• Home-based services (companion, chore & homemaker services)
• Adult foster care
• Adult day care
• Case management
• Nutrition
• Assessments for adults entering or residing in assisted living facilities
• Screenings for adults entering nursing facilities or who need Medicaid-funded home and community-based waivers

These services are provided by local departments of social services and are designed to help adults remain as independent as possible, preferably in their own home. The goal is to strengthen appropriate family and social supports and reduce the need for institutional placement.

• Elderly or impaired, low income adults who may need home-based services
• Low-income adults who need prescreening for nursing facility placement or Medicaid-funded community-based services
• Low-income adults who need an assessment for assisted living facility placement
• Impaired adults who are emancipated from a local department of social services' custody and who need services
• Adults who need and request services to avoid institutionalization

An application for services is available at your local department of social services. It can be completed by the person seeking services or by someone acting on that person's behalf. The applicant's eligibility for services will be determined based on need, the availability of the services and any financial eligibility requirements that apply.

If you have applied for, or are receiving home-based services, and disagree with related action taken by the local department of social services, you can request an appeal. You must request the appeal within thirty days (30) of receiving written notification of the action with which you disagree.

• Learn more » Webpage

• Appendix K (PDF)
• Application for Department Approved Provider (PDF)
• Assisted Living Facility Level of Care Worksheet ( (PDF)
• Assurance of Confidentiality (PDF)
• Authorization to Act as an Agent on an Adult’s Behalf (PDF)
• Certificate of Approval (PDF)
• Compliance Form for Department Approved Provider (DOC)
• Consent to Exchange Information (PDF)
• Consent to Exchange Information (Spanish) (PDF)
• Eligibility Communication Document (PDF)
• Interagency Consent to Release Confidential Information for Drug and Alcohol Patients (PDF)
• Medicaid Funded Long-term Care Service Authorization (DOC)
• Notice of Action Service Programs (PDF)
• Report of Guardian for an Incapacitated Person (PDF)
• Rights of Adults in Care (PDF)
• Service Application (PDF)
• Tuberculosis Statement (PDF)
• UAI (PDF)
• UAI (Uniform Assessment Instrument) Private Pay (PDF)
• UAI (Uniform Assessment Instrument) Virginia (Large Type) (PDF)
• UAI (Uniform Assessment Instrument) Virginia Attachment to Short Form (PDF)
• Uniform Assessment Instrument (UAI) Plan of Care (PDF)

• Manual (PDF)
• Transmittal 220 (PDF)

Adult Services

• Chapter 1 Introduction to Adult Services (PDF)
• Chapter 2 Adult Protective Services (PDF)
• Chapter 3 Case Management (PDF)
• Chapter 3 Case Management (PDF)
• Chapter 4 Long Term Care Services (PDF)
• Chapter 5 Adult Services Providers (PDF)
• Chapter 6 Confidentiality (PDF)
• Chapter 7 Guardianship and Conservatorship (PDF)
• Transmittal 213 (PDF)
• Transmittal 216 (PDF)
• Transmittal 222 (PDF)
• Transmittal 229 (PDF)
• Transmittal 240 (PDF)
• Transmittal 249 (PDF)
• Transmittal 253 (PDF)
• Transmittal 254 (PDF)

Assisted Living Facility Assessment

• ALF Assessment Manual (Public Pay) (PDF)
• ALF Private Pay (PDF)
• Transmittal 227 (PDF)
• Transmittal 234 (PDF)

UAI (Uniform Assessment Instrument)

• Manual (PDF)

• AARP (Web page)
• Alzheimer's Association (Web page)
• Caregiver Action Network (Web page)
• Department of Medical Assistance Services (Web page)
• Family Caregiver Alliance (Web page)
• National Council on Aging (Web page)
• National Institute on Aging (Web page)
• Partnership for People with Disabilities (Web page)
• SeniorNavigator.com - Virginia's Resource for Health & Aging (Web page)
• Virginia Center on Aging (Web page)
• Virginia Department for Aging & Rehabilitative Services (Web page)
• Virginia Department of Behavioral Health & Developmental Services (Web page)
• Virginia Department of Health (Web page)
• Virginia Division for the Aging (Web page)
• Virginia Office for Protection & Advocacy (Web page)
• Virginia State Bar Senior Citizens Handbook (Web page)