๐ŸฅHealthcare

Medicaid in
Virginia

Virginia expanded Medicaid, so adults qualify for Cardinal Care at 138% of the federal poverty level โ€” about $2,969 a month for a household of three, with or without children.

$1,732/mo
Income Limit, 1 Person
15โ€“45
Days to Process
12 mo
Renewal

Who Qualifies for Cardinal Care in Virginia?

Virginia expanded Medicaid

Adults aged 19โ€“64 in Virginia qualify for Cardinal Care on income alone, at or below 138% of the federal poverty level, whether or not they have children and with no asset test for this group.

Household SizeMonthly LimitAnnual Limit
1 person$1,732$20,783
2 people$2,351$28,207
3 people$2,969$35,632
4 people$3,588$43,056
5 people$4,207$50,480
6 people$4,825$57,905
7 people$5,444$65,329
8 people$6,063$72,754

Limits shown at 138% of the federal poverty level for Virginia โ€” the level a parent or caretaker adult is measured against. Source: state Medicaid eligibility levels as most recently published (2024); states may revise them. Children, pregnant women and people who are 65+, blind or disabled use different and generally higher limits.

Eligibility Requirements

Here's what you need to qualify for Medicaid in Virginia.

๐Ÿ’ต

Income Limit

$2,969/mo for a household of three (138% FPL)

๐Ÿฅ

Adults Without Children

Covered in Virginia up to 138% of the federal poverty level

๐Ÿ›๏ธ

Citizenship

U.S. citizen, permanent resident, or qualified non-citizen

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Non-expansion states limit adults to ~100% FPL.

Required Documents

Have these ready before you start your Medicaid application.

๐Ÿ“„Proof of identity
๐Ÿ“„Proof of residency
๐Ÿ“„Proof of income
๐Ÿ“„Citizenship documents
๐Ÿ“„Social Security numbers

How to Apply

Follow these steps to apply for Medicaid in Virginia.

1

Gather your documents

Collect all required documents listed above before starting.

2

Submit your application

Apply online through CommonHelp, or by phone at 855-242-8282. Virginia Department of Medical Assistance Services handles Virginia applications.

3

Wait for processing

Processing takes 15โ€“45 days. Keep copies of everything.

Frequently Asked Questions

What is the income limit for Medicaid in Virginia in 2026?

Virginia expanded Medicaid, so an adult under 65 qualifies for Cardinal Care with monthly income at or below 138% of the federal poverty level: about $1,732 a month for one person, $2,969 for a household of three and $3,588 for four โ€” $20,783 and $35,632 a year respectively. Children, pregnant women and people who are 65+, blind or disabled are measured against different and generally higher limits.

Can I get Medicaid in Virginia if I have no children?

Yes. Because Virginia expanded Medicaid, adults aged 19โ€“64 with no children qualify for Cardinal Care on income alone, at or below 138% of the federal poverty level. You do not need to be disabled, pregnant or a parent.

How do I apply for Medicaid in Virginia?

Apply for Cardinal Care online through CommonHelp at coverva.dmas.virginia.gov, run by the Virginia Department of Medical Assistance Services, or by phone at 855-242-8282. Medicaid has no open-enrolment window โ€” you can apply any day of the year, and coverage can be backdated up to three months if you were eligible then.

How long does Virginia take to approve Medicaid?

15โ€“45 days is the normal range. Federal rules give Virginia 45 days to decide most applications and 90 days when a disability determination is required. Coverage, once granted, is generally backdated to the first day of the month you applied.

What if I earn too much for Medicaid in Virginia?

Children are covered at much higher incomes than adults everywhere โ€” Virginia covers children through Medicaid and CHIP well above the adult limit, so apply for them separately even if you are denied. Pregnancy coverage also uses a higher limit. Above those, a Marketplace plan with a premium tax credit is the next step, and people who are 65+ or on Medicare should check the Medicare Savings Programs instead.

FREE ELIGIBILITY CHECK

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