Medicaid Home Care Clients in Virginia: A Guide for Agencies

Virginia delivers Medicaid home care primarily through the Commonwealth Coordinated Care Plus (CCC Plus) Waiver. Here’s what agencies planning growth should know.

The program (DMAS)

Virginia’s Department of Medical Assistance Services (DMAS) administers personal care — both agency-directed and consumer-directed — under the CCC Plus Waiver, delivered through managed care. Agency-directed personal care (procedure code T1019) is reimbursed at regional rates: recent schedules show roughly $20/hour in most of the state and higher in Northern Virginia. Confirm the current regional rate against the official DMAS source.

See the official details at Virginia DMAS.

What this means for agencies

• Region drives the rate. Northern Virginia pays more than the rest of the state — factor that into where you focus.
• Agency-directed vs. consumer-directed. The consumer-directed option lets the member choose their attendant; know which model each family wants.
• Managed care relationships matter, since CCC Plus runs through health plans.

Preparing to grow in Virginia

A clear website, referral and plan relationships, and measured paid leads — screened for Virginia location, Medicaid eligibility, and genuine home-care need — build predictable census once you can handle volume.

Adult Care Network is expanding into Virginia. We’re signing founding partners now — first access to pre-qualified, screened Virginia leads delivered to your portal, matched to service area and shared with no more than three agencies, for a flat fee per qualified lead, never per enrollment. We’re a marketing-services company, not a provider.

Become a founding partner in Virginia → · Run the ROI calculator →

General information for agencies, not legal or eligibility advice. Program rules and rates change — confirm current details with Virginia DMAS.