up of community volunteers and DBHDS staff, select recipients from the list of people who have the highest level of need to offer available waivers. Individuals may be on the wait list for years due to the number who need waivers and waivers that are available.
For more information:
Navigating the DD waivers: my life my community
CC Plus Waiver
The former Elderly and/or Disabled with Consumer Directed (EDCD) Waiver and the Assisted Technology (AT) Waivers were combined into one singular waiver which is the Commonwealth Coordinated Care Plus (CCC+) Waiver. The CCC Plus Waiver is for:
-adults 65+ with a medical or nursing need and
-individuals less than 65 years with a disability and a medical or nursing need.
To request CCC Plus Waiver services, contact your local Virginia Department of Social Services (DSS) or your local Virginia Department of Health (VDH).
Criteria for Admission: There must be documentation of the presence of a substance related disorder which meets Diagnostic and Statistical Manual of Mental Disorders -5 criteria.
Criteria for Admission: For adults, there must be documentation of the presence of serious mental illness. For children or adolescents there must be documentation of a serious emotional disturbance or a risk of serious emotional disturbance.
Criteria for Admission: Children are referred to this service through the Comprehensive Services Act (CSA).
Criteria for Admission: Per the U.S. Department of Justice Settlement Agreement with the Commonwealth of Virginia, a monthly face to face meeting is required with clients that: a) receive services from a provider with a Conditional or Provisional License, b) have more intensive behavioral or medical needs as defined by the Supports Intensity Scale (SIS), c) have an interruption of service greater than thirty days, d) encounter the crisis system for a serious crisis or, for multiple less serious crises, within a three month period, e) have transitioned from a Training Center within the previous twelve months, f) resides in a congregate setting licensed for five or more individuals, or g) lives in a congregate setting of five or more individuals.