Helping Virginia Families Navigate CCC Plus — Including the Spouse-Caregiver Option
Virginia's CCC Plus waiver allows a family member to serve as a paid caregiver for an eligible loved one — and under Virginia's legally-responsible-individual rules, in some cases that caregiver may be a spouse. There is no waiting list for the waiver. We help you check if you qualify and match you with a Medicaid-approved Virginia agency — free to families.
You are likely eligible if you have Medicaid. Fill out the form to see how fast you can get started.
or call us at (929) 460-3141
Two Ways to Get Started
Virginia is one of the few states where a spouse (or a parent of a minor child) may be paid for providing care, under the state's legally-responsible-individual rules. The care must be above and beyond ordinary family help, and eligibility is determined during enrollment — we help you check.
An adult child, sibling, other relative, friend, or neighbor can serve as the paid attendant — through an agency, or under consumer direction where you manage your own caregiver. Prefer a professional? Agency-directed care provides one.
Eligibility
Final eligibility is determined by DMAS — we help you check in seconds.
A paid caregiver must be at least 18, legally able to work in the U.S., and meet the same requirements as any personal care aide. A spouse (or a parent of a minor child) may be paid under Virginia's legally-responsible-individual rules: the care must be extraordinary — above and beyond what a family member would ordinarily provide — limited to help with activities of daily living, and generally up to 40 hours per week; the need is documented during assessment. Eligibility for any caregiver is determined by the program during enrollment.
What's Covered
Why Families Use Us
We're not an agency — we're the free service that gets your family to the right Medicaid-approved agency, faster.
You never pay us a cent. We're paid a flat marketing fee by the partner agency — never by you, and never tied to enrollment.
We connect you with a licensed, Medicaid-approved provider agency that serves your area and handles enrollment and caregiver setup.
Our team helps you check eligibility for Virginia's CCC Plus Waiver (Cardinal Care) and points you to the right next step — at no cost.
How It Works
Three easy steps to get your family the care they need.
Fill out our free 30-second form or call us to see if you qualify through Virginia's CCC Plus Waiver (Cardinal Care).
We connect you with a Medicaid-approved home care agency in your area that handles enrollment, paperwork, and caregiver setup.
Once approved, your chosen caregiver is paid through Medicaid — and your loved one gets care at home.
The Program
Funded by Medicaid through DMAS — helping families care for loved ones at home.
We help eligible Virginia families connect with a Medicaid-approved provider agency.
Eligible families pay nothing out of pocket for enrollment help.
Approved caregivers — including qualifying family members — are paid through the Virginia Medicaid program.
Source: Virginia Department of Medical Assistance Services (DMAS), CCC Plus Waiver (Cardinal Care).
Already Enrolled?
If you already have Cardinal Care Medicaid coverage and are receiving services, call for a free consult to see if switching to a different partner agency is right for you.
Call (929) 460-3141We help Virginia families understand the CCC Plus Waiver (Cardinal Care), check eligibility, and connect with a Medicaid-approved home care provider agency in their area. The provider agency we match you with handles enrollment paperwork, caregiver onboarding, and ongoing program support.
The Home Care Agency is an enrollment matching service. We are not a Medicaid provider agency. We connect eligible Virginia families with licensed Medicaid-approved provider agencies that deliver care. This service is free to families.
Questions
Program Guide
CCC Plus — Commonwealth Coordinated Care Plus — is Virginia's Medicaid waiver for long-term services and supports at home, operated by the Department of Medical Assistance Services (DMAS) under the Cardinal Care umbrella that now covers all of Virginia Medicaid. It pays for personal care, respite, and related in-home services for people who would otherwise qualify for nursing-facility care.
Two things set Virginia apart: the waiver serves all ages with no waiting list, and the state permanently allows legally responsible individuals — a spouse, or a parent of a minor child — to be the paid caregiver in defined circumstances.
The person receiving care must have (or qualify for) Virginia Medicaid and need a nursing-facility level of care. Functional eligibility is confirmed through a screening by a community-based team — a registered nurse, a social worker, and a physician — using the Uniform Assessment Instrument (UAI). Medicare alone does not qualify.
Financial eligibility is determined by the Medicaid program — not by us, and not by any home care agency. Virginia applications run through CommonHelp online, the Cover Virginia call center, or the local Department of Social Services.
Most states bar spouses from being paid caregivers. Virginia's rules — finalized July 1, 2025 after CMS approved the waiver amendments — permanently allow a spouse (or a parent of a minor child) to be the paid attendant, in both agency-directed and consumer-directed care. The conditions matter: the care must be extraordinary, meaning above and beyond what a spouse would ordinarily provide; it is limited to hands-on help with activities of daily living; it is generally capped at 40 hours per week (the person may be authorized for more hours, with other caregivers covering the rest); respite is not available alongside a paid spouse; and the need is documented during assessment with ongoing monitoring.
In consumer-directed care, the spouse who provides the care cannot also be the employer of record — another person takes that role. These are real conditions, not fine print; whether your family qualifies is determined by the program during enrollment, and we help you check before you apply.
Virginia offers two parallel paths. Under agency-directed care, a licensed, Medicaid-approved personal care agency employs the attendant — including a qualifying family member — and handles training, scheduling, and supervision. Under consumer-directed care, the family is the employer: a services facilitator helps you learn the employer role, and a fiscal agent handles payroll and taxes.
An adult child, sibling, other relative, friend, or neighbor can serve under either path. Caregivers must be at least 18, legally able to work in the U.S., and meet the same requirements as any personal care aide. Eligibility for any caregiver is determined by the program during enrollment.
Program facts on this page last reviewed October 5, 2026. Program rules change — eligibility is always determined by the state program.
Related guide: Can a spouse be paid to be a caregiver? Medicaid rules, state by state
No cost, no obligation — talk to an expert about Virginia's CCC Plus Waiver (Cardinal Care) today.
Call (929) 460-3141