How to Qualify For Medicaid in Virginia?

Qualifying for Medicaid in Virginia involves meeting certain eligibility requirements that are based on income, household size, and other factors.

The Virginia Department of Medical Assistance Services (DMAS) has a long history of providing health coverage to low-income and vulnerable Virginians. The state provides comprehensive, high-quality, no-cost health insurance to eligible families with children, older adults, and pregnant women through two programs – Cardinal Care Medicaid and FAMIS (Family Access to Medical Insurance Security). These programs offer coverage through Anthem. Eligibility is based on household income and family size. You can use the Screening Tool at Cover Virginia to see if you are eligible.


In order to get health insurance coverage, you must be a Virginia resident and have a valid state ID. You must also provide proof of your Social Security number, home address, and family size. You must also meet the income requirements for your category of assistance, such as the Aged or Disabled Waiver or the CCC Plus Program.

In addition, you must be a United States citizen. You can find the necessary forms and information at the Cover Virginia website. You can also contact the Department of Health and Human Resources’ Project Connect program to get free help applying for Medicaid/FAMIS. These outreach workers can assist you in completing the application and gathering required documentation. They can also answer any questions you may have about the eligibility process.

It’s important to know that you must renew your Virginia Medicaid coverage each year. This is known as a “redetermination.” States received additional Medicaid funding during the COVID-19 pandemic on the condition that they would not disenroll people from their programs. Enrollees will receive their renewal packets in late 2023 or early 2024. During this time, it is especially important to review your assets and income, as you might be required to reduce them to the Medicaid limit.

Virginia Medicaid Provider Search

Virginia Medicaid Provider Search

Virginia Medicaid is the largest healthcare program in the state, covering nearly two million people. It offers coverage to eligible children, pregnant women, elderly individuals, and disabled adults. In addition, it provides comprehensive dental benefits to children through the Family Access to Medical Insurance Security (FAMIS) program and adult dental services through the Dental Benefits Program. The program is managed by the Department of Medical Assistance Services or DMAS.

In April 2022, DMAS launched a new system that unified all managed care members into Cardinal Care, a single-provider network that offers you a clearer path to care. Learn more about the new network here.

To find a provider, use the search tool and enter your criteria, and click “Search.” You can also view information about the quality of the providers in your plan. This includes ratings based on nationally recognized standards, such as the Healthcare Effectiveness Data and Information Set (HEDIS). You can view these measures in our new dashboard. The results will help you make informed decisions about your health care.

Maximum Income to Qualify for Virginia Medicaid

The state of Virginia has set certain limits on the amount of money that individuals can make and still qualify for its Medicaid programs. These limits vary depending on the program for which you are applying. For example, if you are looking to apply for Plan First or Medicaid for pregnant women, you can’t earn more than 143% of the federal poverty level. The same applies to children.

For adults, the limit is less restrictive. It’s important to keep in mind that you must also verify any assets that you have. This can include cash, checking and savings accounts, investments, IRAs, property, and even personal belongings. In addition, you must also submit documents proving your identity and legal residency.

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