The Building Independence Waiver (BI) is one of the three Medicaid Home and Community-Based Services (HCBS) waivers for individuals with developmental disabilities (DD) in Virginia. It is designed to support adults 18 or older who can live and work fairly independently but need drop-in support. The BI waiver helps them access services and supports that enable them to live in an integrated, independent living arrangement, such as their apartment or house.
The BI waiver is a Medicaid program that covers a range of services and supports for adults with DD who want to live independently in the community. The BI waiver has limited slots available, and there is a waiting list for a waiver slot. The BI waiver is administered jointly by the Virginia Department of Medical Assistance Services (DMAS) and the Virginia Department of Behavioral Health and Developmental Services.
To qualify for the BI waiver, a person needs to meet the following criteria:
The BI waiver offers services and supports that help individuals achieve their goals and preferences in living, working, and participating in their communities. Some of the services available under the BI waiver are:
One of the options available under the BI waiver is self-direction, also known as participant-direction or consumer-direction. Self-direction gives individuals more choice and control over their services and supports. Self-direction is not mandatory under the BI waiver, but it is an option that individuals can choose if they want more flexibility and autonomy over their services.
To learn more about self-direction under the BI Waiver, visit the Virginia Community Services Board website to contact the Community Services Board in your community.
If you are a caregiver for someone eligible for the BI waiver or another waiver, you may be able to get paid for the work you do. To find out if you may be eligible for caregiver compensation, please fill out this form, and we will get back to you as soon as possible.