We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Uncategorized Forms
  • Abd Application - Virginia Department Of Social Services - Dss Virginia

Get Abd Application - Virginia Department Of Social Services - Dss Virginia

Commonwealth of Virginia Name of Applicant Application for Health Coverage and Help Paying Costs Appendix D Adults Over Age 19 with Disabilities and Other Adults age 65 and Over, and All People Who.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the ABD Application - Virginia Department Of Social Services - Dss Virginia online

The ABD Application is crucial for individuals seeking medical assistance due to disabilities or age-related health issues. This guide will help you navigate the online form, ensuring you provide accurate and complete information to facilitate your application process.

Follow the steps to successfully complete the ABD Application.

  1. Click the ‘Get Form’ button to obtain the ABD Application form and open it in your preferred digital format.
  2. Begin by filling out the 'Household Information' section. Indicate your marital status by selecting the appropriate box. If anyone in your household has previously applied for medical assistance in another state or locality, answer 'Yes' and specify details as requested.
  3. Proceed to provide information regarding any household members temporarily away from home. If applicable, include their name, date of departure, reason for leaving, current location, and expected return date.
  4. Continue to complete questions 4-10 only if applicants are under age 65. Confirm if anyone is disabled, has applied for Social Security or SSI, or has received a favorable disability determination.
  5. In the 'Long-term Care' section, answer questions regarding the need for nursing facility care, current residence in assisted living, and any long-term care insurance.
  6. Fill out the 'Resources and Assets' section by reporting all financial assets, including cash, bank accounts, stocks, and life insurance policies held by you or your spouse.
  7. Provide details regarding income sources in the 'Other Income' section, such as child support or Veteran's Administration benefits received.
  8. Consider completing the 'Commonwealth of Virginia Voter Registration Agency Certification.' Indicate if you wish to register to vote and follow the instructions provided in this section.
  9. Review all the information you have entered to ensure accuracy and completeness before finalizing your submission.
  10. Once satisfied with your application, save any changes made, and proceed to download, print, or share the form as necessary.

Complete your ABD Application online today and take an essential step towards accessing the medical assistance you need.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

Medicaid Forms/Applications - Virginia Department...
People Who May Be Eligible For Medical Assistance · Adults Aged 19 - 64 · Children Under...
Learn more
commonwealth of virginia department of medical...
structure of the Virginia Medicaid program. ... changes at DMAS and Department of Social...
Learn more
United States Department of Health and Human...
Jump to Department of Health, Education, and Welfare — The Department of Health...
Learn more

Related links form

Wniosek O Wpisanie Zaproszenia Do Ewidencji Form Get Ready For Matura 2015 Oxford University Press Odpowiedzi Special Needs Form - The Connecticut Conference United Church ... - Ctucc 30 Worksheet 2B Test Of Receipts - Ctucc

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

On January 1, 2019, Medicaid became available to eligible adult Virginians ages 19 64 who live in households earning 138% of the Federal Poverty Level ($17,237 for an individual or $29,346 for a family of three in 2019). Nearly 400,000 Virginians are now income-eligible.

Apply online at www.commonhelp.virginia.gov. Call the Cover Virginia Call Center at 1-855-242-8282 (TDD: 1-888-221-1590) to apply on the phone Mon - Fri: 8:00 am to 7:00 pm and Sat: 9:00 am to 12:00 pm. Complete an online application at the Health Insurance Marketplace: www.healthcare.gov.

Have a child 18 years of age or younger, or. Be pregnant, or. Be 18 years of age or younger and the head of your household.

On January 1, 2019, Medicaid became available to eligible adult Virginians ages 19 64 who live in households earning 138% of the Federal Poverty Level ($17,237 for an individual or $29,346 for a family of three in 2019). Nearly 400,000 Virginians are now income-eligible.

If the monthly income is $1,784 or less, or the yearly income is $21,404 or less, you may qualify for Children's Medicaid. If the monthly income is $2,663 or less, or the yearly income is $31,951 or less, you may qualify for CHIP.

Apply online via healthcare.gov, which is Virginia's health insurance marketplace. Fill out the online application at www.commonhelp.virginia.gov. Apply over the phone by calling the Cover Virginia Call Center at 1-855-242-8282 (TDD: 1-888-221-1590).

Income requirements: Single adults qualify with household incomes up to 133% of the FPL ($22,929 a year for a family of two). Children up to 2 years old qualify with household income up to 283% FPL. Children ages 2-18 are eligible with household incomes up to 275% FPL and pregnant women are eligible up to 278% FPL.

Cost and Coverage of Medicaid in Virginia Medicaid services that may be provided include care for babies, dental, durable medical equipment and supplies, early and periodic screening, diagnosis and treatment, family planning and birth control, long-term care, prescription drugs, clinic services, community-based ...

To determine eligibility and/or apply for SNAP benefits online, visit CommonHelp. Alternatively, paper applications are available and may be submitted manually to the applicant's local department of social services.

To be eligible for Virginia Medicaid, you must be a resident of the state of Virginia, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get ABD Application - Virginia Department Of Social Services - Dss Virginia
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232