Virginia Medicaid Eligibility Requirements

This page provides general guidelines for the Virginia Medicaid eligibility requirements. This is an assistance program that provides medical coverage for low-income people of all ages. The department that handles the Medicaid program is Virginia Department of Medical Assistance Services. If you have questions or issues about the Medicaid application or the eligibility requirements, contact the Virginia Medicaid office.


Virginia Medicaid Overview

The Medicaid program is a federal and state funded program that serves needy individuals and families who meet financial and other eligibility requirements and certain other individuals who lack adequate resources to pay for medical care.


Virginia Medicaid Eligibility Requirements - Non Income

The enrollee must be a U.S. citizen or qualified alien and a Virginia resident.


Documents Needed For Virginia Medicaid Application

  • Proof of income
  • Proof of citizenship/immigration status
  • Proof of expenses

Virginia Medicaid Benefits

Benefits include inpatient and outpatient hospital care, emergency care, physician and nurse midwife services, health centers, rural health clinic services, laboratories and x-ray, transportation, family planning, nursing facilities,home health services, EPSDT, rehabilitation, occupational therapy and speech language pathology services, home health services, hospice, certified pediatric nurse and family nurse practitioner services, dental care, prescription drugs, and much more.


Virginia Medicaid & CHIP Eligibility Levels

Below is the modified adjusted gross income (MAGI) eligibility levels for Virginia Medicaid and Children's Health Insurance Program (CHIP).

Eligibility Levels - By Percentage Of Federal Poverty Level (FPL)

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: 143%
Age 1-5: 143%
Age 6-18: 143%
 200% Medicaid: 143%
CHIP: N/A		 49% 0%

Eligibility Levels - Individual By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $1,391
Age 1-5: $1,391
Age 6-18: $1,391
 $1,945 Medicaid: N/A
CHIP: N/A		 $496 $0

Eligibility Levels - Family Of Two By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $1,874
Age 1-5: $1,874
Age 6-18: $1,874
 $2,622 Medicaid: $1,874
CHIP: N/A		 $642 $0

Eligibility Levels - Family Of Three By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $2,358
Age 1-5: $2,358
Age 6-18: $2,358
 $3,298 Medicaid: $2,358
CHIP: N/A		 $808 $0

Eligibility Levels - Family Of Four By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $2,842
Age 1-5: $2,842
Age 6-18: $2,842
 $3,975 Medicaid: $2,842
CHIP: N/A		 $974 $0

Medicaid Eligibility

State Medicaid Office

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