Virginia action guide · Verified July 25, 2026
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Enrolled; selecting Virginia services or providers

Confirm Virginia service authorization and rate

Confirm the authorized service, units, setting, and applicable rate region.

Official sources checked 2026-07-25

Start here

Open the current Virginia DD waiver rate file

Before you start

  • The approved Individual Support Plan, service authorization, provider proposal if any, locality, service code, unit, tier or modifier, and start date.

Who to contact

The support coordinator confirms the person’s authorization; the official DMAS file controls the published rate cell.

Step by step

  1. Ask the support coordinator to identify the exact authorized service, amount or units, setting, start date, and delivery model.
  2. Match any public rate only by service, code, unit, tier or modifier, geography, and effective date.
  3. Use Northern Virginia and Rest of State cells only where the official file distinguishes them.

Expected next

A written authorization and a correctly matched rate cell or a documented reason the public schedule is not the person’s actual payment arrangement.

Save this proof

Authorization, service code, unit, tier or modifier, geography, effective date, and source-file page or row.

If this stalls or the answer is no

Ask the support coordinator to resolve the authorization; do not infer an individual budget or provider payment from a nearby public rate.

Beyond Childhood planning aid

Rate-match checklist

A rate is comparable only when all dimensions match.

  • Service
  • Code
  • Unit
  • Tier or modifier
  • Northern Virginia or Rest of State
  • Effective date
  • Authorization

Derived from Support Coordination Handbook, SFY27 My Life, My Community Rate File

Official resources

Limits

Published fee schedules do not establish an individual authorization, provider-specific negotiated arrangement, customized rate, capacity, or service receipt.

Beyond Childhood’s checklists and prompts are planning aids derived from official sources. They are not official forms, legal advice, eligibility decisions, or guarantees of funding, capacity, quality, or service.

Checked sources

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