Virginia Medicaid Income Limits Chart (2025)

Quick answer: In 2025, most Virginia adults 19–64 qualify for Medicaid if total household income is at or below 138% of the Federal Poverty Level (FPL) (e.g., $29,187/year for a family of 2). Children and pregnant people have higher limits; ABD/long-term-care rules use different income and resource tests. See the full tables below.

Key takeaways (2025)

• Adults 19–64 (Medicaid Expansion): up to 138% FPL (includes a 5% disregard that Virginia shows in its dollar amounts).
• Children (FAMIS/FAMIS Plus): covered at higher limits—FAMIS Plus (children’s Medicaid) and FAMIS go up to 205% FPL depending on age/program.
• Pregnancy: coverage during pregnancy and 12-month postpartum period with higher income limits (plus FAMIS MOMS up to 205% FPL).
• ABD (Aged, Blind, or Disabled): standard full-benefit group generally up to ~80% FPL with resource limits.
• Long-term care (nursing home/HCBS): uses different income & asset rules, plus spousal protections if one spouse needs care.
• Household size matters: bigger households have higher income limits. Use our calculator for a precise check.

👉 See the Medicaid Income Limits by State (2025) guide.

Virginia Medicaid income limits (2025)

Amounts below are Virginia’s published 2025 guidelines. “Each additional” shows how the limit rises per extra household member.

Adults 19–64 (Expansion, 138% FPL)

Who fits here? Most non-Medicare adults ages 19–64 who meet citizenship/immigration and residency rules.

Children’s coverage (FAMIS Plus & FAMIS)

Virginia has two main pathways:

• FAMIS Plus (children’s Medicaid) – lower out-of-pocket, higher medical benefits.
• FAMIS (CHIP) – still generous and goes up to 205% FPL.

Virginia publishes exact 2025 dollar amounts for both. If your child’s income is above FAMIS Plus but at or below 205% FPL, they’re usually eligible for FAMIS.

Pregnant individuals

Virginia covers pregnant people during pregnancy and for 12 months after pregnancy. Income limits are higher than for other adults; if over the Medicaid pregnancy limit but at or below 205% FPL, FAMIS MOMS can cover you.

Tip: Virginia also offers Plan First (family planning) if you’re above adult Medicaid limits but under the program’s threshold.

ABD (Aged, Blind, or Disabled) — 2025 overview

If you’re 65+ or meet disability/blindness criteria, Virginia’s ABD pathways use different income and resource rules than MAGI groups:

• Full-benefit ABD (≤ ~80% FPL): Income-tested and resource-tested.
• SSI recipients usually qualify for Medicaid (you still apply).
• Spenddown (Medically Needy): If income is above ABD limits, medical bills can temporarily qualify you.
• Medicare Savings Programs (QMB/SLMB/QI/QDWI): If you have Medicare, these can pay some Medicare costs at higher income levels.

Resources (assets) are counted for ABD groups. For institutional/HCBS long-term-care routes, Virginia follows federal rules (see next section).

Long-term care Medicaid (nursing home & HCBS waivers)

Long-term-care Medicaid uses special rules:

• Income: Applicants may qualify up to the “300% of SSI” cap (monthly).
• Resources (assets): Typically $2,000 for an individual applicant (different for couples and certain exclusions).
• Spousal protections: If one spouse needs long-term-care Medicaid and the other stays in the community, federal spousal impoverishment rules let the community spouse keep a protected amount of income and assets.
  • Minimum Monthly Maintenance Needs Allowance (MMMNA) (VA follows federal min/max): $2,643.75–$3,948/month in 2025.
  • Community Spouse Resource Allowance (CSRA) federal range for 2025: $31,584–$157,920 (Virginia applies amounts consistent with federal standards).

These numbers shift slightly each year; use our calculator and/or talk with your local DSS for case-specific guidance.

Do assets count?

• MAGI groups (adults 19–64, children, pregnancy): No asset test.
• ABD & Long-term care: Yes, assets/resources are counted. Some assets are excluded (primary home up to equity limit, one vehicle, certain personal effects/household goods, etc.).

What if my income is just over the limit?

• Children & pregnancy: You might still qualify under FAMIS / FAMIS MOMS up to 205% FPL.
• Plan First: Family-planning services at higher income levels than adult Medicaid.
• ABD: Ask about Spenddown if medical bills are high.
• Marketplace: If you’re over Medicaid limits, you may get ACA subsidies on HealthCare.gov.

Required documents (when you apply)

• Proof of identity and Virginia residency
• Income (pay stubs, award letters, self-employment records)
• Household size (tax filing + who lives with you)
• For ABD/long-term-care: resources (assets) and bank statements, plus disability documentation if applicable

How to apply in Virginia

• Online: CommonHelp (Virginia) or HealthCare.gov
• By phone: Cover Virginia Call Center
• In person: Your local Department of Social Services (DSS) office

Pro tip: Apply even if you’re unsure—you’ll get an official decision, and the agency may place you in the right covered group automatically.

FAQs (2025)

Next steps

• Use the Virginia Medicaid Income Limits Calculator to see 2025 eligibility by household size.
• Compare Virginia to other states in our 2025 Medicaid Income Limits by State guide.
• Ready to apply? Start at CommonHelp or call Cover Virginia.