Guidance for your next step
Virginia Family Caregiver Resources
Make sense of Medicaid, everyday care and the local resources available to your family. Start with the question on your mind.
Virginia guidance · Reviewed
Caregiving questions, clearly explained.
Virginia Medicaid and LRI guide
The care standards, waiver pathways and limits that shape paid family caregiving.
Read the guide Common questionsPaid family caregiver FAQ
Answers about eligibility, hours, respite, employment questions and starting care.
Read the guide Parent caregiver guideCan I Get Paid to Care for My Autistic Child in Virginia?
Learn how Virginia Medicaid considers paid parent care for an autistic child, including extraordinary ADLs, authorization and practical first steps.
Read the guide Understanding LRIWhat Is a Legally Responsible Individual in Virginia Medicaid?
Understand the LRI definition, how it differs from other family caregiver relationships and why extraordinary personal care must be assessed in Virginia.
Read the guide Hours & authorizationHow the 40-Hour LRI Rule Works in Virginia
Virginia allows up to 40 reimbursable LRI hours per week for a qualifying child. Learn why the limit differs from an individual service authorization.
Read the guide Virginia waiver guideCCC Plus, FIS and Community Living Waivers: What Is the Difference?
Compare Virginia’s CCC Plus, Family and Individual Supports and Community Living waivers, their assessment routes and what families should ask next.
Read the guide Everyday care, explainedWhat Counts as Extraordinary Care for a Child?
Learn how Virginia evaluates extraordinary hands-on ADL care beyond age-typical parenting and how to describe a child’s personal-care needs accurately.
Read the guide The care processHow Agency-Directed Personal Care Works in Virginia
Understand agency-directed personal care, assessments, caregiver onboarding, RN oversight, documentation, EVV and how it differs from consumer direction.
Read the guide Already have approved hours?What to Do When Personal-Care Hours Are Already Approved
A Virginia family’s guide to reviewing existing personal-care authorizations, starting services and coordinating a possible agency transfer without a gap in care.
Read the guide A place to startWhat if I Do Not Know My Medicaid Waiver or Health Plan?
Practical ways for Virginia families to identify a Medicaid health plan, waiver or coordinator and start an eligibility check without every answer.
Read the guide Local guideFairfax County
For Fairfax County families, the best starting point depends on the person’s age and the type of support they need. We can help you connect the home care conversation with the right Medicaid questions.
Read the guide Local guideLoudoun County
Loudoun families can begin with the everyday care they need, then identify the right assessment route. A personal-care inquiry and a developmental disability waiver screening serve different purposes.
Read the guide Local guidePrince William County
In Prince William County, care assessment and Medicaid financial eligibility involve different steps. Knowing which office handles each can make the first conversation more useful.
Read the guide Local guideArlington County
For Arlington families, a useful care plan connects everyday needs, personal goals and existing support coordination. Start with what the person wants to do at home and where assistance is needed.
Read the guide Local guideCity of Alexandria
Alexandria has its own city services for residents. Confirming the person’s jurisdiction and age helps connect your family with the right assessment team.
Read the guide Local guideCity 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.
Read the guideThis 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.