Support that respects adulthood and choice
An adult with a disability may manage many parts of life independently while needing help with bathing, dressing, toileting, or moving between surfaces. A diagnosis alone cannot describe a whole day. We ask about the routines the person wants to maintain and the assistance needed to make those routines workable.
Speak directly with us about how you prefer to communicate, what you want to do yourself, and where help is welcome. Family input can be valuable, but the person receiving care remains central to the planning conversation.
Personal care and practical daily routines
Depending on the plan, an aide may assist with personal hygiene, meals, eating, transfers, or other approved daily tasks. Care must stay within the aide’s training and the authorized scope. A to Z provides registered nurse guidance and oversight for its care services.
Tell us about equipment already used at home and any instructions from treating clinicians. A move from one chair to another can require more planning than it appears to an observer. We review safe care needs before agreeing to an assignment; a website cannot determine which equipment or level of assistance is appropriate.
Medicaid eligibility is individual
Virginia’s CCC Plus Waiver may be an option for qualifying people with the required level of care needs. Having a disability, receiving disability income, or being enrolled in Medicaid does not by itself approve personal care. Our qualification page separates Medicaid eligibility, screening, and authorization.
If your needs relate to a developmental disability waiver or another program, tell us the program name. Different programs have different processes, and we will confirm whether the requested service is within our current scope and enrollment rather than imply that we provide every waiver benefit.
When someone you trust already helps
A relative may already know the practical details of your routine. In some circumstances, that person may be considered for a paid caregiving role. The member’s eligibility, authorized care, family relationship, living arrangement, and employment requirements still need review.
Our family caregiver information explains how we approach that conversation. If an agency-directed arrangement is appropriate, we discuss training, documentation, supervision, and the steps needed before a paid assignment begins.
Care as circumstances change
Returning home after a hospitalization, experiencing a change in mobility, or losing an informal helper can change the support needed. Contact the agency and your care coordinator about those changes. Additional hours or a different service cannot be assumed without review.
For a first call, your location, current assistance needs, health plan name, and screening or authorization status are helpful. You can call even if some of those details are unknown. We serve Richmond, Henrico, and Chesterfield, and confirm surrounding-area availability individually.
Questions families ask
Do I have to be a senior?
No. This page is for adults with disabilities, including people under 65. Applicable program requirements still determine eligibility.
Can an aide replace therapy or skilled nursing?
Personal care has a different role. We discuss which tasks are appropriate for an aide and which need a qualified clinical provider.
Can I choose someone I know?
Tell us your preference. A proposed family caregiver or other aide must qualify for the arrangement and complete required agency steps.