--- title: "Home Care in Virginia: Live-In, 24-Hour and Companion Care" description: "Non-medical home care in Virginia: 11 locations, local costs, Virginia Medicaid home care programs, licensing rules and senior resources." url: https://homecare.preview.multisites.ai/state/virginia/ publisher: HomeCare.com phone: 800-974-3458 start: https://care.homecare.com/?source=homecare.com --- # Home care providers in Virginia Non-medical caregivers in 11 Virginia locations, from a few hours a week to live-in care. No minimums, no contracts. [Call 800-974-3458](tel:+18009743458)See the map Typical home care rate**$35/hour**Virginia median for a non-medical caregiver Adults 65 and older**1,453,743**16.7% of Virginia residents Seniors living alone**386,204**households where someone 65+ lives alone HomeCare.com locations**11**[Alexandria](https://homecare.preview.multisites.ai/state/virginia/alexandria/)[Arlington](https://homecare.preview.multisites.ai/state/virginia/arlington/)[Chesapeake](https://homecare.preview.multisites.ai/state/virginia/chesapeake/)[Henrico](https://homecare.preview.multisites.ai/state/virginia/henrico/)[Newport News](https://homecare.preview.multisites.ai/state/virginia/newport-news/)[Norfolk](https://homecare.preview.multisites.ai/state/virginia/norfolk/)[Reston](https://homecare.preview.multisites.ai/state/virginia/reston/)[Richmond](https://homecare.preview.multisites.ai/state/virginia/richmond/)[Roanoke](https://homecare.preview.multisites.ai/state/virginia/roanoke/)[Virginia Beach](https://homecare.preview.multisites.ai/state/virginia/virginia-beach/)[Woodbridge](https://homecare.preview.multisites.ai/state/virginia/woodbridge/) Sources: [CareScout Cost of Care Survey 2025](https://www.carescout.com/cost-of-care); U.S. Census Bureau, American Community Survey 2020-2024. ## Select the location nearest to you. - [AlexandriaAlexandria city**$36/hr****13.0% 65+**](https://homecare.preview.multisites.ai/state/virginia/alexandria/) - [ArlingtonArlington County**$36/hr****11.9% 65+**](https://homecare.preview.multisites.ai/state/virginia/arlington/) - [ChesapeakeChesapeake city**$35/hr****14.6% 65+**](https://homecare.preview.multisites.ai/state/virginia/chesapeake/) - [HenricoHenrico County**$36/hr****17.0% 65+**](https://homecare.preview.multisites.ai/state/virginia/henrico/) - [Newport NewsNewport News city**$35/hr****14.1% 65+**](https://homecare.preview.multisites.ai/state/virginia/newport-news/) - [NorfolkNorfolk city**$35/hr****13.0% 65+**](https://homecare.preview.multisites.ai/state/virginia/norfolk/) - [RestonFairfax County**$36/hr****16.2% 65+**](https://homecare.preview.multisites.ai/state/virginia/reston/) - [RichmondRichmond city**$36/hr****14.1% 65+**](https://homecare.preview.multisites.ai/state/virginia/richmond/) - [RoanokeRoanoke city**$37/hr****17.8% 65+**](https://homecare.preview.multisites.ai/state/virginia/roanoke/) - [Virginia BeachVirginia Beach city**$35/hr****15.9% 65+**](https://homecare.preview.multisites.ai/state/virginia/virginia-beach/) - [WoodbridgePrince William County**$36/hr****9.5% 65+**](https://homecare.preview.multisites.ai/state/virginia/woodbridge/) Hourly: area median home care rate (CareScout 2025). 65+: Census share of residents (metro area for "Metro" locations). License required ## Is non-medical home care licensed in Virginia? Virginia licenses home care organizations through the Virginia Department of Health, Office of Licensure and Certification (OLC). A home care organization is one that provides home health, personal care or pharmaceutical services in a person's home. Personal care means non-skilled help with activities of daily living such as bathing, dressing and toileting. The state rules do not apply to providers of only homemaker, chore or companion services, and they do not cover family members, relatives or friends who give care. Home health agency status is a separate federal Medicare certification for skilled nursing plus therapy. The state regulation (12VAC5-381) is still in force, and its fee and application sections were amended effective May 22, 2025. **Tip:** Ask an agency that offers bathing or other personal care for its VDH home care organization license, and ask the Office of Licensure and Certification to confirm it, because companion-only agencies may be exempt. [Check a license](https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/) Sources: [VDH OLC: Home Care & Hospice](https://www.vdh.virginia.gov/licensure-and-certification/division-of-acute-care-services/home-care-and-hospice/); [Virginia Administrative Code: 12VAC5-381, Regulations for the Licensure of Home Care Organizations](https://law.lis.virginia.gov/admincode/title12/agency5/chapter381/); [Virginia Administrative Code: 12VAC5-381-10, Definitions](https://law.lis.virginia.gov/admincode/title12/agency5/chapter381/section10/); [Virginia Department of Health, Office of Licensure and Certification](https://www.vdh.virginia.gov/licensure-and-certification/) ## Virginia programs that can help pay. Most families pay privately, with long-term care insurance or with veterans benefits. These programs can pay for help at home for people who qualify. HCBS waiver ### Commonwealth Coordinated Care Plus (CCC Plus) Waiver **Who:** Older adults, people with a physical disability, and people who are chronically ill or severely impaired and who would otherwise need a nursing facility or a long hospital stay. The person must meet nursing facility level of care, pass a screening, and be eligible for Medicaid. What it covers Personal care (agency-directed or consumer-directed), respite, adult day health care, personal emergency response systems, assistive technology, environmental modifications and private duty nursing. The 2025 fact sheet lists a soft cap of 56 personal care hours per week, with exceptions, and 480 respite hours per state fiscal year. **Family caregivers:** Yes. Members can direct their own personal care and respite by hiring an attendant, and DMAS lists companion services as directable too; spouses and parents of minors (legally responsible individuals) may be paid for extraordinary personal care up to 40 hours per week. [Official page](https://www.dmas.virginia.gov/for-members/benefits-and-services/waivers/ccc-plus-waiver/) ### Program of All-Inclusive Care for the Elderly (PACE) **Who:** Adults age 55 or older who live in a PACE service area, can live safely in the community, and qualify for nursing facility level of care by the Virginia Uniform Assessment Instrument (per Sentara PACE). What it covers Medical care, rehabilitation, in-home services and transportation through one PACE organization, which must furnish or authorize all services. [Official page](https://www.dmas.virginia.gov/for-providers/benefits-services-for-providers/long-term-care/programs-and-initiatives/program-of-all-inclusive-care/) **Income limit:** The DMAS July 2026 eligibility chart, 'Categorically Needy 300% of SSI', lists $2,982 per month for one person, effective January 2026. Long-term care Medicaid in Virginia uses this limit for many groups. Other rules apply, so confirm with the local Department of Social Services. Rules change; confirm with [Virginia Department of Medical Assistance Services (DMAS)](https://www.dmas.virginia.gov/). A care advisor can talk through payment options. ## What a month of care costs in Virginia. At the Virginia median of $35 an hour, home care for part of the day usually costs less than a facility. [Costs in every location](https://homecare.preview.multisites.ai/cost-of-home-care/) - Home care, 20 hrs a week~$3,033/mo - Home care, 44 hrs a week~$6,673/mo - Assisted living$6,945/mo - Nursing home, shared room~$10,250/mo Virginia medians, CareScout Cost of Care Survey 2025. Home care months are estimates: hourly rate x hours x 52 / 12. Not HomeCare.com prices. ## Help at home with daily living. - Care in your home - Meal preparation - Light housekeeping - Bathing and dressing - Transportation - Companionship - Personal care About home care in Virginia Home care in Virginia helps seniors who need assistance with “activities of daily living (ADL’s)” and their family. In-Home Care can be provided in Virginia by either a home care agency or private duty caregivers. Agencies have physical locations and are more strictly regulated by the state, but many more experienced caregivers decide to work directly for the family as private duty home health aides so they can avoid the agency overhead that cuts into their wages. HomeCare.com specializes in connecting families with caregivers who meet their unique needs. Our care advisors have years of experience dedicated to assisting families through this process. We'd be happy to offer you a free consultation to discuss your specific requirements and help you find the best possible caregiver. [Six kinds of care**Live-in, 24-hour, companion, personal, dementia and respite care**Compare services](https://homecare.preview.multisites.ai/services/) ## Free help for Virginia families. State unit on aging ### Virginia Department for Aging and Rehabilitative Services (DARS), Division for Aging Services [804-662-9333](tel:+18046629333)[Website](https://dars.virginia.gov/about/divisions/aging-services/) Aging and disability resources ### Virginia Easy Access (No Wrong Door Virginia) [1-888-992-0959](tel:+18889920959)[Website](https://easyaccess.virginia.gov/) Long-term care ombudsman ### Office of the State Long-Term Care Ombudsman (DARS) [804-565-1600](tel:+18045651600)[Website](https://dars.virginia.gov/about/divisions/state-ombudsman/) PACE ### All-inclusive care for the elderly Where PACE is available PACE programs serve parts of Hampton Roads, the Peninsula, Richmond, the Roanoke Valley and Northern Virginia. Sentara PACE covers Norfolk, Virginia Beach, Chesapeake, Suffolk, Portsmouth, Surry, Isle of Wight and Franklin. Service areas are set by ZIP code, so families should confirm their address with the program. ## Questions about care in Virginia. Rather talk it through? A care advisor can answer these by phone. [800-974-3458](tel:+18009743458)[Call a care advisor](tel:+18009743458) ### How much does home care cost in Virginia? CareScout's 2025 survey lists a statewide median of $35 an hour for a non-medical caregiver in Virginia. Local figures differ. The survey shows $36 an hour in the Washington Area and in Richmond, and $37 in Roanoke. HomeCare.com does not list rates on this page, so a care advisor can explain costs for your address at 800-974-3458. ### Does Medicaid pay for home care in Virginia? It can. The Virginia Department of Medical Assistance Services runs the Commonwealth Coordinated Care Plus (CCC Plus) Waiver. It covers personal care, respite and adult day health care for people who meet nursing facility level of care and are eligible for Medicaid. Ask your local Department of Social Services for a screening. A HomeCare.com care advisor can talk through payment options. ### Is non-medical home care licensed in Virginia? Partly. Virginia licenses home care organizations through the Virginia Department of Health, Office of Licensure and Certification. That covers personal care such as bathing, dressing and toileting. The state rules do not apply to providers of only homemaker, chore or companion services. If an agency offers bathing, ask for its VDH home care organization license. ### Can a family member be paid to give care in Virginia? In some cases. Under the CCC Plus Waiver, members can hire and manage their own attendant through consumer-directed care. Virginia Medicaid may also pay a spouse or a parent of a minor for extraordinary personal care, for up to 40 hours per week. Virginia Easy Access also lists a Lifespan Respite Voucher Program for family caregivers. ### How do I find senior services near me in Virginia? Start with Virginia Easy Access (No Wrong Door Virginia) at 1-888-992-0959. Its Service Finder lists in-home services and other local supports. Your local Area Agency on Aging is the next stop, and the Virginia Department for Aging and Rehabilitative Services lists each one. Each HomeCare.com location page names the agency for that area. ### How does HomeCare.com work in Virginia? HomeCare.com connects Virginia families with credentialed, non-medical caregivers. Every caregiver referred passes a background check. Families set the visits and hours, with no minimums and no contracts. The app confirms the caregiver arrived on time and that billed hours are accurate. Support teams work 7 days a week. Call 800-974-3458 for a free consultation. ## Find a caregiver in Virginia. Free consultation. No minimums, no contracts. [800-974-3458](tel:+18009743458) [Call a care advisor](tel:+18009743458)[Find a caregiver online](https://care.homecare.com/?source=homecare.com) ![A caregiver and an older woman sharing a laugh at home](https://homecare.preview.multisites.ai/_astro/companionship.Cj0N08Ks_1FwPmX.webp)