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  2. Medicaid Forms/Applications - Virginia Department of Social...

    www.dss.virginia.gov/benefit/medical_assistance/forms.cgi

    2020 Income Limits & LTC Spousal Impoverishment Standard Changes Eff. 01-17-2020 (PDF) Affidavit of Identity for Medicaid Applicants/Recipients Residing in an Institution (PDF) Appendix D: ABD, LTC Application (PDF) (PDF) Appendix D: ABD, LTC Application (Spanish) (PDF) (PDF) Appendix E: Medically Needy Spenddown (Spanish) (PDF)

  3. Applying for Medicaid - Virginia Medicaid

    dmas.virginia.gov/for-applicants/applying-for-medicaid

    Apply in one of these ways: Apply online at commonhelp.virginia.gov. Call the Cover Virginia Call Center Monday through Friday, 8 a.m. to 7 p.m. and Saturday 9 a.m. to 12 p.m. at 833-5CALLVA (TDD: 1-888-221-1590). Apply online at the Virginia's Insurance Marketplace at marketplace.virginia.gov.

  4. Application for Health Coverage & Help Paying Costs

    coverva.dmas.virginia.gov/.../magi-standard-application-final-03-01-2024.pdf

    Apply faster online at commonhelp.virginia.gov. For more information about Medicaid, FAMIS and Plan First visit coverva.dmas.virginia.gov. What you may need to apply • Social Security numbers (or document numbers for any eligible immigrants who need insurance) • Employer and income information for everyone in your family (for example, from

  5. How to Apply for Medicaid - Virginia Medicaid

    www.dmas.virginia.gov/media/lipluxgm/dmas-how-to-apply-for-medicaid-final.pdf

    How to Apply for Medicaid Virginians must meet specific income thresholds and/or other eligibility criteria before qualifying to receive Medicaid benefits. There are multiple ways to apply: • Call 833-5CALLVA (833-522-5582) and they will direct you to the best place for assistance. • You can also call 888-221-1590 (TDD).

  6. Virginia Department of Social Services - Virginia Medicaid

    www.dmas.virginia.gov/media/3563/applying-for-medicaid.pdf

    How To Apply. Apply Online at: •. https://www.commonhelp.virginia.gov/ Call Cover Virginia at 1-855-242-8282 to apply on the phone Monday-Friday 8:00 AM-7:00 PM and. Saturday 9:00 AM-12:00 PM •. Applications are also available Online at http:// www.dss.virginia.gov/benefit/medical_a ssistance/forms.cgi.

  7. Applying for Medical Assistance - Virginia Department of Social...

    dss.virginia.gov/.../forms/how_to_apply/instr_apply_for_med_assistance.pdf

    To apply for Medical Assistance using a paper application form, you can download and print the form and supplements below. You can also call your local department of social services (DSS) and ask for a

  8. Medicaid Forms/Applications - Virginia Department of Social...

    dss.virginia.gov/printer/benefit/medical_assistance/forms.cgi

    Medicaid Funded Long-term Care Service Authorization (PDF) Notification of Change (PDF) The mission of the Virginia Department of Social Services (VDSS) is to promote self-reliance, prevention, and protection by serving as a catalyst for healthy families and communities.

  9. Application for Health Coverage & Help Paying Costs

    coverva.dmas.virginia.gov/.../final-english-magi-standard-application-022221.pdf

    Application for Health Coverage & Help Paying Costs. Use this application to see what coverage choices you qualify for. • Free or low-cost insurance from Medicaid, FAMIS or Plan First.

  10. Apply for coverage | CoverVA

    coverva.dmas.virginia.gov/apply/apply-for-coverage

    Apply online at the Virginia's Insurance Marketplace at marketplace.virginia.gov. Mail or drop off a paper application to your local Department of Social Services (DSS) ([PDF] English application [PDF] Spanish application). Mailing may take longer than other ways of applying.

  11. Medical Assistance Handbook - Virginia Medicaid

    www.dmas.virginia.gov/media/5019/medical-assistance-handbook-final.pdf

    To apply directly for health insurance, subsidies or the Advance Premium Tax Credit (APTC), go to the Federal Health Insurance Marketplace at www.healthcare.gov or call 1-800-318-2596 (TTY: 855-889-4325).

  12. For Applicants - Virginia Medicaid

    dmas.virginia.gov/for-applicants

    Virginia Medicaid provides access to high quality healthcare services. It’s easy to apply for Medicaid. Pick the option that works best for you. View commonly asked questions and answers for Virginia Medicaid applicants.

  13. Apply - CoverVA

    coverva.dmas.virginia.gov/apply

    Apply for coverage, find out more information on health plans and find help in your area. There are a variety of ways in which you can apply. Visit this section to show more information on how to apply for coverage. You can get in-person application assistance across Virginia and by phone.

  14. It’s a Virginia Medicaid

    www.enrollva.org/.../2021/09/Medicaid-Application-Information-English-Version.pdf

    Your Turn! It’s a new day in Virginia and many people can now qualify for Medicaid! There is no longer a ten-year work history required for Virginia’s immigrant community to be eligible for Medicaid. If you have applied for health coverage in the past but have been denied, don’t be afraid to apply again. ow eligible . in Virginia.

  15. Renewal Application for Auxiliary Grant (AG), Supplemental Nutrition Assistance Program (SNAP) and Temporary Assistance for Needy Families (TANF) - Spanish. Temporary Assistance for Needy Families (TANF) Application to Add New Assistance Members.

  16. Department of Medical Assistance Services - Virginia.gov

    www.virginia.gov/agencies/department-of-medical-assistance-services

    The call center provides general program information, application status, explanation of coverage and benefits, and assistance in resolving application issues. It provides assistance in submitting state-sponsored health insurance applications and renewals with same day telephonic signatures.

  17. Home | CoverVA

    coverva.dmas.virginia.gov

    Individuals can call the CoverVA call center at 1-855-242-8282 to confirm the status of their Medicaid coverage or submit an application. CoverVA Highlights. Children’s 12-Month Continuous Coverage. Children in Medicaid and FAMIS get a continuous 12-month period of protected coverage, or continuous coverage, from the date of their enrollment.

  18. Medical Assistance Programs - Virginia Department of Social...

    www.dss.virginia.gov/benefit/medical_assistance/index.cgi

    Medical Assistance Programs. Beginning Nov. 1, 2023, visit Virginia's Insurance Marketplace to enroll in a health and/or dental plan. The Marketplace makes it easy for you to choose the type of coverage you need. Virginia residents who are no longer eligible for Medicaid/FAMIS may qualify for marketplace coverage.

  19. Application for Health Coverage and Help Paying Costs

    coverva.dmas.virginia.gov/media/1219/abd-ltc_supplement.pdf

    Complete Appendix D if you are applying for Health Care Coverage for: • someone who has disabilities. • someone age 65 years or over. • all people, including children, in need of Long-term Care Services (nursing facility or community based care)

  20. Apply for Medicaid Coverage - intmed.vcu.edu

    intmed.vcu.edu/.../cf/cf-documents/cf-documents/ApplyforMedicaidCoverage.pdf

    To Apply for Medicaid Coverage by Phone: Call Cover Virginia – 1-855-242-8282; after initial intro, press 2, then 8, then 0. If you need help applying, you must verbally authorize someone to speak on your behalf or apply with you.

  21. Virginia CommonHelp

    commonhelp.virginia.gov

    Apply for All Benefit Programs. Habla Español? Check eligibility? Answer short questions and receive information on eligibility for benefits. Renew benefits. Submit a request to continue/renew benefits. Check benefits. Check the status of an application or get information about a case. Report changes. Update or report information about a household.

  22. A Quick Guide to Using CommonHelp - Virginia

    commonhelp.virginia.gov/access/PA/PDF/VA_CommonHelp_QuickReferenceGuide.pdf

    Through a single online site, you can find out what assistance you might be eligible for and submit one application saving you time and effort. You can also use CommonHelp to Check Your Benefits, Report Household Changes, or Renew Your Benefits. This guide is designed to help you use CommonHelp.

  23. APPLICATION FOR BENEFITS - Virginia Department of Social Services

    dss.virginia.gov/.../as/auxillary_grants/intro_page/forms/032-03-0824-33-eng.pdf

    APPLICATION FOR BENEFITS. GENERAL INFORMATION. With this application, you may apply for one or more of the following assistance programs: Auxiliary Grants (AG) General Relief – Unattached Child (GR) Supplemental Nutrition Assistance Program (SNAP) Refugee Cash Assistance (RCA)

  24. West Virginia Creating a Continuum of Care for Medicaid Enrollees...

    www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/...

    Pending Application - West Virginia Creating a Continuum of Care for Medicaid Enrollees with Substance Use Disorders Extension Request (PDF, 6.57 MB) ... WV Creating a Continuum of Care for Medicaid Enrollees with SUDs STCs (PDF, 1.01 MB) 12/06/2016 West Virginia SUD section 1115 demonstration application (PDF, 1.3 MB) ...

  25. Provider Downloads | MES - Virginia

    vamedicaid.dmas.virginia.gov/provider/downloads

    Most of the files below are in Adobe PDF format which your browser should open in a new tab, or a dialog asking you to download the document. How to Complete the PAH Request Form (PDF Download) - UPDATED!

  26. Funding Guidelines - dbhds.virginia.gov

    dbhds.virginia.gov/.../IFSP-Funding-Program-Guidelines-FAQs-FY2024.pdf

    application for each child and be the responsible party listed on each of the two submitted applications. When the application is approved, the father would receive two debit cards, one for each child. 30. What is a custodial family member? A “custodial family member” is a family member who has primary authority to