What is the CCC Plus Waiver?

The Commonwealth Coordinated Care Plus Waiver is a Virginia Medicaid home and community-based services program. It can support eligible people whose assessed care needs would otherwise require a nursing facility or certain other institutional care. Receiving care at home is the goal; approval is based on the program’s requirements.

A to Z Home Care focuses on personal care and respite arrangements. The waiver includes other services, but that does not mean our agency supplies every benefit available through the program. We can discuss our services and help you identify questions for your health plan or care coordinator.

Three things to clarify before care begins

First, clarify Medicaid eligibility. Second, clarify whether an approved long-term care screening is in place. Third, clarify which specific services have been authorized. Families sometimes receive one approval and understandably think the entire process is finished. These steps serve different purposes.

If you have a letter or have spoken with a screening team but do not know the result, call us. A useful first conversation starts with what you already know; there is no need to guess at the name of a form. Check your care options with our brief quiz and qualification guide.

The screening looks at care needs

Families often call this a UAI screening. The Uniform Assessment Instrument helps the screening team assess function, health needs, and available support. Needing help with one task or having one diagnosis does not automatically determine the result. The team considers the person’s situation under the applicable criteria.

Describe the assistance actually needed on ordinary days and how needs vary. A family member who already helps may be able to explain what happens during bathing, toileting, transfers, or meals. The purpose is an accurate picture of daily life, not finding answers that guarantee an approval.

Choosing how care is delivered

Agency-directed care is provided through an agency that hires and supervises aides. Consumer-directed care places employer responsibilities with the member or designated employer of record. Both require applicable approvals and records; the difference is who manages the caregiving employment arrangement.

A to Z Home Care provides agency-directed services. If your family is considering a change from consumer direction, we can discuss the transition, review the proposed caregiver, and coordinate next steps. Do not assume a service authorization or caregiver enrollment transfers automatically.

Family caregiver options and ongoing support

If a family member already assists with daily routines, tell us. Some relatives may qualify for a paid caregiving role. Special rules can apply to people living together and legally responsible relatives, so the exact relationship matters. Read about paid family caregivers or call for an individual review.

Once services begin, the approved care plan, visit records, and communication with the agency continue to matter. Changes in condition, hospital admissions, or an expiring approval should be discussed promptly. Approval is not a promise of unlimited hours or permanent coverage.

Questions families ask

Is CCC Plus the same as a health plan name?

The CCC Plus Waiver is a waiver program. Your Medicaid health plan and your waiver services are related but distinct. Tell us both your plan and the services you have been approved to receive.

Do you approve the waiver?

No. The responsible Medicaid and screening authorities determine eligibility and approvals. We help you understand the process and discuss services our agency can provide.

Can I call if I have not applied yet?

Yes. We can discuss your situation and help clarify which step you may need next.