Long Term Care (LTC) encompasses a variety of services which help meet both the medical and non-medical needs of people with a chronic illness or disability who cannot care for themselves for long periods. Long-term care can be provided at home, in the community, through PACE, with hospice services, or in nursing homes.

For help with services and payment for an assisted living facility, please refer to the Auxiliary Grant page under Adult Services page as this is a separate application. Assisted Living/Auxiliary Grants 

Community Based Care Waiver services may be an alternative to a nursing facility or other type of institutional care. There are specialized waiver programs that serve specific populations, such as frail elderly, disabled persons, and those with intellectual or developmental disabilities or severe medical conditions that require the assistance with activities of daily living,(bathing, cooking, cleaning, etc.)  

If you or someone you know are seeking Community Based Care or Waivered Services and have not had a screening, you/they may apply for Medical Assistance at any time. A screening will be required. The screening can be completed by an Adult Services Social Worker and a Virginia Department of Health Nurse, or by hospital staff if you/they are inpatient in a medical facility. To contact Adult Services please call 434-972-4010 and ask for the Adult Services intake worker on call.

*A screening may not be required for hospice services or nursing home care under certain circumstances.

*All requests for screenings for children should be made to your local Health Department.

 Charlottesville-Albemarle Health Department

1138 Rose Hill Drive Charlottesville, VA 22903

Phone: 434-972-6200 | Fax: 434-972-4310

People who receive Medicaid-covered long-term care services may be required to contribute some of their countable income toward the cost of care. This is called patient pay. Individuals with Supplemental Security Income (paid by the Social Security Administration) and have no other source of income do not have to contribute toward the cost of care.