Developmental Disabilities Waiver Services and Waiting List Information

Waiver Services Eric Williams Director of Provider Development Department of Behavioral Health & Developmental Services 1

DD Waiver Services Three Types of Developmental Disability (DD) Waivers: Community Living Building Independence Family and Individual Support This waiver is for adults who can live mostly independently and usually own, lease, or control their living arrangements. This waiver is for children and adults. People may live with family, friends, or in their own homes, and they may need functional, behavioral or medical supports. This waiver is for children and adults who usually require supports in their homes all the time. They may need a home with staff to support functional skills and complex medical and/or behavioral needs. Over 17,000 Virginians receive services from one of these three waivers. DBHDS guide for families about the resources, supports, and services Virginia offers to people with developmental disabilities. 2

Waiver Waiting List Currently Served on DD Waivers As Part of Right Help, Right Now, the Governor proposed $300M to eliminate the Priority 1 waitlist. Since January 2024, 1,199 DD waiver slots have been assigned. 17,484 Individuals Waiting List for Waiver Slots Priority 1 Projected to need services in a year The 2024 General Assembly agreed to a phased approach to add 3,440 slots and provide a 3% rate increase each year of the biennium. Slots are being assigned on a quarterly basis. 3,668 Individuals Priority 2 Expected to need services in 1-5 years Priority 3 Expected to need services in 5+ years 6,602 Individuals 5,223 Individuals August 14, 2024 3

Developmental Disabilities Annual Allocation FY 2025/2026 Slots Month 1/4 Ongoing Community Living 344 slots awarded as part of biennial budget Slot Allocations sent to each CSB for each quarter of this fiscal year Allocation of FY 25/26 1,548 FIS & 172 CL DD Waiver Slots (Annually, Divided Quarterly) Waiver Allocation Letter distributed to CSBs RSSs identifying any attrition slots not assigned or vacant. RSSs scheduling WSACs for all 40 CSBs for Months 1, 2, & 3 on an ongoing basis Regional & Statewide WSAC Meetings Between 1stand 15thof month, RSSs conduct regional WSAC meetings to assign slots that were unable to be assigned to the allocated CSB. Between 15-31stof month RSSs conduct statewide WSAC WSAC Recruitment and Training Advertise for WSAC members through social media, CSBs, advocacy groups, and word of mouth. RSSs training any new WSAC members recruited and refresher training for current WSAC members Family Individual Support 1,548 slots Slot Allocations sent to each CSB for each quarter of this fiscal year 16 CSBs with 12 or fewer people on Priority 1 waiting list 1 CSB with no one 2 CSBs with one person Repeat Assignment Workflow RSS Conduct WSAC meetings RSS assign identified CL slots as needed Between 1stand 15thof month, RSSs conduct regional WSAC meetings to assign slots that were unable to be assigned to the allocated CSB. Between 15-31stof month RSSs conduct statewide WSAC WSAC Meetings RSSs conduct WSAC meetings for all 40 CSBs in Months 1, 2, & 3. RSSs to assign any CL slots identified in immediate need of residential (Sponsored Residential & Group Home) services. Repeat Process Quarterly Months 1, 2, & 3 4

Waivers and Waiver Services Intellectual/Developmental Disability Waiver Slots FY 2025 Budget FY 2026 Budget Years FY 2018 FY 2019 FY 2020 FY 2021 FY 2022 FY 2023 FY 2024 CDL/ID Waiver Slots 11,896 12,006 FIS/DD Waiver Slots 3,633 4,533 BI/DS Slots 400 15,929 16,939 11,032 11,516 11,736 12,006 12,176 12,348 12,520 Types of waivers 1,762 2,176 2,983 4,533 5,463 7,011 8,559 360 360 400 15,119 400 400 400 400 19,759 400 21,479 Total 13,154 14,052 16,939 18,039 DMAS Waiver Expenses FY Total Expenditures General Fund Year over year growth FY 2018 FY 2019 FY 2020 FY 2021 FY 2022 FY 2023 $900M $958M $1,020M $1,050M $1,243M $1,735M $1,812M $8,719M $440M $479M $495M $460M $545M $757M $880M $4,064M + 6% + 3% - 7% + 18% + 39% + 16% FY 2024 (Projected) Total 5