If you or your family member is on Medicaid in Virginia and needs a ramp, grab bars, or other accessibility work, the Commonwealth Coordinated Care Plus (CCC Plus) Waiver may help pay for it. Virginia Medicaid is run by the Department of Medical Assistance Services (DMAS). Local Departments of Social Services (DSS) handle screening and applications. CCC Plus covers a service called Environmental Modifications (EM), and Virginia publishes clear rules about what it pays and how much.
What Virginia offers#
CCC Plus is Virginia's main waiver for people of all ages who need nursing-facility level of care but want to stay in their own home. It runs through Virginia's Medicaid managed care system, so members get waiver services through a health plan and a care coordinator rather than directly from the state.
CCC Plus lists Environmental Modifications as a covered service. EM means physical adaptations inside your primary residence, such as ramps, widened doorways, or roll-in showers, done to protect your health, safety, and daily function. Work must meet code, with permits and inspections where required. The state pays only for the actual cost of materials and labor, with no markup, and requires the least expensive option that meets the goal. Environmental Modifications cannot be used for caregiver convenience or to restrain anyone. This standard comes from Virginia regulation 12VAC30-120-924 and the CCC Plus provider manual.
Amounts and eligibility#
DMAS publishes a specific dollar limit for this benefit. Environmental Modifications are capped at up to $5,000 per individual per calendar year. That cap is shared with assistive technology procedure codes, so EM work and certain assistive technology draw from the same yearly limit. Virginia's public pages do not break the $5,000 into separate EM and assistive technology sub-limits, so plan around the combined figure. Checked against DMAS and 12VAC30-120-924, July 2026.
This cap matters for planning. A small project like grab bars or a threshold ramp typically fits inside $5,000. A full bathroom remodel or a major structural addition can exceed it. If your project is larger, ask your care coordinator about spreading work across more than one calendar year or combining Medicaid funding with another source.
To qualify, you generally need to already have Medicaid or become eligible through the Medicaid financial determination process handled by your local DSS. Long-term services also require a Long-Term Services and Supports (LTSS) screening. DMAS does not publish a specific consumer income dollar figure on its CCC Plus fact sheets. The federal special income rule tied to 300% of the Supplemental Security Income (SSI) federal benefit rate may apply in general terms, but only DMAS or your local DSS can confirm your individual eligibility.
How to apply in Virginia#
Start by requesting an LTSS screening through your local Department of Social Services. A screening team made up of a social worker and a health department nurse evaluates whether you meet the nursing-facility level of care standard that CCC Plus requires.
For the Medicaid application itself, you have three options. Apply online at CommonHelp.virginia.gov. Call Cover Virginia at 1-833-522-5582 (1-833-5CALLVA). Or file a paper application through your local DSS office and ask for Appendix D, the long-term services supplement that covers waiver-related questions.
DMAS does not publish a consumer waitlist for CCC Plus. Enrollment depends on completing the LTSS screening and Medicaid financial determination rather than waiting for an open slot. Timelines vary by locality and by how quickly documentation comes together, so avoid any source that quotes a fixed number of weeks or months.
Once you are enrolled in CCC Plus, your assigned care coordinator authorizes Environmental Modifications as part of your plan of care. Your managed care health plan, not DMAS directly, manages the day-to-day approval process.
For general help navigating the process, contact your local Area Agency on Aging through the Virginia Department for Aging and Rehabilitative Services. The federal Eldercare Locator (eldercare.acl.gov, 1-800-677-1116) is a useful fallback if you are not sure which local office to call.
How it stacks with federal programs#
If the person needing modifications is a veteran, check VA housing grants alongside Medicaid. Programs like Specially Adapted Housing (SAH) can fund larger projects and may work alongside CCC Plus for different parts of a project. See our VA home modification grants guide.
Original Medicare does not cover structural home modifications. Some Medicare Advantage plans offer supplemental benefits like grab bars or ramps, but coverage is plan-specific with no standard amount. Call your plan directly to ask what it covers.
Finding a provider who knows this program: Not every contractor has handled CCC Plus Environmental Modifications paperwork. Adapta Home USA verifies providers' Medicaid Waiver Billing experience, so you can filter for pros who have done this before. Find Home Modifications & Remodeling providers with Medicaid Waiver Billing experience →
For the bigger picture on combining programs, see our national Medicaid waiver guide and our full guide to paying for home modifications.
FAQ#
Does Virginia Medicaid pay for home modifications like ramps or grab bars?#
Yes. The CCC Plus Waiver covers Environmental Modifications, which include ramps, grab bars, widened doorways, and similar accessibility changes to your primary residence, subject to Virginia's cost and eligibility rules.
How much will the CCC Plus waiver pay toward home modifications each year?#
Up to $5,000 per individual per calendar year. This limit is shared with assistive technology procedure codes, so both categories draw from the same yearly cap.
How do I apply for the CCC Plus waiver in Virginia?#
Request an LTSS screening through your local Department of Social Services. Apply for Medicaid online at CommonHelp.virginia.gov, by phone through Cover Virginia at 1-833-522-5582, or with a paper application asking for Appendix D.
Can CCC Plus pay for a full bathroom remodel?#
Possibly not in a single year. The $5,000 annual cap often covers smaller projects like ramps or grab bars, but a full bathroom remodel can exceed it. Ask your care coordinator about spreading larger projects across more than one calendar year.
Find a verified provider near you#
Adapta Home USA's directory lets you search Home Modifications & Remodeling providers by state and filter for Medicaid Waiver Billing experience. Our wheelchair ramp cost guide and accessible bathroom remodel cost guide can help you budget while your application is in process.
This article is for general educational purposes only and does not constitute medical, legal, or financial advice. Consult a qualified professional about your specific situation.
Program amounts, eligibility rules, and application procedures change. Figures on this page were verified against official government sources on the date shown, but you should confirm current details at VA.gov or with the administering agency before making decisions. Adapta Home USA is not affiliated with the U.S. Department of Veterans Affairs or any government agency.