
DBHDS strives to ensure that all individuals with developmental disabilities (DD) have access to quality support and services when and where they need them.
The Commonwealth’s system of services and supports for individuals with a developmental disability supports individuals from birth through adulthood. Individuals are supported based upon their specific, individual needs, and age-related developmental concerns. The majority of DD services are accessed at the local level with oversight by DBHDS. To help you determine where to go to locate needed services, please access your local Community Services Board/Behavioral Health Authority.
In the Commonwealth, “developmental disabilities” are defined as:
“a severe, chronic disability of an individual that
- is attributable to a mental or physical impairment, or a combination of mental and physical impairments, other than a sole diagnosis of mental illness;
- is manifested before the individual reaches 22 years of age;
- is likely to continue indefinitely;
- results in substantial functional limitations in three or more of the following areas of major life activity: self-care, receptive and expressive language, learning, mobility, self-direction, capacity for independent living, or economic self-sufficiency; and
- reflects the individual’s need for a combination and sequence of special interdisciplinary or generic services, individualized supports, or other forms of assistance that are of lifelong or extended duration and are individually planned and coordinated.
- an individual from birth to age nine, inclusive, who has a substantial developmental delay or specific congenital or acquired condition may be considered to have a developmental disability without meeting three or more of the criteria described in clauses (i) through (v) if the individual, without services and supports, has a high probability of meeting those criteria later in life.” [Code of VA § 37.2-100]
The Virginia Developmental Services System at a Glance
Birth to Age 3: Early Intervention Services
The Part C Early Intervention Program includes services and supports to infants and toddlers from birth through age two who are not developing as expected or who have a medical condition that can delay normal development. Early intervention focuses on increasing the child’s participation in family and community activities. In addition, supports and services focus on helping parents and other caregivers know how to help the child learn during everyday activities. These supports and services are available for all eligible children and their families regardless of the family’s ability to pay. Services include the Office of Special Education Programs and Part C Early Intervention Programs. For more information, please see the Infant and Toddler Connection of Virginia and My Life My Community.
DD Community Services for Children and Adults with Developmental Disabilities
The Virginia Home and Community-Based Services (HCBS) Developmental Disabilities Waivers fund services and supports which help people with developmental disabilities to live independently in the community. The waivers offer supports such as medical care, employment opportunities, supports in the home, behavioral interventions, and assistive devices, depending on individual needs.
For information about DD services across the life stages, visit My Life My Community
Additional Community Supports
Depending on your needs, there may be other services and Medicaid Waivers available. Please visit the Department of Medical Assistance Services (DMAS) for information about other waivers. You also may be eligible for case management services through your local Community Services Board (CSB) or Behavioral Health Authority (BHA) while you are on the DD Waivers waiting list.
Crisis Supports
Individuals in the Commonwealth with a developmental disability have access to specialized crisis supports and services called REACH to address emergencies arising due to a mental health or behavioral health challenge. The Commonwealth is committed to providing individuals, families, and providers with the resources to help individuals of all ages and types of disabilities receive help quickly and effectively using a person-centered support approach to respond to emergency and chronic needs at the local level, allowing individuals to remain in their homes in the community.
Anyone experiencing a medical emergency should always call 911.
The Individual and Family Support Program (IFSP)
The Individual and Family Support Program (IFSP) is designed to assist individuals on the waiting list for one of the Developmental Disabilities (DD) Medicaid waivers access short-term resources, supports, and services that will help them maintain an independent life in the community. The program consists of four main components:
- The IFSP Funding Program provides financial assistance to individuals and families awaiting services through one of Virginia’s Developmental Disabilities waivers. Individuals on the waiting list may apply for financial assistance to cover eligible costs that help them maintain living in an independent community setting.
- The IFSP Community Coordination Program supports the work of the State ISFP Council, the advisory group of state and community stakeholders that helps inform DBHDS policy addressing the support needs of individuals on the waiting list and the IFSP Regional Councils, local groups of individuals who are on the DD Waiver Waiting List, family members, caregivers, or providers, working at a grassroots level to increase supports in their communities. The goal of the IFSP Coordination Program is to streamline state and community supports to better leverage limited public resources.
- The Family to Family mentoring program, through collaboration with the Center for Family Involvement and other partners, works with families to increase their skills as advocates, mentors, and leaders.
- The Peer to Peer Mentoring program connects individuals with DD to a peer mentor.
Additional Resources:
Peer Mentoring through The Arc of Virginia
To sign up for more information about IFSP, click here.
My Life, My Community
My Life, My Community offers information about waiver options, providers that can assist with service needs, connection to support networks, and other helpful resources for individuals with developmental disabilities.
Housing Resources for Individuals with a Developmental Disability
The Commonwealth of Virginia is committed to assisting individuals with a developmental disability obtain independent housing in the community. Housing Specialists are located in each region of the state. Their goal is to assist individuals with DD who are part of the Settlement Agreement population acquire their own home in the community with needed supports.
The Settlement Agreement target population for housing includes Virginians with a developmental disability who are at least 18 years of age or older and:
1) Living in a training center, intermediate care facility, skilled nursing facility and are eligible for one of the DD Waivers;
2) Currently receiving DD Waiver services; or
3) On a waitlist for DD Waiver services.
For more information on available housing resources: DBHDS Path to Housing. Additional information on independent housing is available on My Life My Community.
Virginia’s Employment First Initiative for Individuals with a Developmental Disability
In an effort to better support people with disabilities through employment and expand access to integrated, community-based employment opportunities, Virginia’s Employment First Initiative requires that employment is offered to individuals receiving developmental disability services before offering other available day service options.
For more information on employment for individuals with a developmental disability: Employment First .
Health Supports for Individuals with a Developmental Disability
The Health Support Network (HSN) is committed to ensuring individuals with a developmental disability receive appropriate quality supports from qualified health providers that result in the delivery of barrier-free, community-integrated healthcare services. The HSN provides person-centered services to those with serious medical needs who are former residents of Virginia’s Training Centers, large Intermediate Care Facilities, and Nursing Facilities. The HSN also provides resources on health-related services for all individuals with DD in the state. HSN programs include:
- Fixed Rate Dental Program
- Sedation Dental Program
- Mobile Rehab Engineering (MRE)
- Community Nursing
Additional Health Services – Here you can find safety alerts, newsletters, health support network and long-term care information, and educational resources.

Waiver Services
The Virginia Developmental Disabilities Home and Community-Based Services (HCBS) Waivers help eligible people with a developmental disability receive services and supports in the community. Waivers fund a variety of supports including those that:
- provide medical care
- enable employment
- enable community living
- provide behavioral interventions
- provide home modifications and assistive technology that help people avoid living in a nursing home or other institution
More Services
Home and Community-Based Settings Rule
The “Home and Community Based Services (HCBS) Settings Regulations” (often called the HCBS Rule) intends to ensure individuals receiving services and supports through Medicaid’s HCBS programs have full access to the benefits of community living and are able to receive services in the most integrated setting.
More information can be found in the following PowerPoint presentations:
Behavioral Services
Find information on the delivery of behavioral services through the Developmental Disability waivers in the Commonwealth of Virginia. The Therapeutic Behavioral Consultation Search Engine may help you locate providers of this service.
Supported Decision-Making
Supported decision-making (SDM) is a way for people to get help with making decisions while keeping their rights and making the final decisions themselves. Supported Decision-Making Agreements are a way for adults with developmental disabilities living in Virginia to document when they want to receive support with making decisions, how they want to receive support, and who they want to help them. Learn more about SDM and access forms to help create your own supported decision-making agreement: Supported Decision-Making.
DOJ Settlement Agreement
On the DOJ Settlement Agreement page, you can locate the Final Order and Settlement Agreement, the Complete Set of Agreed Upon Compliance Indicators, Stakeholder Group information, reports from the Independent Reviewer, Annual Reporting, and Settlement Agreement Indicator Overview Videos.
Developmental Services Staff
Vacant
Provider Network Supports Director
Kim Snider
System Team Lead
Tel: 804-536-9514
kimberly.snider@dbhds.virginia.gov
Barry Seaver
Providers Team Lead
Tel: 804-839-0332
barry.seaver@dbhds.virginia.gov
Ronnitta Clements
Individuals Team Lead
Tel: 804-382-2490
Nicole DeStefano
Waiver Network Supports Director
Tel: 804-971-6383
nicole.destefano@dbhds.virginia.gov
Sam Pinero
Waiver Operations Manager
Tel: 804-786-2149
Ken Haines
Regional Supports Manager
Tel: 804-337-5709
kenneth.haines@dbhds.virginia.gov
Emily Eagle
Waiver Assessment Quality Manager
Tel: 804-630-7854
emily.eagle@dbhds.virginia.gov
Carrie Ottoson
Community Programs Manager/Customized Rates
Tel: 804-731-4111
Susan Moon
Integrated Health Supports Network Director
Tel: 804-629-8288
Casey Tupea
Dental Team Lead
Tel: 804-347-2039
casey.tupea@dbhds.virginia.gov
Tammie Williams
Registered Nurse Care Consultant Team Lead
Tel: 804-347-2919
tammie.williams@dbhds.virginia.gov
Mike Preston
Mobile Rehab Engineering Team Lead
Tel: 804-418-0555
Deanna Parker
Community Network Supports Director
Tel: 804-774-2278
deanna.parker@dbhds.virginia.gov
Heather Hines
IFSP Program Manager
Tel: 804-269-1775
heather.hines@dbhds.virginia.gov
Sara Thompson
Supported Decision Making Lead
Tel: 804-869-0591
Sara.Thompson@dbhds.virginia.gov
Jen Heath
Community Employment Specialist
Tel: 804-936-7551
Martin Kurylowski
Transition Network Supports Director
Tel: 804-405-0384
martin.kurylowski@dbhds.virginia.gov
Benita Holland
Intermediate Care Facilities/IID Manager
Tel: 804-201-3833
benita.holland@dbhds.virginia.gov
Lisa Rogers
PASRR & OBRA Team Lead
Tel: 804-347-5260
Nathan Habel
Behavioral Services and Projects Director
Tel: 804-495-5273
