Virginia
Commonwealth Coordinated Care Plus - Consumer-Directed Services (CCC Plus)
Self-directed care programs in Virginia that let you choose your own personal assistant or pay a family member as your caregiver.
Commonwealth Coordinated Care Plus - Consumer-Directed Services
Open - No WaitlistPA Hourly Rate
$13.88 - $17.97
per hour
Monthly Benefit
$1,000 - $4,500
estimated range
What You Can & Can't Do
What You Can Do
- Hire your spouse or family members as paid attendants
- Self-direct your personal care services
- Enroll without a waitlist
- Use a services facilitator for employer guidance
- Receive personal care, respite, and companion services
- Choose and replace your attendants at any time
What You Can't Do
- Set your own attendant pay rates (state-determined)
- Use CD funds for room, board, or rent
- Receive services while in a nursing facility
- Exceed your authorized service hours
- Hire an attendant who fails background checks
- Use funds for medical or skilled nursing
How to Apply
Apply for Virginia Medicaid
Ensure Medicaid enrollment through your local Department of Social Services at (804) 786-7933.
Contact your managed care plan
Reach your CCC Plus managed care organization to request a long-term care assessment.
Complete LTSS assessment
Your MCO assesses your functional needs and determines your level of care.
Choose consumer-directed services
Elect CD services as your service delivery model.
Work with services facilitator
A services facilitator helps you develop your care plan and understand employer responsibilities.
Hire your attendant
Recruit and select your personal care attendant.
Attendant enrollment
Your attendant completes enrollment through the fiscal/employer agent with required background checks.
PA Documents & Requirements
What your personal assistant needs to get started in Virginia
Government-issued photo ID
Valid identification
Social Security card
For payroll
W-4 tax withholding form
Tax withholding
I-9 Employment Eligibility
Work authorization
Virginia State Police background check
Criminal history check through VSP
CPS/APS registry check
Child/Adult Protective Services registry clearance
Direct deposit form
Banking information for payroll
Frequently Asked Questions
What is CCC Plus Consumer-Directed in Virginia?
Commonwealth Coordinated Care Plus lets eligible Medicaid members self-direct their personal care by hiring and managing their own attendants through a consumer-directed services option.
Can my spouse be my caregiver?
Yes. Virginia allows spouses to serve as paid consumer-directed attendants.
Is there a waitlist?
No. CCC Plus consumer-directed services are generally available without a waitlist.
What managed care plans offer CD services?
Virginia operates CCC Plus through managed care organizations. Each MCO offers consumer-directed services as part of their long-term services and supports.
How are my hours determined?
Your managed care plan conducts a standardized assessment to determine your service hours based on your functional limitations and care needs.
What is the role of the Services Facilitator?
A services facilitator helps you understand your employer responsibilities, develop your service plan, and manage your attendants.
Ready to check your eligibility?
Answer a few questions and we'll tell you if you qualify for Virginia's CCC Plus program.