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Companion Services

Our companion care is more than supervision, it’s about meaningful presence. Whether it’s a quiet evening at home or a stroll in the park, we provide non-medical support and engagement that respects the individual’s pace and preferences. Services are available one-on-one or in small groups (1:3), tailored to each person’s safety, independence, and interests.

Two friends laughing and taking a selfie on a waterfront boardwalk, one of them in a wheelchair.

Companion services in DC’s waivers

Companion is a service of DC’s two waivers for adults with intellectual and developmental disabilities: the IDD Waiver and the Individual and Family Supports (IFS) Waiver. Here is what a family or Service Coordinator needs to know.

What it is

Companion is non-medical help and supervision. It supports goals in the person’s Individual Support Plan (ISP) around safety, independence, being part of the community, or retirement.

It can happen at home or out in the community, during the day, or overnight when someone needs to be there to keep the person safe. For daytime support, the plan should include a flexible list of leisure and recreational activities drawn from the person’s own interests.

How it works

  • One-to-one, or in a small group of up to three people with one worker.
  • Up to 8 hours a day. The authorized time does not include the worker’s travel to the home or their breaks.
  • No more than 40 hours a week when combined with personal care or with day or vocational services, such as Individualized Day Supports.
  • It can be paired with In-Home Support or personal care on the same day, but not at the same time. It cannot run at the same time as respite or non-professional behavioral supports either.
  • DC requires every companion worker to be at least 18, pass a criminal background check and hold CPR and First Aid certification, and the person receiving support must find each worker acceptable.

How to ask for it

  • Talk to your DDA Service Coordinator, who must tell you about every waiver service and offer you a choice of providers.
  • Ask for Companion to be written into the ISP, with the goals it supports and the hours you need.
  • Choose your provider. The choice of agency is yours.
  • Ask again when things change. The needs assessment is updated at least once a year and whenever support needs change significantly.

What Mercyland offers

Mercyland is a DDS-certified provider in Northeast Washington, DC. We provide Companion services in person, one-to-one or in small groups of up to three, for people whose ISP includes it. Whether it fits depends on your waiver, your ISP and our staffing, so call us to talk it through.

Source: DC’s approved IDD Waiver (effective August 1, 2026) and IFS Waiver (effective September 1, 2026), and the DDS service descriptions, linked under “The DDS definition”. Waiver rules change, so confirm any detail with your Service Coordinator or DDS.

Common questions about Companion services

Is Companion a medical service?

No. DC’s waivers define it as non-medical assistance and supervision.

Can Companion be used overnight?

Yes, when supervision or non-medical support is needed overnight to keep the person safe.

Can someone have Companion and In-Home Support?

Yes, on the same day, but not at the same time.

How many hours can be approved?

Up to 8 hours a day, and no more than 40 a week when combined with personal care or day or vocational services. The ISP and Plan of Care set the actual amount.

Who it is for

Mercyland supports people with intellectual and developmental disabilities in Washington, DC.

A person may qualify if they:

  • Have an intellectual or developmental disability
  • Need a level of support similar to what an institution would provide
  • Meet the standard Medicaid financial eligibility rules

How to get it

To get IDD services in Washington, DC, a person applies to the Department on Disability Services (DDS) by calling 202-730-1700 or walking in to schedule an intake appointment. DDS decides eligibility and assesses needs, and then the person chooses a provider. Mercyland can help at any step, starting with one call.

Already work with DDS? Tell us your DDS service coordinator’s name when you call or email, and we will take it from there with you.

How intake and referrals work Our guide to the HCBS waiver

The Mercyland team together at a community event in Washington, DC.

Talk to a person

Questions about support? Our intake team answers the phone.

Eligibility, the waiver, paperwork, what happens first. Call and ask, or send a referral and we will call you.

Call intake202-525-1563Mon–Fri, 9 AM to 5:30 PM