Income limits depend on household size and program type. Virginia has not released official Medicaid income limits for 2026 yet.
Until new figures are published, the most recent confirmed 2025 income limits are still used. These limits apply when checking eligibility at the start of 2026.
Adults under Medicaid expansion qualify mainly based on income. Children and pregnant women have higher limits. Parents, seniors, and people with disabilities follow different rules.
Household size matters. Bigger households qualify at higher income levels. Use the state portal for a quick check, but apply to confirm.
Overview of Medicaid in Virginia for 2026
Virginia Medicaid is the state’s health program for low-income people. It works with federal rules but has state details. The Department of Medical Assistance Services runs it.
It covers basic care like doctor visits and hospital stays. Prescriptions and check-ups are included. Kids get dental and vision. Adults get emergency dental.
Virginia expanded Medicaid. This means adults 19 to 64 with low income can qualify. In 2026, this continues. It helps working folks too.
The program keeps people healthy without big bills. Eligibility rules matter for households with mixed incomes. They help families plan care without stress.
Who Qualifies for Medicaid in Virginia in 2026?
Anyone can apply for Virginia Medicaid. Approval depends on your group and income. Adults without children can qualify if income falls within limits.
- Low-income adults qualify under the Virginia Medicaid expansion group. This includes ages 19 to 64. You don’t need kids or disability.
- Children get coverage based on family income. This helps kids up to age 18. Many qualify through FAMIS if over limits.
- Pregnant women get help during pregnancy and after. Income limits are higher here.
- Parents and caretakers of kids may qualify. You must live with dependent children.
- Seniors age 65 and older often get coverage. Income and assets are checked.
- People with disabilities qualify if health limits work. This includes physical or mental issues.
Eligibility ties to household size and income. U.S. citizens or qualified immigrants can apply. Virginia residents only.
Virginia Medicaid Income Limits for 2026
Income limits depend on household size. Different Medicaid programs use different thresholds. Expansion adults qualify mainly based on income.
Virginia typically updates Medicaid income limits in January 2026, so eligibility amounts may change during the year.
For children, limits are high. This lets more families qualify. Pregnant women get even higher thresholds.
Parents have their own limits. Seniors and the disabled follow different rules.
Household size matters. Bigger families have higher caps. Deductions like child care count. Use the state portal to screen. It gives a quick view. But apply to confirm.
Table: Virginia Medicaid Income Limits (2025 — Current Figures)
| Household Size | Adult Expansion (Approx.) | Children / Family Medicaid |
| 1 | $20,120 | $32,192 |
| 2 | $27,214 | $43,510 |
| 3 | $34,307 | $54,829 |
| 4 | $41,400 | $66,147 |
Note: Virginia has not published official Medicaid income limits for 2026 yet. The 2025 income limits above remain in effect until updated 2026 figures are released. New limits are expected in January 2026. This page will be updated when they are available.
How Household Size Affects Medicaid Eligibility in Virginia
Household size includes everyone living together. This counts you, spouse, and dependents. Size raises income limits.
Children, spouses, and dependents affect limits. They increase the number. This allows higher total income.
Differences between Medicaid household size and tax filing status exist. Medicaid looks at who lives with you and shares costs. Tax focuses on who you claim.
For example, a single adult has size one with low limits. Adding a child makes size two and raises the cap. This helps families qualify.
Get this right to avoid errors. Use state tools to count yours.
Can Working Adults Qualify for Medicaid in Virginia?
Employment does not disqualify you. Many working adults qualify under expansion rules.
Monthly income matters more than job type or hours. Part-time or variable pay often fits.
A common concern is if full-time work cuts you off. It doesn’t if income stays low. Apply to check your case.
Asset Limits for Virginia Medicaid Programs
- No asset limits for:
Expansion adults
Children
Pregnant women - Asset limits apply to:
Seniors age 65+
Disability-based Medicaid
Long-term care Medicaid
Savings, property, and vehicles count as assets. Bank accounts and stocks matter. Homes and one car often don’t.
Check rules for your group. This prevents denials.
Long-Term Care Medicaid in Virginia (2026 Updates to Watch)
Long-term care Medicaid helps with nursing homes or home services. It’s for those needing daily aid.
Financial rules include low income and assets. Medical needs must show care required.
Virginia is reviewing long-term care Medicaid eligibility rules for 2026, and income or asset limits may be updated during the year.
Nursing home Medicaid covers stays if you qualify. Home- and community-based services offer waivers for care at home.
Mention the importance of planning ahead for seniors and caregivers. Proof of needs is key. This covers help like bathing or meals.
How to Apply for Medicaid in Virginia
- Apply online through CommonHelp. This is fast. Go to commonhelp.virginia.gov. Create an account and fill forms.
- Apply in person at a local Department of Social Services office. Find yours on dss.virginia.gov. Bring papers.
- Apply by phone or mail if needed. Call 1-855-635-4370 for help. Download forms from the site.
Briefly list required documents like income proof, residency, and identity. Staff help if needed. Apply anytime.
How Long Does Medicaid Approval Take in Virginia?
Standard cases take up to 45 days. Disability or long-term care can take 90 days or more.
Why disability or long-term care cases take longer. Medical reviews add time.
Importance of responding to DSS requests quickly. This speeds things up.
Common Reasons Virginia Medicaid Applications Are Denied or Delayed
- Missing income documents. Always send pay stubs or tax returns.
- Household size errors. Count everyone right to avoid denials.
- Unreported income changes. Update info if earnings shift.
- Missed DSS notices. Check mail and reply fast.
- Applying under the wrong Medicaid category. Pick the right group for your needs.
Key Takeaways
Virginia remains a Medicaid expansion state in 2026. This helps more adults qualify. Household size strongly affects limits. Bigger families have higher caps. Income limits update in January 2026. Long-term care rules may change. Early verification helps avoid delays. This gets you covered sooner.
Virginia Medicaid Eligibility 2026; FAQs
Who qualifies for Medicaid in Virginia in 2026?
Low-income adults, children, pregnant women, parents, seniors, and disabled qualify. Expansion helps adults without kids if income fits.
What is the income limit for Medicaid in Virginia for 2026?
Limits vary by group and size. Virginia typically updates Medicaid income limits in January 2026, so eligibility amounts may change during the year.
Does household size affect Virginia Medicaid eligibility?
Yes, size includes everyone living together. It raises income limits for bigger families.
Can working adults get Medicaid in Virginia?
Yes, many do if income is low. Expansion covers part-time or low-wage workers.
Are Virginia Medicaid income limits changing in January 2026?
Yes, updates happen then. Some limits may rise with costs.
Does Virginia Medicaid have asset limits?
No for expansion adults, children, and pregnant women. Yes for seniors, disability, and long-term care.
Is long-term care Medicaid changing in Virginia in 2026?
Virginia is reviewing rules. Income or asset limits may update during the year.
How do I apply for Medicaid in Virginia?
Apply online at CommonHelp or in person at DSS offices. Include ID, income proof, and residency details.
