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Virginia's New Health Coverage for Adults

Thousands of Virginians aged 19 to 64 will soon be able to sign up for new health coverage that will give them access to services at low cost. Starting January 1, 2019, eligible adults will be able to visit their doctor for help with preventing illness and improving their health. We’ll continue to share new information over the coming months, so visit this website often.

Single working adults and working parents will be eligible for Medicaid if they meet income limits. For example, a single working adult earning up to $16,754 per year, or working parents in a family of three with a family income of up to $28,677 per year, will qualify for health coverage for a full range of healthcare services, including:
  • Doctor, hospital and emergency services, including primary and specialty care
  • Prescription drugs
  • Laboratory and X-ray services
  • Maternity and newborn care
  • Home health services
  • Behavioral health services, including addiction & recovery treatment services
  • Rehabilitative services, including physical, occupational and speech therapies
  • Family planning services
  • Medical equipment and supplies
  • Preventive and wellness services, including annual wellness exams, immunizations, smoking cessation and nutritional counseling
  • And more!
This is an exciting development for low-income, uninsured Virginians. For more information and to keep updated on Medicaid expansion news, visit and bookmark www.coverva.org
 

Supporting Free & Charitable Clinics Through Expansion

On June 7, 2018, Governor Ralph Northam signed the state budget into law. The budget includes funding and language to expand Medicaid to qualified adults up to 138% FPL. To review the budget language click here.

Unlike “traditional” Medicaid in the past, the new law requires “abled-bodied, working-age adults” to either be employed, enrolled in an educational program, training or community engagement. There are 10 exemptions to this requirement (see page 6 of the budget language for exemptions). The Virginia Department of Medical Assistance Services (DMAS) must apply to the Centers for Medicare & Medicaid Services (CMS) for approval of the new Medicaid program before it (DMAS) can finalize regulations pertaining to eligibility for patients. This process could take up to six months or more. However, the effective date for Medicaid Expansion is January 1, 2019.

VAFCC is committed to bringing our member clinics current information to help support them through the process of Medicaid Expansion and to share information that will be helpful to patients. Medicaid can be a complicated process with multiple layers. We are identifying new resources daily to educate ourselves and our member clinics about how this impacts clinics and patients.