In order to be eligible for Medicaid, applicants must meet the non-financial and financial requirements for Medicaid and must be in one of the groups covered by Medicaid.
The four major groups covered by Medicaid are:
- Aged, Blind and Disabled (ABD) - Medicaid covers individuals over 65 and individuals with disabilities who meet the non-financial requirements and the income and resource requirements. Medicaid covers Supplemental Security Income (SSI) recipients who meet the resource requirements.
- Long-Term Care (LTC) - Medicaid provides coverage to individuals who require care in a medical facility or whose care can be provided in the home and whose income and resources are insufficient to cover the cost.
- Low Income Families and Children (LIFC) - Medicaid covers families who meet the non-financial requirements and the income and resource requirements.
- Medically Indigent Children and Pregnant Women (MI) - Medicaid generally provides coverage to pregnant women and children with countable family income below 133% of the federal poverty level (FPL) who meet the non-financial requirements. Eligibility under this component is determined without regard to the individual's resources.
You may use CommonHelp to help determine whether you are eligible for benefits. Please note, however, that the final decision regarding eligibility must be made by an eligibility worker at your local department of social services.
You may get an Application for Benefits form at the Department of Social Services office in your county or city. If you are a Spotsylvania resident you may complete the form at Spotsylvania Department of Social Services and turn it in before leaving, or you may take it with you and mail or bring it back later. If you prefer, you can call our social services office and ask us to send you an application form. You must then mail or bring it back to the social services office. An interview will be required (for most assistance programs), to go over the information to complete the application process.
If you live outside of Spotsylvania County, or need additional information, please visit the Virginia Department of Social Services website. A complete list of local social services agencies in Virginia is also available.
If you have Medicaid/FAMIS/CHIP health insurance, make sure your current mailing
address, email, and phone numbers are up to date so that important information about
your coverage gets to you. Update your contact information today online at commonhelp.virginia.gov, by calling Cover Virginia at 1-855-242-8282, or by calling Spotsylvania County DSS at (540) 507-7898.