Start a New Program in Virginia — Choose a Service

Below is every service family WCG supports in Virginia. Each pathway page covers the operating regulator, whether the route is licensure, certification, or Medicaid enrollment, the sequence of steps, and the documentation requirements.

• Respite Care Services (Agency licence) — Short-term relief care that lets an unpaid primary caregiver step away without the person losing supervision or support.
• Residential Care Service (Residential licence) — Licensed 24-hour residential settings where habilitation, supervision, and personal care are delivered at a specific address.
• Integrated Employment (Agency licence) — Job development, placement, and on-site coaching that lead to competitive work in a community setting at prevailing wage.
• Personal Assistance Services (Agency licence) — Hands-on help with bathing, dressing, transferring, toileting, and other activities of daily living in the person’s own home.
• Personal Emergency Response System (Supply & transport) — Installed or wearable monitoring equipment with 24-hour response for people who live alone and are at risk of falls.
• Skilled Nursing Services (Certified / accredited) — RN and LPN services delivered in the home under physician orders — assessment, medication administration, and skilled treatments.
• Transitional Assistance Services (Agency licence) — One-time set-up costs and coordination that move a person out of an institution and into their own community home.
• Day Habilitation Services (Residential licence) — Structured daytime programming that builds self-help, socialization, and adaptive skills outside the residence.
• Prevocational Services (Agency licence) — Time-limited training in general work readiness — attendance, task completion, safety, and workplace behavior.
• Adult Companion Services (Agency licence) — Non-medical supervision and socialization that let an adult remain safely in the community.
• Assistive Technology Services (Supply & transport) — Evaluation, devices, and training that increase functional capability and reduce reliance on paid staff.
• Behavioral Health Services (Certified / accredited) — Assessment, therapy, positive behavior support, and crisis response for mental health and behavioral needs.
• Environmental Accessibility Service (Supply & transport) — Physical adaptations to the home — ramps, widened doorways, roll-in showers, grab bars — tied to an assessed need.
• I/DD Services (Residential licence) — The full waiver service array for people with intellectual and developmental disabilities, from habilitation to supported living.
• Housing Stabilization (Agency licence) — Tenancy support — housing search, application help, landlord mediation, and retention planning.
• Occupational Therapy Service (Practitioner licence) — Licensed OT evaluation and treatment that restores or maintains function in daily occupations.
• Physical Therapy Service (Practitioner licence) — Licensed PT evaluation and treatment addressing mobility, strength, balance, and fall risk.
• Homemaker Service (Agency licence) — General household support — meal preparation, laundry, shopping, and light housekeeping — when the person cannot do it alone.
• Case Management Service (Agency licence) — Assessment, person-centered service planning, referral, and monitoring across the person’s full service package.
• Adult Health Transportation (Supply & transport) — Non-emergency medical transportation to covered appointments and waiver services.
• Skilled Respite Service (Certified / accredited) — Respite delivered by licensed nursing staff for people whose care needs exceed what an unlicensed caregiver can provide.
• Home Health Service (Certified / accredited) — Intermittent skilled nursing and therapy under a physician-ordered plan of care, often Medicare-certified.
• Home Modification Service (Supply & transport) — Assessed, permitted, and inspected structural changes that make an existing home usable and safe.
• Medical Supply Service (Supply & transport) — Durable medical equipment and disposable supplies furnished, fitted, and serviced for waiver participants.
• Meal Delivery Service (Supply & transport) — Home-delivered meals meeting a defined nutritional standard for people who cannot prepare their own.
• Assisted Living Facility (Residential licence) — Licensed congregate residential care combining housing, personal care, and supervision.
• Autism Service (Agency licence) — ABA and related autism-specific interventions delivered by credentialed analysts and technicians.
• Speech & Language Service (Practitioner licence) — Licensed SLP evaluation and treatment for communication, cognition, and swallowing.

Also see the Virginia Medicaid consulting overview.