Medicaid is the federal and state-funded program that ensures basic health care coverage to low-income Americans of all ages. This joint initiative is administered at the state level according to federal guidelines. In Virginia, the Department of Medical Assistance Services administers the program, which provides medical and long-term care services to about one million eligible state residents.
To qualify for Medical Assistance coverage for long-term care services, Henrico County residents must:
- Be U.S. citizens or legal aliens
- Have a monthly income of $2,313 or less per individual whether married or single
- Have no more than $2,000 in countable assets per person
MA counts income from all sources when determining eligibility. Assets that count include cash, bank account balances, stocks and bonds, retirement accounts and real estate other than an occupied primary home. Additional exempt assets include household and personal effects, one automobile and irrevocable burial trusts.
Virginia Medical Assistance provides some leeway on the above limits for a married applicant whose spouse isn’t applying for coverage. An individual who’s over the income and asset thresholds may be able to qualify after spousal living and resource allowances are made, which can be up to $3,160.50 in monthly income and $126,420 in jointly held assets.
Seniors can
apply for Virginia Medical Assistance online, by calling (855) 242-8282 or in person at one of the
two Social Services offices located in Henrico.
Commonwealth Coordinated Care Plus waiver The Medical Assistance program covers institutional long-term care in a nursing home as an entitlement. The
Commonwealth Coordinated Care Plus waiver is available for eligible seniors who want to live at home or in a community-based care setting and delay or prevent nursing home admission. The waiver provides comprehensive medical services and long-term care supports and services through six approved
managed care health plan providers. The waiver benefits a senior may receive include:
- Case management
- Medical care
- Transition assistance to relocate from a nursing home
- Personal care services
- Necessary durable medical equipment
- Assistive technologies
- Private-duty nursing care
- Prescription medications
- Medical transportation
Virginia residents aged 65 and older in need of medical services or long-term care are enrolled automatically in the CCC Plus waiver program if they’re approved for Medical Assistance. To receive coverage, applicants must have an income of less than 300% of the Supplemental Security Income benefit rate, which equates to $2,313 or less in monthly income, and meet the Medicaid program’s asset limits.
To learn more about the program or begin the application process by scheduling a screening assessment, Henrico County seniors can contact the
CCC Plus enrollment helpline at (844) 374-9159.