MedicaidAdministrativeMedium impact
Updates on Continuity of Care from the Commonwealth Coordinated Care Plus (CCC Plus) Waiver to a Developmental Disabilities Waiver
Virginia Medicaid - DMAS·VA·Managed Care
Effective date
Mar 31, 2026
We identified it
Jun 16, 2026
Summary
Virginia Medicaid has updated the continuity of care process for individuals transitioning from the Commonwealth Coordinated Care Plus (CCC Plus) Waiver to Developmental Disabilities Waivers, expanding coverage to include respite, PERS, and private duty nursing services. The policy requires DD waiver services to start on the first of the month following acceptance, with a 30-day continuity period and specific documentation requirements.
Action Required
Before March 31, 2026: Billing team must update procedures for Virginia Medicaid DD waiver transitions. Verify that DD waiver services are only billed starting the 1st of the month following acceptance status. Update authorization tracking to ensure continuity of care requests are submitted within 30 days and include 'continuity of care service authorization request' in justification fields. Coordinate with support coordinators to verify hours/units with MCO care managers before billing.