Virginia Application for Presumptive Eligibility for Medicaid

State:
Multi-State
Control #:
US-0538BG
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PDF
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Description

Use this form to find out quickly if you qualify for presumptive eligibility for Medicaid. Presumptive eligibility offers you and your family immediate access to health care while you apply for regular Medicaid or other health coverage.

Virginia Application for Presumptive Eligibility for Medicaid is a crucial form that enables individuals to access temporary Medicaid coverage while their full Medicaid application is being processed. This application is specifically designed for low-income adults and children who meet certain eligibility criteria. The primary purpose of the Virginia Application for Presumptive Eligibility for Medicaid is to provide immediate healthcare coverage to those who are in urgent need of medical services. By completing this application, eligible individuals can receive benefits such as doctor visits, prescription medications, hospital stays, and other essential health services. The application process involves providing detailed information about the applicant's identity, income, household size, and other crucial details. It is important to note that there are various types of Virginia Applications for Presumptive Eligibility for Medicaid, depending on the specific eligibility criteria: 1. Virginia Application for Presumptive Eligibility for Medicaid — Adults: This application type is specifically for low-income adults who do not qualify for regular Medicaid but need immediate medical coverage. It assists individuals in accessing healthcare services before determination of their full Medicaid eligibility. 2. Virginia Application for Presumptive Eligibility for Medicaid — Children: This application type focuses on providing temporary Medicaid coverage to low-income children who require immediate medical attention. It ensures that children receive the necessary healthcare services while their full Medicaid application is being processed. 3. Virginia Application for Presumptive Eligibility for Medicaid — Pregnant Women: This application is designed for pregnant women with limited income who do not currently qualify for regular Medicaid but urgently require prenatal and maternity care. It enables expectant mothers to access essential medical services during their pregnancy. The Virginia Application for Presumptive Eligibility for Medicaid is an essential lifeline for those who need immediate healthcare coverage but have not yet been fully determined eligible for Medicaid. By completing this application, individuals can receive the necessary medical services while their regular Medicaid application is being evaluated. In conclusion, the Virginia Application for Presumptive Eligibility for Medicaid provides temporary Medicaid coverage to eligible individuals who require immediate medical services. By offering multiple application types for different groups such as adults, children, and pregnant women, it ensures that essential healthcare is accessible to those in urgent need.

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FAQ

? Apply Online at: ? Call Cover Virginia at 1-855-242-8282 to apply on. the phone Monday-Friday AM- PM and. ... .dss.virginia.gov/benefit/medical_a. ssistance/forms.cgi. ? You can find the address and phone number. ... . ?

Who is eligible for Virginia Medicaid? Household Size*Maximum Income Level (Per Year)5$46,7376$53,5737$60,4098$67,2454 more rows

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.

Apply for Medicaid in Virginia Eligibility: The aged, blind, and disabled. Adults under age 65 are eligible with household incomes up to 138% of FPL. Pregnant women are eligible with household incomes up to 143% of FPL.

Adults who are age 65 or older or are disabled or blind may qualify for full Medicaid. A resource test may be required for the applicant. A person who does not qualify for full Medicaid because their income is over the limit may ?spenddown? their income limit on certain medical bills.

As a result of eligibility expansion, Medicaid is available to Virginia adults under age 65 who earn up to 138% of the poverty level. In 2023, that's $20,120 for a single person, and about $34,307 for an adult in a household of three people).

Our Programs Household sizeYearlyMonthly1$21,579$1,7992$29,186$2,4333$36,973$3,0674$44,400$3,7005 more rows

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Mar 23, 2021 — Assist individuals in completing a full Medicaid application, or information on resources to help the individual complete and submit an. Certain hospitals are able to enroll eligible individuals in a limited short-term Medicaid coverage through HPE. This is a temporary coverage program. Who ...West Virginia Medicaid State Plan - Federally Qualified Health ... The Application to Determine Presumptive Eligibility for Medicaid form must be signed by the. Must provide applicant with PE eligibility outcome and explain the presumptive eligibility period (potentially up to 60 days). Must provide the applicant with  ... You qualify for temporary health coverage through the Virginia Hospital Presumptive Medicaid Eligibility program. This form will be your proof of coverage ... Presumptive eligibility allows children to get access to Medicaid or CHIP services without having to wait for their application to be fully processed. Qualified ... Virginia Medicaid provider to perform Hospital Presumptive Eligibility determinations. Please complete, sign, and return this agreement to the Virginia ... How can I complete the full application? · At the provider where you were found presumptively eligible · Online · Over the phone at 800-403-0864 · At a Division of ... Oct 1, 2023 — ... call us at 800-698-2411 (TTY: 711). And you can file a claim for PACT Act-related disability compensation or apply for VA health care now. Yes. No. The state uses a single application form for Medicaid and presumptive eligibility, approved by CMS. The state uses a separate application form for ...

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Virginia Application for Presumptive Eligibility for Medicaid