HIV Resources Project of Northern VA
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Medicaid & Other Virginia Resources
General Information

Each state offers different Medicaid services and other forms of medical assistance to low-income people.  Medicaid provides medical care for public assistance recipients and medically needy persons (i.e. those whose income can meet their maintenance needs but cannot provide the cost of medical care).  The program is financed by state and federal funds.

In order to be eligible for Virginia Medicaid, applicants must meet non-financial and financial requirements and must be in one of these

four major groups covered by Virginia's Medicaid are:

  1. Medically Indigent Children and Pregnant Women (MI) -  Medicaid generally provides coverage to pregnant women and children with countable family income below 133% of the federal poverty level (FPL) who meet the non-fiancial requirements.  Eligibility under this component is determined without regard to the individual's resources.
  2. Low Income Family and Children (LIFC) - Medicaid covers families who meet the non-financial requirements and the income and resource requirements.
  3. Aged, Blind and Disabled (ABD) - Medicaid covers individual over 65 and individual with disabilities who meet the non-financial requirements and the income and resource requirements.  Medicaid covers Supplemental Security Income (SSI) recipients who meet the resource requirements.
  4. Long-Term Care (LTC) -  Medicaid provides coverage to individuals who require care in a medical facility or whose care can be provided in the home and whose income and resources are insufficient to cover the cost of their care.

To find out what is available in Virginia, visit:

http://www.dss.virginia.gov/benefit/medical_assistance

Expand any category to read or download details about eligibility for that type of Medicaid.

Virginia Medicaid Applications

Use the link to CommonHelp under any of the types of assistance found on the DSS forms page to go to https://commonhelp.virginia.gov/access. Start with either the Apply for Assistance button or the Am I Eligible button. Apply for Assistance takes you to the online application for medical and other types of assistance.
Virginia has a combined application form for many different types of assistance:

  1. Supplemental Nutrition Assistance Program (SNAP), (formerly Food Stamps)
  2. Temporary Assistance for Needy Families (TANF)
  3. TANF Emergency Assistance
  4. General Relief- Unattached Child
  5. Auxiliary Grants
  6. Refugee Cash and Medical Assistance
  7. Medical Assistance - programs include:
  • Medicaid
  • Medicare Savings Programs –limited assistance for Medicare beneficiaries
  • Plan First  –coverage limited to family planning services
  • FAMIS andFAMIS PLUS for children under 19
  • FAMIS MOMS for pregnant women

    Eligibility for full Medical Assistance coverage is determined first. If you are not eligible for full coverage, eligibility for limited coverage will be determined.

If you prefer to complete a paper application for Medicaid or any of the above programs, you may download a form and take or mail it to the local Dept. of Social Services serving the city or county where you live. Download the form from:

http://www.dss.virginia.gov/benefit/medical_assistance/forms.cgi


You may also apply online for these programs as well as Child Care at https://commonhelp.virginia.gov/access using the Apply for Assistance button.

See If You Are Eligible

Online eligibility screeners allow you to answer questions on a website to see whether or not you are likely to qualify for a type of assistance. No one else reads your information and it is erased when you leave the website.

To go straight to an online eligibility screener for nine Virginia public assistance programs, including Medicaid, visit:
 
https://commonhelp.virginia.gov/access; use the Am I Eligible button.


Medicaid AIDS Waiver

Another Medicaid program is the HIV/AIDS Waiver that provides services in the community to individuals who are diagnosed with the human immunodeficiency virus (HIV) and who are experiencing medical and functional symptoms associated with HIV/AIDS that would normally require care in a nursing home or a hospital. Individuals must have had an inpatient hospital admission within three (3) months of the request for waiver services.  

As with all Medicaid-funded services, there are also financial eligibility criteria.

Services offered through the HIV/AIDS Waiver are:
  • Agency and Consumer-Directed Personal Assistance
  • Private duty nursing
  • Agency and Consumer-Directed Respite Care
  • Case Management
  • Enteral Nutritional (nutritional supplements) 
  • Transition Services 
  • Personal Emergency Response System (PERS)

For individuals who have been discharged from a hospital or nursing home and are participating in the Money Follows the Person project, the following services are offered for 12 months following a move to the community:
  • Environmental Modifications
  • Assistive Technology

To learn more about the HIV/AIDS Waiver Program at:

http://www.easyaccess.virginia.gov/waiver-hivaids.shtml

To Learn more about the Money Follows the Person go to:

http://www.olmsteadva.com/mfp

Funding for this project was provided by:
US Department of Housing and Urban DevelopmentHIV/AIDS Administration
                 HAHSTA
HIV Resources Project, C/O Northern Virginia Regional Commission  3040 Williams Drive, Suite 200  Fairfax, VA 22031  703-642-4627 (Voice)  Email Us