Virginia Departments of Medical Assistance Services (DMAS)

Notice of Public Comment Period

The Department of Medical Assistance Services (DMAS) welcomes public comment regarding the submission to the U.S. Centers for Medicare and Medicaid Services (CMS) of an amended application for the following 1915(c) Home and Community Based Services (HCBS) Medicaid Waiver: Commonwealth Coordinated Care Plus (CCC+) Waiver.

This notice serves to inform interested parties that a 30-day public comment period will open on October 7, 2025 and close on November 6, 2025.  The 1915(c) HCBS Waiver amendment application can be located at: https://dmas.virginia.gov/for-members/benefits-and-services/waivers/ccc-plus-waiver/

The state is requesting amendments to revise the following:

1. Change Adult Day Health Care from a daily rate to an hourly rate; however, such reimbursement is limited to no more than six hours per day.  This reimbursement rate adjustment must be budget neutral and not increase the cost of this service.
2. Removing the Eligibility Group “Working Individuals with disabilities who buy into Medicaid (TWWIIA Basic Coverage Group as provided in §1902(a)(10)(A)(ii)(XV) of the Act)" under the waiver.
3. Correcting requirements for when a legally responsible individual is a paid caregiver and the individual uses the consumer-directed model.  The prior language references a wrong form and an “enhanced enrollment agreement” that has been incorporated into the standard enrollment packet by the fiscal-employer agents.
4. Making changes to the fee-for-service service plan development process with the establishment of designated persons “FFS LOCERI Quality Analysts” to perform the function.  The prior language references that the state will obtain a contractor to perform this function.  The state has had a contractor in place to perform service plan development for this population since 2024.

Instructions for Public Comment Submissions:

Electronic Submission:  Comments should be submitted via the Virginia Town Hall public comment forum.

Or submit via US Postal Mail to:

Department of Medical Assistance Services

ATTN:  Andrew Greer/Senior Policy Analyst – Office of Community Living

Suite 1300

600 East Broad Street

Richmond, VA 23219