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
Pregnant Women
Supplemental Security Income (SSI) Recipients
Adults Aged 65 or Older, Blind or Disabled (not receiving SSI)
Children or Adults Who Need Long-term Care in a Facility/Home & Community-based Care (Waiver) Services
Medicare Beneficiaries
Plan First - Family Planning Services
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- Plan First (PDF)
Breast & Cervical Cancer Early Detection Program
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- About This Covered Group (PDF)
- Forms You May Need (PDF)
Flyers
- Medical Assistance flyer (PDF)
More Facts About Medicaid
- Application Process for People About to be Released From Incarceration (PDF)
- Health Insurance Premium Payment (HIPP) (PDF)
- Possible Coverage if Your Income is Too High (Spenddown) (PDF)
- Proof of Citizenship and Identity for Medicaid (7/2023) (PDF)
Frequently Asked Questions
Related Links
Need Help Getting and Staying Covered?
Local departments of social services (LDSS) are the main providers of many services to Virginia's children, families and adults. If your LDSS benefit program specialist is not available, you may request to speak to a Supervisor or Manager at your Local Agency.
In most cases, your city or county social services department should be the first call for benefits and other services. However, if additional assistance is required, you may contact the Virginia Department of Social Services at citizen.services@dss.virginia.gov.
You can also visit your local department of social services (LDSS) or a local application assistance site.
CoverVA and your LDSS can help if you need:
- A new Virginia Medicaid (Cardinal Care) or FAMIS ID card to report changes.
- To check the status of your application or coverage.
- General information about Medicaid and FAMIS eligibility.
- Need help resolving a problem with your Cardinal Care coverage and access to healthcare services.
Managed Care Health Plan Enrollment
The Cardinal Care enrollment broker can help you learn about Cardinal Care's managed care health plans, compare plan provider networks and enhanced benefits, and change plans. Visit Cardinal Care (Members) for more information about managed care and for Cardinal Care enrollment broker contact information.
Finding Care
Cardinal Care provides comprehensive benefits and services to support members' health and well-being. Certain coverage types, such as Plan First and the Medicare Savings Programs, provide limited benefits. Contact the Cover Virginia Call Center or your LDSS if you are not sure what type of coverage you have.
Most Cardinal Care members are enrolled in a managed care health plan. Managed care health plans can help their members find a provider, understand their coverage, and access additional supports. Learn more about Cardinal Care Managed Care and find managed care health plan contact information on the Cardinal Care (Members) page.
Members in fee-for-service (FFS) can contact the FFS member hotline to learn about their covered benefits and for help finding a provider. They can also use the FFS Provider Search tool to find a provider. Call the FFS Member Helpline at 804-786-6145.
