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Intellectual Disabilities (ID) Waiver

What makes someone eligible for the Intellectual Disabilities (ID) Waiver?

The ID Waiver provides home and community-based services to individuals under six (6) years of age who are “at developmental risk,” and to individuals six (6) years of age and older who have a diagnosis of intellectual disability and who:

  1. Qualify for institutional care in an Intermediate Care Facility for Individuals with Intellectual Disability (ICF/ID);
  2. Are at imminent risk of ICF/ID placement, and
  3. Need home and community-based services to live in the community rather than living in an ICF/ID.

As with all Medicaid-funded services, there are also financial eligibility criteria.


Services offered through the ID Waiver


If you answer yes to any/all of the following questions, you may be eligible for the ID Waiver.


Next Steps

If you think that you might qualify for the ID Waiver, contact your local community services board (CSB). To find information on-line, visit the VirginiaNavigator website, then following these steps:

After you contact the Community Services Board, a support coordinator / case manager will schedule a meeting with you to assess your needs. Click the link to view the assessment instrument that will be used (the Level of Functioning Survey). For more information on the ID Waiver, visit the Department of Behavioral Health and Developmental Services Office of Developmental Services.


For more information about this and other Medicaid Waiver programs, look on-line at the Department of Medical Assistance Services or contact the Medicaid Mentor Program at 1-866-323-1088 (toll free) or 757-461-8007.


Important Note

The ID Waiver has “slots” that are funded by the Virginia General Assembly.  Individuals using this Waiver must have a funded slot in order to participate, and there is currently a “non-urgent” and an “urgent” waiting list for this program.  For wait lists and slots, please see the DBHDS document called “Just the Facts” at  You can also call your local community services board (CSB); a case manager / support coordinator there can explain the waiting list and the process the CSB uses to fill the slots as they become available.  Information about how to contact the CSB is under “Next Steps” above.


For information on the Money Follows the Person project for individuals leaving certain long-term facilities, including ICF/IDs, please see the MFP website at



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