Medicaid Eligibility Overview

Virginia Medicaid provides medical benefits coverage for people who meet certain requirements.  This guide covers the basics of applying for Medicaid.  The entire eligibility determination process usually takes 45-90 days.

This fact sheet covers the most common home and community based Waivers in Virginia – the Commonwealth Coordinated Care Plus (CCC Plus) Waiver, and the three Developmental Disabilities Waivers.

This training is designed for individuals with brain injury and their personal and professional supports. Review the PowerPoint here and the recording here.

Received a Medicaid Denial? Only approved for a portion of requested services? Learn more about your rights and available options.

What do I do if I receive an adverse benefits decision from my Managed Care Organization (MCO)? Learn the answer to this question and more by reading our FAQ sheet on the topic of Medicaid managed care denials and appeals.

If your Managed Care Organization (MCO) has denied, revoked, or reduced coverage for a Medicaid service, and you have exhausted the MCO’s internal appeals process, the next step if you wish to further appeal is to request a Fair Hearing through the Department of Medical Assistance Services (DMAS) Appeals Division. In this factsheet, we offer some tips for effectively preparing for your fair hearing.

This memo is part of a series that sets out the Department of Medical Assistance Services (DMAS) guidance on the flexibilities available to providers in light of the public health emergency (PHE) presented by the COVID-19 virus. The flexibilities in this memo include specific items related to Home and Community-Based Services (HCBS) Waivers, including the DD Waivers and the CCC Plus Waiver.