Waiver Information for Providers 

Waiver Information

The Virginia Developmental Disabilities Home and Community-Based Services (HCBS) Waivers help eligible people with a developmental disability (DD) to 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. 

There are three waivers available for individuals with a developmental disability: 

  • the Building Independence Waiver (BI), 
  • the Family and Individual Supports Waiver (FIS), and 
  • the Community Living (CL) Waiver. 

Announcements: 

DD Waiver 2025 Rate Study: VA DMAS DD Provider Survey Training 4/17/25 

Developmental Disabilities Waivers Regulations 

DD Waiver Regulations (effective 3/31/21) 

Developmental Disabilities Waivers Policy Manual 

DD Waiver Policy Manual (effective 2022) 

DD Waivers’ Service Authorization 

Service Authorization Staff (effective 3/25/26) 

Customized Rates

Waiver Customized Rate Funding: Providers may apply for customized rate funding for individuals who meet certain criteria qualifying them as being outliers to the current rate structure. Providers applying for a customized rate must have documentation to demonstrate that the individual meets the criteria as described within the provider guidelines. If approved, a rate unique to the individual and/or service is developed based on eligibility criteria and the individual’s demonstrated exceptional support need. 

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Caring for disabled individuals

Waitlist Review Reports 

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Supports Intensity Scale (SIS)

The SIS is a validated assessment tool for people with intellectual and developmental disabilities, specifically designed to measure the pattern and intensity of supports needed by persons with disabilities to be successful in areas of life. A SIS assessment is required for nearly everyone who receives DD waiver services. Virginia uses the SIS-A 2nd Edition for all new adult assessments. 

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SIS Contact and Training Requests

CSBs and providers, please contact the SIS Quality Team at sis@dbhds.virginia.gov for scheduled training dates. 

Sample SIS – A 2nd Edition Summary Report 

The sample SIS-A 2nd Edition Summary Report provides an example of the report that is available after the completion of a SIS-A 2nd Edition assessment.

The Public Consulting Group (PCG) is now working with DBHDS as our SIS Vendor. Visit the PCG website for details. 

Virginia SIS Scheduling Form – To be completed by Support Coordinators ONLY 

SIS Scheduling Training – PCG Training  

Sample SIS – A Family Friendly Report  

If the SIS was conducted prior to October 1, 2024, the sample SIS Family Friendly Report provides an example of the information the SIS Interviewer collected during the SIS-A interview.   

SIS Resources

SIS Standard Operating Procedures 2/19/25

SIS and PCP 8/16/24

DBHDS VA SIS Reassessment Request 3/10/26 (for Support Coordinators)

AAIDD Home Page 

The American Association on Intellectual and Developmental Disabilities (AAIDD) is the publisher, copyright holder and sole owner of the SIS.  

SIS Satisfaction Survey 

DBHDS collects SIS Satisfaction Survey responses from those who choose to complete a survey after participating in a SIS assessment. The survey gathers information about scheduling, the SIS assessor, and the assessment process. The assessment is anonymous and able to be submitted electronically or via USPS. 

Note: due to onboarding the new SIS vendor, no Satisfaction Surveys were completed for the 2nd and 3rd quarters of FY25.

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Regional Supports Unit (RSU) 

The DBHDS Regional Supports Unit members provide oversight of the Supports Intensity Scale® (SIS®), DD waivers wait list, and waiver slot assignments. Please see contact information for each Regional Supports Specialist (RSS).

Support Coordination and Case Management

DD Support Coordination/Case Management Related Forms & Information

The following are forms and information useful to support coordinators/case managers related to adding an individual to the DD Waivers Wait List, preparing for Waiver Slot Assignment Committee meetings, SIS®-related forms & instructions, and requesting an emergency or reserve slot.

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DD Waiver Waitlist and Reserve Slot Training 2/11/25

Slot Assignment Review Form (SARF) Writing Training 1/21/25

VIDES Administration Training 1/12/23

Slot Utilization Training

Recorded trainings are provided for DD Waiver Waitlist and Reserve Slot Training, Slot Assignment Review Form (SARF) Writing Training, Slot Utilization Training, and VIDES Administration. Please contact your Regional Supports Specialist (RSS) for questions or more information about the above resources.

DD Waivers Slot Allocation

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Related Content

Developmental Services Information for Providers

Waiver Services for Individuals and Families

Customized Rates