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Waiver Services

Welcome to the Waiver Services page for Providers and Professionals.  Here you will find information about policies, procedures, WSAC, the SIS®, and information to support individuals currently on the DD waivers. 


Customized Rates:
Effective June 1, 2017, CMS approved a waiver amendment allowing providers to apply for a customized rate for individuals who meet certain criteria. Providers are eligible to apply for a customized rate under the current waiver system by accessing the customized rate application. Prior to application submission, providers are encouraged to read the provider guidelines which detail the process, available services, and eligibility criteria. If approved, a rate unique to the individual and/or service will be developed based on eligibility criteria and the individual’s demonstrated exceptional support need. Applications approved will be effective as of the date that a completed application is received.  Providers applying for a customized rate must have documentation to demonstrate that the individual (for whom a customized rate is requested) is an outlier to the current rate structure and meets certain criteria as described within the provider guidelines.

Please find below the new Virginia Individual Developmental Disability Eligibility Survey (VIDES).  These will go into effect with the approval of the amendments to the waivers by CMS.

Waiver Operation Services fall under the direction of Dawn Traver, staff contacts in this unit are in the links provided below.



Regional Supports Unit (RSU)

Welcome to the Regional Supports Unit.  Here you will find information about the Supports Intensity Scale® (SIS®), Waiver Slot Assignment Committee (WSAC) and informational resources.  All Case Management/Support Coordination forms can be located under the Case Management Page.

Waiver Slot Assignment Committee (WSAC)


Supports Intensity Scale® (SIS®) 

Ascend Management Innovations

DBHDS contracts with Ascend Management Innovations (Ascend) to administer the Supports Intensity Scale®.  Ascend is currently seeking additional SIS® interviewers.  Generally, candidates will have completed a 4 year degree/Masters Degree and be working in the field of Human Services.  If you meet this criteria and are interested in being a SIS® interviewer, click here for contact information at Ascend.

SIS® and Related Forms: 


(All forms can be found on the Case Management Page)