Developmental Services

Thank you for visiting the DBHDS Developmental Services page for individuals and families.  By clicking the areas below, you will find information about the work that is occurring within the Division of Developmental Services, along with resources on accessing services and supports for individuals with intellectual and developmental disabilities.

Under the Waiver Services page, you will find information about policies, procedures, WSAC, the SIS®, Customized Rates, and information to support individuals currently on the DD waivers.

The Office of Integrated Health (OIH) was established by the Department of Behavioral Health and Developmental Services (DBHDS) to serve as a resource for information related to healthcare, wellness, healthcare providers, and health related services within the Commonwealth.  The OIH webpage provides safety alerts, newsletters, health support network and long term care information, and educational resources.

The Individual and Family Support Program (IFSP) assists individuals with developmental disabilities and their families with accessing person-centered and family-centered resources, supports, services and other assistance. The program’s primary target population is individuals on the waiting list for Virginia’s Developmental Disabilities (DD) Medicaid waivers.  Additional resources can also be found on the My Life, My Community page.  

The My Life, My Community page offers a searchable website where you can find information about waiver options, providers that can assist with service needs, connection to support networks, and other helpful resources.  

If you or someone that you know is interested in learning more about the resources available to help people in the Settlement Agreement Population access their own rental housing in the community, please visit the Housing page.

The DBHDS Office of Crisis Supports and Services provides oversight and technical assistance to the statewide crisis system of care.  On this page you can learn more about the REACH program for Virginians with developmental disabilities that have crisis needs, as well as access information on other crisis services and initiatives that are occurring as a part of Virginia’s crisis system transformation.  

On the Employment First page, you will find information about Virginia’s Employment First Initiative.

The Office of Provider Development focuses on developing and sustaining a qualified community of providers in Virginia so that people who have developmental disabilities and their families have choice and access to options that meet their needs. On this page, you will find resources from Provider Development including information on becoming a provider, information about Virginia’s Person-Centered ISP, who to contact for technical assistance, and various training resources.

DBHDS implements quality service reviews (QSRs) through a contracted, certified Quality Improvement Organization (QIO) vendor.

QSRs include:

  • Person-centered reviews
  • Individual and family interviews and/ or surveys
  • Provider quality reviews
  • other DBHDS quality service reviews.

QSRs evaluate:

  • The quality of services at an individual, provider (i.e., Community Service Board and private providers), and system-wide level;
  • The extent to which services are provided in the most integrated setting appropriate to individuals’ needs and consistent with their informed choice;
  • The extent to which individuals’ needs are being identified and met through person-centered planning and thinking
  • The extent to which individuals are given opportunities for community integration in all aspects of their lives.

Additionally, QSRs assess the quality and adequacy of providers’ services, quality improvement and risk management strategies, and provide recommendations to providers for improvement. 

Data collected from these reviews is used to improve individual, provider, and system practice and service quality. DBHDS and its licensed providers further use the data in making improvements in the service experience, in determining how to improve the array of services provided, and in identifying and implementing quality improvement initiatives.

QSR Documents

For current QSR related documents, please visit:   

For assistance in accessing the HSAG SharePoint site, please contact

QSR Reports

Commencement of Round 4 — July 1, 2022

Round 4 of the Quality Service Reviews (QSRs) will commence on July 1, 2022. Provider samples will be posted to the HSAG VA QSR SharePoint site in the Round 4 Sample Folder by July 6, 2022. Please note the instructions for providers are located at the top of the sample file. CSBs/BHAs may have two samples – one for their provider sample and one for their full support coordinator sample.

HSAG has moved to utilize the HSAG Secure Access File Exchange (SAFE) site for all review documentation uploads.  If you have been previously uploading your review documents into SharePoint or Dropbox, you will now need to utilize SAFE. Additionally, files uploaded into SAFE do not require password protection. An invitation will be emailed to the listed primary contact for your organization. If you would like to request additional users, please email a completed “HSAG SAFE Provider Access Request” form found in Provider Resources to

Providers must review their sample and notify their reviewer of any alternate requests prior to July 27, 2022. Please indicate in the appropriate column on your sample when you have obtained informed consent to participate in the VA QSR from the individuals you support.  Consent to participate in Round 4 of the QSR includes the agreement to an on-site interview with the individual at the service provision location.

HSAG also asks that providers submit their review documentation no later than August 5, 2022. As a reminder, providers can utilize SAFE or provide access to EHRs. Providers are encouraged to reference the Round 4 Documentation Submission Checklist on the VA QSR SharePoint site for further information.

If you have any questions regarding the Round 4 process, please do not hesitate to contact HSAG at, or contact your assigned reviewer directly.

We look forward to working with you during Round 4.                     

VA QSR Review Team

Need additional information on QSRs or have questions? Contact the QSR Coordinator:

At 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.