About Virginia's Medical Assistance Programs

There are several Medical Assistance Programs offered in Virginia. Each program covers different groups of people and each program has different eligibility requirements. When you apply for Medical Assistance, you are screened for all possible programs based on your age, income, financial resources, and other information. To be eligible for a Medical Assistance Program, you must meet the financial and non-financial eligibility conditions for that program.

Children Under Age 19

• About this Covered Group (PDF)
• Child Support Services & Medicaid (PDF)
• Early Periodic Screening Diagnosis & Treatment (PDF)
• FAMIS Plus Program (PDF)
• Screening for Eligibility & Applying (PDF)

Parents & Caretakers of Dependent Children

• About this Covered Group (PDF)
• Keeping Coverage with Increased Earnings (PDF)
• Screening for Eligibility & Applying (PDF)

Pregnant Women

• About this Covered Group (PDF)
• Eligibility Requirements (PDF)
• Newborn Child Under Age of One (PDF)
• Screening for Eligibility & Applying (PDF)

Supplemental Security Income (SSI) Recipients

• About this Covered Group (PDF)
• Keeping Coverage if You Go Back to Work (PDF)
• Screening for Eligibility & Applying (PDF)

Adults Aged 65 or Older, Blind or Disabled (not receiving SSI)

• About This Covered Group (PDF)
• Eligibility Requirements (PDF)
• Exclusions - Burial Funds (PDF)
• Exclusions - Making Reasonable Efforts to Sell Real Property (PDF)
• Exclusions - Real Property (PDF)
• Keeping Coverage for Disabled Persons Who Return to Work (MEDICAID WORKS Program) (Web page)
• Screening for Eligibility & Applying (PDF)

Children or Adults Who Need Long-term Care in a Facility/Home & Community-based Care (Waiver) Services

• About This Covered Group (PDF)
• Community-based Care Waivers (PDF)
• Long-term Care Asset Transfer Policy (PDF)
• Long-term Care Insurance Partnership Policies (PDF)
• Long-term Care Medicaid Coverage (PDF)
• Long-term Care Resource Asssessment (PDF)
• Nursing Facility Admissions (PDF)
• Screening for Eligibility & Applying (PDF)

Medicare Beneficiaries

• About This Covered Group (PDF)
• Eligibility Requirements - Qualified Individuals (PDF)
• Eligibility Requirements - Qualified Medicare Beneficiaries (PDF)
• Eligibility Requirements - Special Low-income Medicare Beneficiaries (PDF)
• Screening for Eligibility & Applying (PDF)

Plan First - Family Planning Services

• About This Covered Group (PDF)
• Plan First (PDF)
• Screening for Eligibility & Applying (PDF)

Breast & Cervical Cancer Early Detection Program

• About This Covered Group (PDF)
• Eligibility Requirements (PDF)
• Forms You May Need (PDF)

More Facts About Medicaid

• Application Process for People About to be Released From Incarceration (PDF)
• Health Insurance Premium Payment (HIPP) (DOC)
• Possible Coverage if Your Income is Too High (Spenddown) (PDF)
• Proof of Citizenship and Identity for Medicaid (1/2011) (PDF)

• About Medical Assistance (PDF)
• Eligibility & the Application Process (PDF)

Finding Affordable Non-Medicaid Healthcare in Virginia

• Brochure - Trifold Print Version (PDF)
• Brochure- Scrollable Version (PDF)

Related Links

• Benefits Appeals (Web page)
• Benefits Disqualification Hearing (Web page)
• Civil Rights Policy & Procedures (Web page)
• Medicaid Forms/Applications (Web page)
• Medicaid Manual (Web page)
• Medical Assistance Reports (Web page)