Virginia: How to License In-Home DD Waiver Services

Virginia providers: to deliver in-home developmental disability services, licensing comes before billing.

If you want to offer companion, personal assistance, or respite services under Virginia's DD Waivers, two agencies matter — DBHDS licenses you, and DMAS enrolls you to bill Medicaid. Here's the order that works.

Get DBHDS-licensed first

The Department of Behavioral Health and Developmental Services licenses providers for the specific service they deliver. You apply through the DBHDS CONNECT system and prepare the required policies and documentation. Confirm the current Prospective Provider Toolkit before you begin.

Watch the respite license category

Respite is licensed under distinct categories — center-based, supportive in-home, out-of-home, and residential. Choose the category that matches how and where you actually deliver care, because applying under the wrong one means redoing work.

Meet staff standards, then enroll with DMAS

Virginia requires your staff to meet training and competency standards. Once you're licensed, you enroll with the Department of Medical Assistance Services to bill Medicaid for authorized services. Confirm current DMAS enrollment steps, as rules can change.

Key takeaway: In Virginia, get DBHDS-licensed through CONNECT for your specific in-home DD service, match the license type carefully, meet staff training standards, then enroll with DMAS to bill Medicaid.

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