VA Medicaid Respite Care Coverage in Alexandria

Virginia's Medicaid program covers respite for income-eligible Alexandria seniors — how to apply, what's covered, and the typical wait times.

Anna Nichols

Content Strategist

Reviewed by Carol Bradley Bursack, NCCDP-certified — Owner of Minding Our Elders

2 min read

·

Updated May 13, 2026

Family caregiver gently caring for her elderly father at home, illustrating respite care in a domestic setting

Virginia’s Medicaid pays for respite care through Virginia’s Commonwealth Coordinated Care Plus (CCC Plus) waiver. Income-eligible seniors in Alexandria can access a defined number of respite hours per year, adult day program enrollment, and short residential respite stays. Application processing typically takes 2–6 months and is administered through the Virginia Department for Aging and Rehabilitative Services (DARS), with local enrollment support from Alexandria’s Division of Aging and Adult Services.

Who qualifies for Medicaid respite in Alexandria?

Three eligibility tests apply:

  • Income: typically near the SSI level (varies by state and program)
  • Assets: usually under $2,000 to $10,000, excluding primary home and one vehicle
  • Clinical need: documented need for help with activities of daily living, signed by a physician

The Virginia application includes 12 months of bank statements and proof of income and assets.

What Virginia’s Commonwealth Coordinated Care Plus (CCC Plus) waiver covers in Alexandria

Typical coverage for Virginia HCBS waiver participants in Alexandria:

  • In-home respite hours (often 240–720 per year)
  • Adult day program enrollment — several licensed programs operate in the Alexandria area
  • Short residential respite stays at qualifying facilities
  • Some home modifications and assistive technology

Coverage varies by specific waiver and program enrollment slot availability.

How to apply for Medicaid respite in Alexandria

Step-by-step for Virginia applicants:

  1. Call Alexandria’s Division of Aging and Adult Services for an initial intake (free).
  2. Gather documents: birth certificate, marriage certificate (if applicable), 12 months of bank statements, proof of income, physician’s documentation of need.
  3. Submit application through the Virginia Department for Aging and Rehabilitative Services (DARS) — see https://www.dmas.virginia.gov/for-members/managed-care-programs/ccc-plus/.
  4. Track the application; respond to information requests within deadlines.
  5. Once approved, work with a case manager to develop the respite care plan.

Typical wait times in Virginia

Virginia processing typically takes 2–6 months from application to first approved service. Some specific waiver slots in Virginia have multi-year waiting lists; others have immediate availability. Alexandria’s Division of Aging and Adult Services can clarify what’s available for Alexandria applicants today.

Combining Medicaid with other funding

Many Alexandria families stack funding:

  • Virginia’s Commonwealth Coordinated Care Plus (CCC Plus) waiver for primary respite hours
  • National Family Caregiver Support Program (via Alexandria’s Division of Aging and Adult Services) for free supplemental hours
  • Private pay for premium hours outside Medicaid coverage
  • VA benefits for eligible veterans — coordinated with the Washington DC VA Medical Center

A 15-minute call with a respite care coordinator can help you understand whether your Alexandria family qualifies for Medicaid respite and what the realistic timeline looks like. Talk to a RespiteCare advisor when you’re ready.

Frequently asked questions

How long does the Virginia Medicaid respite application take?

+

2–6 months from application to first approved service for most Alexandria applicants. Some specific Virginia waivers have multi-year waiting lists; others have immediate slot availability. Alexandria's Division of Aging and Adult Services or the Virginia Department for Aging and Rehabilitative Services (DARS) can clarify current wait times. Apply early — don't wait until you need the respite to start the application.

What income and assets disqualify a Alexandria senior from Medicaid respite?

+

Income above Virginia's threshold (typically near SSI level) and assets above $2,000–$10,000 (excluding primary home and one vehicle) typically disqualify. Virginia's specific limits vary by waiver. Medical expenses including paid in-home care can sometimes offset income for eligibility purposes — ask Alexandria's Division of Aging and Adult Services about the medical-deduction calculation.

Can I get Medicaid respite if my parent owns their home in Alexandria?

+

Yes — primary residence is excluded from the asset calculation in Virginia's Medicaid programs. The home doesn't disqualify your parent from Virginia's Commonwealth Coordinated Care Plus (CCC Plus) waiver. Estate recovery rules may apply later (the state may seek reimbursement from the estate after death), but the home doesn't block eligibility while your parent is alive.

Does Virginia Medicaid pay family members to provide respite in Alexandria?

+

Some Virginia waivers allow family-member caregivers to be paid; others don't. Spouses are often excluded from being paid; adult children are sometimes eligible. Call Alexandria's Division of Aging and Adult Services to confirm the specific rules for Virginia's Commonwealth Coordinated Care Plus (CCC Plus) waiver as it applies to Alexandria families. The Veteran-Directed Care program is more uniformly family-friendly than state Medicaid.

What's the difference between Medicaid and Medicare for respite in Alexandria?

+

Medicare covers respite only narrowly — 5-day inpatient stays under the hospice benefit. Virginia Medicaid covers a much broader menu: in-home respite hours, adult day, and short residential respite for income-eligible seniors in Alexandria. Many Alexandria families use both: Medicare for short-term skilled home health, Medicaid for ongoing respite.

Share this article

About the author

Anna Nichols

Content Strategist

Anna writes about caregiving and senior care, with a focus on practical guidance for family caregivers.

View full bio