The Virginia Office of Aging Services administers and funds many resources and programs that help make the Old Dominion a superb location to age in place for the state’s approximately 1.3 million senior citizens. The strict state regulations that govern home health organizations can let seniors rest easier about hiring home care providers. With an average monthly cost of $4,195 for in-home care in Virginia, seniors can also feel good about paying less per month than their peers nationwide.

Read on for more details about the cost of home care in Virginia and various financial assistance options to pay for this type of care, as well as free and low-cost resources that can help seniors age in place.

The Cost of In-Home Care in Virginia

In-Home Care Costs in Nearby States

The Genworth Cost of Care Survey 2019 reveals that in-home care costs $4,195 per month on average in Virginia, which is $95 lower than the national median rate of $4,290. In comparison, the cost of home care is $286 higher in neighboring Maryland, but a significant $763 less per month in West Virginia. The identical average monthly costs in Kentucky and North Carolina are $388 lower than the monthly rate paid in Virginia.




United States Average






North Carolina


West Virginia

Cost of Other Types of Care in Virginia

Prices for senior care in Virginia can differ drastically, depending on the level of care needed and where it is provided. Home health services that include skilled care average almost $200 more than homemaker services at $4,382 per month. Assisted living in a residential setting costs an average of $4,800, while around-the-clock care in a nursing facility has the highest cost at $7,350. Virginia seniors pay the least for weekday-only adult day care in a group setting, which averages just $1,603 per month.


In-Home Care


Home Health Care


Adult Day Care


Assisted Living Facility


Nursing Home Care

The Cost of In-Home Care in Virginia’s Top Cities

Comparing Costs Across Virginia

The cost of in-home care can vary by a few hundred dollars per month across the state, as is seen in the prices charged in Virginia’s largest population centers. The most expensive monthly rate of $4,624 is paid in Charlottesville, while the average cost in the capital city of Richmond is not far behind at $4,576 per month. Average monthly prices for homemaker services in Roanoke and Lynchburg are identical at $4,004, whereas seniors in the coastal city of Virginia Beach pay $3,909 per month.


Virginia Beach









Financial Assistance for In-Home Care in Virginia

Commonwealth Coordinated Care Plus Waiver

Virginia Medicaid offers the Commonwealth Coordinated Care Plus Waiver to provide necessary care and supportive services in an eligible senior’s own home, so they can retain their independence. The program provides case management, all-inclusive medical services through managed care providers and a range of supportive services deemed necessary to meet their needs. These may include assistance transitioning back to their home from a nursing facility, in-home and personal care assistance, assistive technologies, private-duty nursing care and nonemergency medical transportation. A personal emergency response system and home and vehicle modifications may also be provided.

Who Is Eligible?
Enrollment in the CCC+ program is automatic for Virginia residents aged 65 and older who meet the Medicaid program’s eligibility guidelines. These include having a monthly income no greater than 300% of the federal poverty level, no more than $2,000 in countable assets per person and the need for a nursing home or hospital level of care.

How to Apply
Seniors can apply for the CCC+ waiver program at their local Department of Social Services office.

Program of All-Inclusive Care for the Elderly

There are 11 Programs of All-Inclusive Care for the Elderly available across the state of Virginia, which are designed to help eligible seniors age in place and avoid unnecessary admission to a nursing home. The programs provide case management and a comprehensive plan that includes medical services, day care at a local PACE center and various in-home support services. PACE services may come at no cost to seniors who qualify for Medicare and Medicaid coverage.

Who Is Eligible?
Virginia residents must be aged 55 or older and meet specific financial and functional guidelines to enroll in a PACE program. They must also live within a PACE provider’s service area, as defined by zip code.

How to Apply
Interested seniors may contact the Virginia PACE provider serving their area to learn more about the program and begin the application process.

Virginia Adult Services Program

The Virginia Department for Aging and Rehabilitative Services funds the Adult Services Program to provide necessary services and supports to elderly state residents at risk of nursing home admission, so they can continue living at home. The program provides case management, companionship, transportation and escort services, as well as homemaker, household chore and home maintenance assistance and nutritional counseling. The amount of weekly assistance an individual may receive is assessed on a case-by-case basis according to their specific needs, but the maximum the program provides is 20 hours per week.

Who Is Eligible?
To qualify for in-home support through the Adult Services program, Virginia residents must be aged 60 or older, or disabled, and be assessed as needing significant assistance on a regular basis. They must also have an income within the program’s guidelines, as determined by their local Social Services office.

How to Apply
To apply for the AS program, seniors should visit the Social Services Department office serving their area.

More Ways to Pay for In-Home Care

While the above programs help many people finance in-home care, they will not cover all costs for everyone. There are other ways to pay for in-home care, including out-of-pocket arrangements with siblings, annuities, reverse mortgages, private insurance, and more. Read’s Guide to In-Home Care Costs to learn more about these alternative payment options.

Free and Low-Cost In-Home Care Resources in Virginia

Seniors in Virginia who want to continue living independently can find a wide range of free or low-cost resources that may help them remain in their own homes. These include funding to help pay for home accessibility modifications, respite care, wellness programs, home-delivered meals, transportation services and more. Depending on the program seniors apply for, they may need to meet certain functional or financial criteria to qualify for assistance.

ContactServices Provided
Residential Repair and RenovationContact your local Area Agency on Aging to learn moreThe Office of Aging Services administers programs managed by local AAAs that can help eligible seniors pay for home repairs and modifications to improve safety and accessibility.
Virginia Caregiver Coalition804-967-2582 or 804-827-0423The Virginia Caregiver Coalition supports caregivers across the state by providing access to local resources, caregiver training and funding for short-term respite relief services.
Chronic Disease Self-Management Program800-552-3402Live Well Virginia offers a six-week program that provides seniors with tools and information to better manage chronic illnesses and attain a higher overall quality of life.
Home-Delivered NutritionCall 804-662-9319 to learn moreHomebound seniors aged 60 and over can have healthy meals delivered to their door through this program. Nutritional education and counseling services are also offered.
Senior Farm Market Fresh ProgramCall 804-662-9319 for more information or apply at your local Area Agency on AgingThe FMF program provides eligible seniors aged 60 and older with vouchers to purchase fresh, nutritious fruits, herbs and vegetables at participating farmers’ markets across the state.
Senior Legal Helpline844-802-5910This statewide toll-free helpline offers legal advice about public benefits, age discrimination, long-term care, guardianship and some consumer issues.
Transportation AssistanceContact your local Area Agency on AgingThe 25 AAAs throughout Virginia help connect eligible seniors with transportation services in their local areas.

In-Home Care Laws and Regulations in Virginia

The Virginia Department of Health – Office of Licensure and Certification is responsible for the licensing and oversight of home care organizations operating in the state. Any organization that provides hands-on personal care to clients, such as assistance with bathing, grooming, ambulation or eating, must be licensed. The office also investigates any complaints filed against providers and conducts unannounced on-site inspections to ensure compliance with state regulations. The table that follows offers an overview of the rules and regulations governing home care organizations in Virginia.

Scope of CareHome care organizations may offer various nonmedical services to seniors, including assistance with the five activities of daily living and medication self-administration. Homemaker tasks, such as preparing meals, performing household chores, accompanying seniors to appointments and running errands may also be provided.
Care Plan RequirementsOrganizations must provide each senior receiving personal care services with a written care plan developed by an RN. This plan must include an assessment of the client’s needs, their functional limitations and special dietary requirements, along with the specific services provided and their frequency.
Medication Management RequirementsHome care aides may provide reminders and assist seniors with the self-administration of physician-prescribed medications.
Staff Screening RequirementsA criminal background check must be obtained for new staff members within 30 days of employment. Until the report is received, the person may not work directly with clients, unless under the supervision of another employee.
Staff Training RequirementsHome care aides who provide personal care services must have completed a nurse aide education course or passed a state-approved competency evaluation program. Aides must also complete a minimum of 12 hours of ongoing training annually.
Medicaid CoverageVirginia Medicaid may cover the cost of in-home care services for eligible seniors through either the Commonwealth Coordinated Care Plus waiver or the PACE program.
Reporting AbuseVirginia’s Adult Protective Services Division investigates reports of neglect, exploitation and abuse of adults aged 60 and over. Concerned individuals can report an incident by calling the APS hotline at 888-832-3858, or contacting the nearest Department of Social Services office.

Frequently Asked Questions

Are There Programs to Cover Home Modifications in Virginia?

Assistance to pay for home safety and accessibility modifications is available to those enrolled in Virginia Medicaid’s Commonwealth Coordinated Care Plus waiver. The Office of Aging Services also offers a residential repair and renovation program through the 25 Area Agencies on Aging across the state.

How Much Does In-Home Care Cost in Virginia?

According to the Genworth Cost of Care Survey 2019, the cost of home care in Virginia averages $4,195 per month. This is about $100 below the national median, and almost $200 less than the average cost of home health services, which include skilled nursing care.

Does Virginia Medicaid Pay for In-Home Care?

In Virginia, regular Medicaid only covers the cost of care in a nursing home. However, the program does offer the Commonwealth Coordinated Care Plus Waiver that pays for a range of in-home services and supports for individuals who meet Medicaid’s financial and functional eligibility guidelines.

What Are Activities of Daily Living?

Activities of daily living, which are commonly referred to as ADLs, are the self-care tasks an individual routinely completes on a daily basis. They include bathing, grooming, dressing, elimination, moving/walking and eating. ADLs are not the same as instrumental activities of daily living, which are more complex.

What Types of Services Does a Home Care Aide Provide?

In Virginia, home care attendants can assist seniors with daily personal care tasks, such as bathing, grooming and dressing, provide medication reminders, help them self-administer medications and furnish transportation to medical appointments. They may also perform housekeeping chores, prepare meals and run errands.

Home Care Services in Virginia (383)