State of Virginia Medicaid Application

In the state of Virginia, there are 3 main ways you can apply for Medicaid.

Online Application - you can apply online by clicking here.

Mail or drop off a paper application to your local Department of Social Services. Please note that Mailing may take longer than other methods of applying.  English Application Form can be found here.  Spanish Application Form can be found here.

Call the Virginia Department of Social Services Enterprise Call Center at 1-855-635-4370 (If you also want to apply for other benefits)

Please note, you should have the following information ready when applying for Medicaid

Full legal name, Date of Birth, Social Security Number, Citizenship or Immigration Status for you and anyone in your household who is applying for health care coverage

You may be asked to verify your Citizenship or Immigration Status after you submit your application. We have included a list of acceptable verification documents and an eligible immigration status list.

Most recent federal tax filing information (if available).

Job and income information for members of your household for the month prior or the current month. Having recent pay stubs or W-2s to reference may be helpful.

Note: If self-employed, see Self-employment Expenses Information list.

Information about other taxable income for members of your household such as unemployment benefits, Social Security benefits, pensions, retirement income, rental income, alimony received, etc.

Policy numbers for any current health insurance

When applying for Medicaid for adults over age 19 with disabilities, adults aged 65 or over, and for all people who need long term care services, you will need to fill out an ABD-LTC - Appendix D application as well as the Application for Health Coverage and Help Paying Costs.

Complete Appendix E if you applied for health care coverage for someone who is medically needy (has income greater than the Medicaid limit) and would like to be evaluated for a spenddown based on income, resources and medical expenses. Spenddown works like an insurance policy deductible. The amount of the “deductible” is called the “spenddown liability.” Once medical bills are incurred equal to or greater than the spenddown liability, the application is re-evaluated for Medicaid eligibility.

Complete Appendix F if you applied for health care coverage for someone who needs help with everyday things like bathing, dressing, walking or using the bathroom to live safely in the home or if a doctor or nurse told them that they have a physical disability or long term disease, mental or emotional illness, or addiction problem.

If you need help with filling out your application, please click on the link to find an Application Assister in your area.