How to Qualify for In-Home Care in Virginia

To get paid as a family caregiver in Virginia, two approvals are required:

If you are unsure whether Medicaid is active, read: How to Tell if Someone Already Has Medicaid in Virginia

If you are unsure whether they qualify for Medicaid (step one): How to Qualify for Medicaid in Virginia (Who Is Eligible?)

Step 2: Approval Through CCC Plus

In Virginia, long-term in-home care is approved through:

CCC Plus (Commonwealth Coordinated Care Plus).

This is Virginia's Medicaid managed care program for people who need ongoing support at home.

In simple terms:

• Medicaid = health insurance
• CCC Plus = long-term care approval

Both approvals must be in place before a family caregiver can be paid.

What Makes Someone Eligible for In-Home Care?

To qualify for Virginia Medicaid in-home care, a person must meet a nursing facility level of care.

This means they require ongoing assistance with daily activities or cannot safely live alone.

Approval is based on a functional assessment, not a medical diagnosis alone.

Common Questions

Does Medicaid automatically cover in-home care in Virginia?

No. Medicaid must be active, and the person must be approved through CCC Plus.

How long does approval take?

An assessment must be completed before services are authorized. Timelines can vary.

Is a medical diagnosis required?

A diagnosis may support eligibility, but approval is based on daily care needs and safety risks.

Quick Summary

A person may qualify for Virginia Medicaid in-home care if:

• They have active Virginia Medicaid
• They meet nursing facility level of care
• They require ongoing daily assistance