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Agency Directed. In Virginia, individuals approved for Medicaid waivers can choose Agency-Directed care, where a licensed home care agency is responsible for hiring, training, and supervising personal care attendants. The agency manages scheduling, payroll, and ensures caregivers meet all state requirements. This model is a good option for those who prefer professional oversight and less responsibility in managing their own care. Agency-Directed services are available through waivers like the CCC Plus Waiver and the Developmental Disability (DD) Waivers.

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