Medicaid Eligibility

Many Virginians qualify for high-quality, no-cost health coverage through Medicaid. Do you? Find out if Virginia Medicaid is an option for you by viewing eligibility for adults, children, and pregnant women. Use the Screening Tool on the Cover Virginia website to check.

Screening Tool Apply

Medicaid Eligibility for Children

Your child may be eligible for benefits if they:

  • live in Virginia
  • are under age 19
  • are United States citizens or lawfully residing immigrants
  • live in a family meeting FAMIS income guidelines

Medicaid Eligibility for Adults

Adults may be eligible if you:

  • are a Virginia resident, age 19 to 64
  • are a United States citizen or lawfully-residing immigrant
  • are not eligible or covered by Medicare
  • you are medically complex
  • meet the income requirements based on your household size.   

    You are eligible for the Commonwealth Coordinated Care Plus (CCC Plus) program when you have full Medicaid benefits and meet one of the following conditions:

    • you are a Virginia resident, age 65 and older
    • you are an adult or child with a disability
    • you reside in a nursing facility
    • you receive services through the CCC Plus home and community-based services waiver
    • or you receive services through any of the three waivers serving people with developmental disabilities (Building Independence, Family & Individual Supports, and Community Living Waivers), also known as the DD Waivers

    Medicaid Eligibility for Pregnant Women

    You may be eligible for pregnancy coverage if you:

    • live in Virginia
    • are currently pregnant or within the 60-day period after your pregnancy ends
    • are a United States citizen or a legally-residing immigrant
    • meet the income requirements based on your household size

    You can Apply For Medicaid at Any Time

    If you are new to Medicaid, you can apply to enroll anytime of the year. You may apply on the Common Help website for health insurance and other benefits you may be eligible to receive. 


    Medicaid Eligibility for Children