If your parent has Virginia Medicaid and needs nursing-home-level care, the Commonwealth Coordinated Care Plus (CCC Plus) Waiver can pay you, an adult child, to give their personal care at home.,, Under CCC Plus's consumer-directed option, your parent or a family member acting as employer hires the attendant, and a family caregiver paid under CCC Plus must meet the same qualifications as any attendant. Under Virginia's CCC Plus rules, a relative who lives in the same home needs written proof that no one else is available before CCC Plus can pay them, and Virginia's official sources disagree about paying spouses.

In This Guide

Who Can Be a Virginia CCC Plus Consumer-Directed Family Caregiver

Your relationship Can you be the paid attendant? The condition
Adult child Yes Same qualifications as any attendant; if you live together, written proof no one else is available
Any other relative living in the same home Only with documentation Written proof that no other person or provider is available
Spouse Official sources conflict DMAS's 2025 rules allow up to 40 hours a week of extraordinary care
Legal guardian of an adult Not named as barred Ask the Services Facilitator
The employer of record No Can't also be the paid attendant or Services Facilitator

Living together adds a condition: CCC Plus doesn't pay a family member under the same roof "unless there is objective written documentation as to why no other person or provider is available."

Can a Spouse Be Paid Under CCC Plus?

If you're married to the person you care for, the honest answer is that Virginia's official sources don't agree.

What DMAS's current rules say. DMAS's legally responsible individual (LRI) rules, in effect since July 1, 2025, let an LRI, including a spouse, provide CCC Plus personal care that is "extraordinary in nature," for up to 40 hours a week., Under DMAS's LRI rules, a paid LRI's CCC Plus work covers activities of daily living only: "Instrumental Activities of Daily Living (IADLs) and general supervision are not considered extraordinary care.",

What the older texts still say. Section 935 still says in subsection B that DMAS "shall not reimburse for any waiver services" a spouse provides, and DMAS's still-posted 2021 Employer of Record Manual bars the spouse as attendant. DMAS's LRI page also says LRI personal care may only meet the extraordinary needs of a participant under 18.

Get written confirmation from DMAS or the health plan before you count on the income.

How Many Hours a Virginia CCC Plus Consumer-Directed Family Caregiver Is Paid

These are ceilings; ask the Services Facilitator how many hours the plan authorizes.

CCC Plus doesn't pay respite when the primary caregiver is paid for personal care, or when a paid LRI provides it. Our Virginia caregiver programs directory lists other help with breaks.

What CCC Plus Consumer Direction Pays

Typical pay: about $14.57 an hour (estimate based on home care aide wages in Virginia, BLS, May 2025). That's the Virginia median for home health and personal care aides, not a CCC Plus rate.

DMAS's CCC Plus fee schedule (effective July 1, 2026) shows what DMAS reimburses, not your wage:

Service (procedure code) Northern Virginia Rest of state
Consumer-directed personal assistance/attendant care (S5126) $17.97 $13.88
Consumer-directed respite (S5150) $17.97 $13.88

Under 12VAC30-120-945, one attendant is reimbursed at the regular rate for up to 40 hours a week and at time and a half for up to 16 more, except attendants exempt from federal overtime rules. Your own wage isn't something you negotiate with your parent: DMAS's Employer of Record Manual says the attendant's hourly rate is set by the Virginia General Assembly and "is not negotiable." For taxes, see whether Medicaid waiver payments are taxable.

A Fiscal/Employer Agent (F/EA) sends the paycheck: DMAS lists Public Partnerships LLC (PPL) for Anthem and UnitedHealthcare members, Consumer Direct Care Network (CDCN) for Sentara members and, since January 1, 2019, for fee-for-service members, and both for Aetna. Molina members moved to Humana after June 30, 2025, and DMAS's list doesn't name Humana's F/EA, so ask the plan.

How to Get Hired, Step by Step

1
Step 1

Request the long-term services and supports (LTSS) screening

through your family member's local Department of Social Services (DSS) or a hospital discharge planner.

2
Step 2

Apply for Medicaid

online at CommonHelp, through the Cover Virginia Call Center at 1-855-242-8282 (TTY 1-888-221-1590), or at the local DSS.

3
Step 3

Choose consumer direction

once enrolled, and work with the Services Facilitator.

4
Step 4

Name a CCC Plus employer of record

who isn't you.

5
Step 5

Meet the attendant qualifications

If you live with the CCC Plus member, the nurse supervisor or Services Facilitator documents why no one else is available.

6
Step 6

Enroll with the F/EA

for your family member's plan.

Frequently Asked Questions

Is there a waiting list for CCC Plus?

No. Cover Virginia says the CCC Plus Waiver "serves all ages and does not have a waiting list," unlike Virginia's developmental disability waivers.

Mom's income is over the limit. Should she still apply?

Yes. Virginia Medicaid's long-term care income limit is 300% of the Supplemental Security Income (SSI) amount, about $2,982 a month in 2026, but people over it may still qualify if private care costs exceed their income, Cover Virginia says. In 2026, Virginia Medicaid's resource limit for one aged, blind or disabled person is $2,000.

Learn More

CaregiverHow to Get Paid as a Family Caregiver in VirginiaHow to get paid to care for a family member in Virginia in 2026: CCC Plus consumer direction, the LRI spouse-pay rule, DD waivers, and VA caregiver options. CaregiverGetting Paid to Care for Your Spouse in VirginiaCan you get paid to care for your spouse in Virginia? DMAS's 2025 LRI rules allow limited pay but conflict with the regulation; VA's PCAFC can pay a spouse. MedicaidYour Guide to Virginia Medicaid HCBS WaiversVirginia Medicaid HCBS waivers explained: how the CCC Plus Waiver pays for home care for older adults and adults with disabilities who need nursing-level care. MedicaidHow to Apply for Virginia MedicaidHow to apply for Virginia Medicaid in 2026 through CommonHelp, Cover Virginia, or your local DSS. Documents, the 45-day decision cap, screening, and appeals.

Find personalized help getting hired as your family member's CCC Plus attendant at brevy.com.

The information on Brevy.com is for educational purposes only and is not a substitute for professional legal, financial, or medical advice. Rules vary by state and program and change frequently. Always verify with the relevant agency or a qualified professional. Brevy is not a law firm, financial advisor, or healthcare provider.

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