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Waiver Services

States apply for Medicaid Waivers with the federal Medicaid agency known as the Centers for Medicare and Medicaid Services (CMS). This enables states to waive the usual requirements that individuals must reside in an institution in order to receive Medicaid funding for services. In this way, Medicaid funds certain community-based alternatives to institutional care. Virginia has been offering Medicaid funded community based supports to individuals with an intellectual disability through the ID Waiver since 1991, the Day Support (DS) Waiver since 2005, and individuals with developmental disabilities through the DD waiver since 2000.  The three waivers were amended in September 2016 and are now called the Community Living, Building Independence and Family and Individual Supports waivers respectively.

Waiver Resources 

DD Waivers Service Authorization


Supports Intensity Scale® (SIS®)

Welcome to the Regional Support Unit page for Individuals and Families. Here you will find information and resources concerning the Supports Intensity Scale® as well as the Waiver Slot Assignment Committees (WSAC).

Waiver Slot Assignment Committee (WSAC)

Supports Intensity Scale® (SIS®)

Ascend Management Innovations

SIS® Resources:

Sample SIS® Assessment:


Documents for Families:

Developmental Services Community Capacity and Sustainability Work Group