expect more

We are a small, non-profit organization and we operate with a singular focus on families such as yours. We use a Dedicated-Care Model to ensure you have one provider available to handle all of your needs, from intake to plan completion to prior authorization to follow up. We only hire full-time staff so you don’t have to compete with a provider’s second livelihood.

You are the expert regarding your loved one and yours is the most important voice in the room. Our staff use the information you provide during intake and follow up visits as the foundation for a support plan.

We build upon your valuable input using evidence-based care and the in-house experience of process experts from a variety of disciplines. Each plan is collaborative, flexible, and person-centered. A plan is not a box to be checked or a task to be completed. It is an important tool that helps families and providers to measure the effectiveness of supports based on what is important to and for your loved one.

medicaid-funded services


“Consumer directed” means that a person with a disability, often working with their family, decides exactly who will be hired to provide support services. The consumer is the person with a disability and they are “directing” or controlling exactly who will assist them. The individual with a disability can appoint a family member or friend to help in this role. You can choose to hire people with specific backgrounds, training, or interests since you’ll decide exactly who will work for you. The services that can be provided vary widely and may include help with personal care and other daily activities, cooking, cleaning, completing homework, or whatever else you may need to be an independent as possible. The person who provides the supports is often called an aide, attendant, or personal care attendant.

We are a preferred provider with each MCO and are highly proficient in developing support plans for anyone with a DD Waiver. We also work with children using EPSDT-funded services and obtain the needed screening document (DMAS-7) for families. We offer in-house, RN oversight and have extensive experience supporting “high-tech” kids and those with exceptional needs.

  • Individuals can expect to be approved for 25 -35 hours per week but may be approved for up to 56 hours per week or more; the cost of care cannot exceed the cost of institutionalization and care cannot generally be 24 hours per day with rare exceptions, including for those transitioning from institutional care or who otherwise require 24 hour care in the community
  • A Service Facilitator (SF) is assigned to work with families who choose CD Services; your SF will visit regularly, often monthly, and is available to you by phone during business hours for support and questions



Individual & Family Caregiver Training is training or counseling to individuals, families and caregivers to improve supports or educate an individual to gain a better understanding of his/her disability or increase his/her self-determination/self-advocacy abilities.

One popular IFCT topic is sexuality among individuals with developmental disabilities and how to effectively negotiate boundaries. This class addresses sexuality as a basic human right as well as each individual’s right to self-determination.

Another popular topic under IFCT is Sibling support, which offers recreational activities to siblings of children with special healthcare needs. Activities my be therapeutic but are not “therapy” and are designed using a wellness approach to celebrate the many lifelong contributions made by brothers and sisters of people with special health and developmental needs. A healthy family dynamic has been shown to decrease the likelihood of out-of-home placement for children with disabilities.

Development of a one-page profile is yet another popular IFCT available to those with an FIS Waiver and their family members. A one-page profile captures all of the important information about a person on a single sheet of paper under three simple headings: what people appreciate about me, what’s important to me and how best to support me.

  • Up to 80 hours per plan year for those with the FIS Waiver

  • A Care Coach provides FCT to families at a mutually agreed upon time in the home



Community Guide Services include direct assistance to an individual in his or her home and in the community. This support is designed to promote an individuals’ self- determination through brokering community resources that lead to connection to and independent participation in integrated, independent housing or community activities so as to avoid isolation.

This services supports an individual’s move to independent housing by helping with transition and tenancy sustaining activities. The community housing guide collaborates with the support coordinator, regional housing specialist, and others to enable the individual to achieve and sustain integrated, independent living.

Allowable activities include the following:

– determining an individual’s preferences and barriers to independent housing

– assistance identifying resources to cover expenses

– assistance with the details of the move itself

– providing training on good tenancy habits and expectations

– assistance resolving disputes with a landlord or neighbors

– assistance with the tenancy recertification process.

  • Up to 120 hours per plan year or up to six months of consecutive support

  • A Housing Coach provides Housing Guide Services at a mutually agreed upon time in the home or community, including prospective living options



We offer traditional, DMAS-approved Personal Care Aide classes that lead to certification as a PCA and the ability to work as a Medicaid aide within the Commonwealth of Virginia.

We also offer a specialized pediatric module focused on special healthcare needs among children as well as individuals with developmental disabilities. Special topics include behavioral challenges, common ABA techniques, high-tech kids and the importance of helping to achieve developmental milestones through habilitation.

  • 40 hours for PCA classes; 56 hours for PPCA classes

  • Group Training



“This organization is what I want and need as a parent but haven’t found anywhere else.  For the providers at Access, it’s personal and they get it.”

Jeannie Cornett, Founder


Darby Keep, Program Manager


We strive to support underserved populations and geographical areas. Classes are taught at-cost and scholarships are available. If you are interesting in having an aide class offered in your area, please let us know.