TL;DR
- This guide covers Virginia Medicaid eligibility, income limits, covered services, and how to apply.
- Virginia has expanded Medicaid under the ACA, covering adults up to 138% FPL.
- Take the free screening to see exactly which Virginia programs you qualify for.
Virginia Medicaid Overview
Medicaid in Virginia covers adults up to 138% of the Federal Poverty Level thanks to Medicaid expansion under the ACA. This means more residents can access free or low-cost healthcare..
Virginia Medicaid Income Limits 2026
| Household Size | Annual Income Limit | Monthly Income Limit |
|---|---|---|
| 1 | $20,345/year | $1,695/month |
| 2 | $27,495/year | $2,291/month |
| 3 | $34,645/year | $2,887/month |
| 4 | $41,795/year | $3,482/month |
| 5 | $48,945/year | $4,078/month |
These limits apply to the expansion Medicaid population. Children, pregnant women, and people with disabilities often qualify at higher income levels.
Children's Medicaid in Virginia
Children in Virginia can qualify for Medicaid at higher income levels than adults, often up to 200% FPL or more. Children under 6 typically have the highest income limits.
Pregnant Women
Pregnant women in Virginia can qualify for Medicaid with incomes up to 185-200% FPL in most cases. Coverage includes prenatal care, delivery, and postpartum care for 12 months after delivery.
What Virginia Medicaid Covers
Federal law requires all state Medicaid programs to cover:
- Inpatient and outpatient hospital services
- Physician services
- Laboratory and X-ray services
- Nursing facility services
- Home health services
- Early and periodic screening for children (EPSDT)
- Family planning services
- Federally qualified health center services
Virginia also covers optional services including dental care, vision care, prescription drugs, and physical therapy.
How to Apply for Medicaid in Virginia
- Visit Virginia's Medicaid website or benefits portal
- Complete the application online, by phone, in person, or by mail
- Provide proof of identity, income, residency, and citizenship or immigration status
- Wait for a determination (many states process within 45 days, some faster)
- If approved, select a managed care plan if required in your area
You can also apply through Healthcare.gov. If your income qualifies for Medicaid, the marketplace will transfer your application to Virginia's Medicaid agency.
Presumptive Eligibility
Virginia may offer presumptive eligibility in some situations. Ask your local Medicaid office. This is especially helpful for pregnant women and people who need immediate medical care.
Medicaid Managed Care in Virginia
Most Virginia Medicaid beneficiaries are enrolled in managed care plans (HMOs). You will choose a plan and a primary care provider.
Renewing Your Virginia Medicaid
Medicaid coverage must be renewed annually. Virginia will send you a renewal form before your coverage period ends. Complete and return it promptly to avoid gaps in coverage. If you miss the deadline, you may be able to reinstate coverage by contacting your Medicaid office quickly.
Related Resources
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- Emergency Broadband Benefit Guide: Internet Assistance
- What Is a Qualified Alien for Benefit Purposes?
Find Out What Benefits You Qualify For
Most people qualify for more benefits than they think. In fact, over $30 billion in government benefits goes unclaimed every year simply because people do not know they are eligible.
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Frequently Asked Questions
What should I know about virginia medicaid overview?
Medicaid in Virginia covers adults up to 138% of the Federal Poverty Level thanks to Medicaid expansion under the ACA. This means more residents can access free or low-cost healthcare..
What should I know about virginia medicaid income limits 2026?
These limits apply to the expansion Medicaid population. Children, pregnant women, and people with disabilities often qualify at higher income levels.
What Virginia Medicaid Covers?
Federal law requires all state Medicaid programs to cover:
How to Apply for Medicaid in Virginia?
You can also apply through Healthcare.gov. If your income qualifies for Medicaid, the marketplace will transfer your application to Virginia's Medicaid agency.
What should I know about medicaid managed care in virginia?
Most Virginia Medicaid beneficiaries are enrolled in managed care plans (HMOs). You will choose a plan and a primary care provider.
What should I know about renewing your virginia medicaid?
Medicaid coverage must be renewed annually. Virginia will send you a renewal form before your coverage period ends. Complete and return it promptly to avoid gaps in coverage.
What are the benefits of find out what benefits you qualify for?
Most people qualify for more benefits than they think. In fact, over $30 billion in government benefits goes unclaimed every year simply because people do not know they are eligible.