Virginia Medicaid Eligibility and Enrollment

In this article...
  • Find out how Virginia Medicaid serves older adults who require help to pay for health care services, as well as what it covers, who's eligible and how to apply.

Medicaid is a financial assistance program that's facilitated by the state in partnership with the federal government. This program helps aged, blind and disabled individuals, as well as low-income families, to pay for health care costs that they wouldn't otherwise be able to afford. Each state administers its own Medicaid program, meaning that coverage allowances might vary between programs. 

Below, we discuss everything older adults need to know about Virginia's Medicaid program, including what it covers, who's eligible and how to apply.

What Is Virginia Medicaid?

In Virginia, Medicaid is often advertised as part of the state's Medical Assistance Programs. While there are programs available for beneficiaries of varying ages, including pregnant women and children, we're going to focus on those designed to accommodate the needs of seniors.

While regular Medicaid covers basic health care services, those who are eligible can apply for extra coverage under the state's Commonwealth Coordinated Care (CCC) Plus Medicaid Waiver, which is a managed care plan that supplements Medicaid coverage with additional senior care services.

What Does Virginia Medicaid Cover? 

In Virginia, traditional Medicaid covers the basic care services that are most commonly needed by older adults and other individuals. That includes:

  • Physician care
  • Urgent care
  • Inpatient hospital care
  • Laboratory services and X-rays
  • Skilled nursing care
  • Medical transportation
  • Prescription drugs

Senior citizens who are enrolled in CCC Plus may also receive some combination of the following benefits:

  • Physical and occupational therapy
  • Eye care
  • Audiologist services
  • Mental health care
  • Residential senior care services provided in an assisted living or memory care facility
  • Dental care

  • Hospice care

CCC Plus programs are administered by several insurance providers throughout the state. Prior to enrolling, older adults will want to check to see which providers in their area are in-network with the plan they're considering. 

Who Is Eligible for Medicaid in Virginia?

To qualify for Medicaid in Virginia, there are several requirements that must be met. As a senior, the applicant must be at least 65 years of age — those below 65 may still qualify for coverage if they are living with a disability, including blindness. Additionally, applicants must be legal residents of Virginia and a citizen, national, permanent resident or legal alien of the United States. Income requirements stipulate that a single applicant may not earn more than $19,392 per year, and a couple is limited to $26,228 in income annually.

How Do I Enroll in Medicaid in Virginia?

Virginians who wish to apply for Medicaid benefits can apply online at CommonHelp.

Contact Information for Virginia Medicaid

Those in need of assistance can contact the Virginia Department of Social Service for more information by calling (855) 242-8282.