Medicaid Open Enrollment

Open enrollment is the time of year when you can change your Medicaid health plan. Open enrollment dates depend on where you live and the type of Medicaid coverage that you receive. Find your plan and area below to see when open enrollment will happen next in your region:

Optima Family Care

Medallion 4.0 Expansion Members

Each year
November 1 – December 31

Medallion 4.0 Expansion Members receive yellow letters from the Department of Medical Assistance Services (DMAS).

Medallion 4.0 Non-Expansion Members by region


Each year
February 19 – April 30

Accomack, Chesapeake, Gloucester, Hampton, Isle of Wight, James City, Newport News, Norfolk, Northampton, Poquoson, Portsmouth, Suffolk, Virginia Beach, Williamsburg, York


Each year
April 19 – June 30

Amelia, Brunswick, Caroline, Charles City, Chesterfield, Colonial Heights, Cumberland, Dinwiddie, Emporia, Essex, Franklin City, Fredericksburg, Goochland, Greensville, Hanover, Henrico, Hopewell, King & Queen, King George, King William, Lancaster, Lunenburg, Mathews, Mecklenburg, Middlesex, New Kent, Northumberland, Nottoway, Petersburg, Powhatan, Prince Edward, Prince George, Richmond City, Richmond County, Southampton, Spotsylvania, Stafford, Surry, Sussex, Westmoreland

Northern VA

Each year
June 19 – August 31

Alexandria, Arlington, Clarke, Culpeper, Fairfax City, Fairfax County, Falls Church, Fauquier, Frederick, Loudoun, Manassas Park, Manassas City, Page, Prince William, Rappahannock, Shenandoah, Warren, Winchester


Each year
August 19 – October 31

Albemarle, Amherst, Appomattox, Augusta, Buckingham, Campbell, Charlotte, Charlottesville, Danville, Fluvanna, Greene, Halifax, Harrisonburg, Louisa, Lynchburg, Madison, Nelson, Orange, Pittsylvania, Rockingham, Staunton, Waynesboro


December 19, 2021 – February 28, 2022

Bland, Bristol, Buchanan, Carroll, Dickerson, Galax, Grayson, Lee, Norton, Russell, Scott, Smyth, Tazewell, Washington, Wise


December 19, 2021 – February 28, 2022

Alleghany, Bath, Bedford City, Bedford County, Botetourt, Buena Vista, Covington, Craig, Floyd, Franklin County, Giles, Henry, Highland, Lexington, Martinsville, Montgomery, Patrick, Pulaski, Radford, Roanoke City, Roanoke County, Rockbridge, Salem, Wythe

Optima Health Community Care

Each year
October 1 through December 18, in all regions