City of Falls Church, Virginia
Home Care and Paid Family Caregiving in the City of Falls Church
Falls Church is an independent city with public-service connections to Fairfax County. Your family can use those shared resources while keeping the city of residence clear.
Virginia guidance · Reviewed
Start with city Human Services for benefits guidance.
City of Falls Church Housing and Human Services helps residents apply for Medicaid and other assistance. The city lists 703-248-5005, TTY 711, for help.
The city’s Human Services page explicitly explains that Fairfax County Department of Family Services also serves City of Falls Church residents. A referral to Fairfax can therefore be part of the correct city benefits route.
DD intake is shared through Fairfax-Falls Church CSB.
The Fairfax-Falls Church Community Services Board’s developmental disability intake page explicitly includes City of Falls Church residents. Its dedicated intake number is 703-324-4400, TTY 711.
You do not need to look for a separate city DD waiver office. Tell the intake team that the person lives in the City of Falls Church and explain whether the family needs an initial assessment or help with an existing waiver.
Keep the city name on your inquiry.
When completing the eligibility check, choose the City of Falls Church if that is the person’s jurisdiction. It is a city, not a fifth county, and it should not disappear into a general Fairfax service-area label.
If you are unsure of the jurisdiction, ask the city Human Services team to help you identify the appropriate benefits office. First Choice can separately discuss the type of home care needed and current availability.
Home care options for your family.
For a household using shared county resources, a clear home care plan helps connect the public assessment with practical support at home. Explore personal care, nursing, therapy and other established services according to the person’s assessed needs.
Explore the services below, then ask First Choice to confirm current local availability, staffing, clinical requirements and coverage for the care you need. A service page or local guide is not confirmation that a particular service is available for your address or plan.
Already caring for a family member?
Virginia Medicaid may allow an eligible family member to provide authorized personal care as a paid caregiver. For the parent or guardian of a minor, the LRI rules focus on extraordinary hands-on ADL needs beyond what is typically expected for a child of the same age. A diagnosis alone does not establish eligibility.
A qualifying paid LRI may receive up to 40 reimbursable hours per week for a child, subject to assessment, the care plan, authorization and applicable program rules. General supervision and ordinary parenting alone do not qualify. Ask how the LRI respite restriction affects any existing care arrangement.
Questions families ask.
Why might a Falls Church city resident be referred to Fairfax County?
The City of Falls Church states that Fairfax County Department of Family Services also serves city residents. Developmental disability intake is also shared through Fairfax-Falls Church CSB. These shared arrangements do not change the person’s city of residence.
Is there a separate Falls Church city DD waiver intake office?
The official DD intake route for city residents is Fairfax-Falls Church CSB. Its dedicated page lists 703-324-4400, TTY 711. Ask that team about an assessment, existing support coordination or waiver status.
Can city residents check paid family caregiver eligibility?
Yes. City of Falls Church families can use First Choice’s preliminary eligibility check. Paid caregiver eligibility, current service availability, Medicaid coverage, extraordinary ADL needs where LRI rules apply, and authorization must still be confirmed individually.
Official sources
These Virginia and local government resources explain the rules and the public programs described here.
This guidance and our preliminary screening do not guarantee Medicaid eligibility, paid caregiver employment or service authorization. First Choice Home Care does not make the final Medicaid or authorization decision. Your program and care plan determine which services may be approved.
Let’s find your family’s next step.
Start with a few simple questions. It is okay to be unsure.