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Forms Completed Virginia UAI all 12 pages Completed DMAS-96 form Copy of DMAS-97 form SPECIALIZED CARE If an individual requires nursing facility care and has specialized service needs it may be appropriate to refer to a specialized care provider. Under 21 Virginia UAI DMAS 96 DMAS 97 Technology Waiver Private Duty Nursing PDN RN and LPN Pediatric Referral form. Skilled PDN Over 21 Virginia UAI DMAS 96 DMAS 97 Technology Waiver Adult Referral.

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This covered group is for Virginians who are Aged, Blind, or Disabled, and who have income at or below 80% of the Federal Poverty Level (FPL). This group, like other ABD groups, must meet resource requirements, too. The “ABD ≤80% FPL” group receives full Medicaid benefits.

Income & Asset Limits for Eligibility 2023 Virginia Medicaid Long-Term Care Eligibility for SeniorsType of MedicaidSingleMarried (both spouses applying)Medicaid Waivers / Home and Community Based Services$2,742 / month†$5,484 / month†Regular Medicaid / Aged Blind and Disabled$972 / month$1,315 / month2 more rows • Jun 20, 2023

Who is eligible for Virginia Medicaid? Household Size*Maximum Income Level (Per Year)1$19,3922$26,2283$33,0644$39,9004 more rows

Call Cover Virginia at 1-855-242-8282 (TTY: 1-888-221-1590) or visit our Return to Normal Enrollment webpage to learn how you can keep or obtain Medical Assistance coverage.

To check your status, you can log in to your account at commonhelp.virginia.gov by clicking the Check My Benefits button or call 1-855-242-8282 (TDD: 1-888-221-1590).

About the Agency The mission of the Virginia Department of Medical Assistance Services (DMAS) is improving the health and well-being of Virginians through access to high-quality health care coverage.

"DMAS" or "the department" means the Virginia Department of Medical Assistance Services. "DMAS-225" means the Medicaid Communication form used for the provider and the DSS eligibility worker to report changes including requests for adjustments to the patient pay.

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© 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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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