Help Accessing Your Medicaid Benefits
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The Medical Assistance program (Medicaid) was established under
Title XIX of the Social Security Act to enable states to provide
medical care for public assistance recipients and medically needy
persons (i.e. persons of low income who can meet their maintenance
needs but have insufficient income to provide the cost of medical
care). The program is financed by state and federal funds.
In Virginia, Children's Health Insurance includes Medicaid and Family
Access to Medical Insurance Security (FAMIS) and is available through
a single application. Children will be covered by Medicaid if the
family's income meets the Medicaid income requirements. Children
who are not eligible for Medicaid and who meet the FAMIS
eligibility requirements will be covered by FAMIS.
To apply for Virginia Medicaid contact
the Department of Social Services in the city or county where
the applicant lives. A face-to-face interview is not required. A
Medicaid application must be filed and it must be signed by the
applicant unless it is completed and signed by the applicant’s
legal guardian, committee, attorney-in-fact or authorized representative.
Applicants for Medicaid are asked to:
• Provide Social Security numbers.
• Confirm they are Virginia residents.
• Confirm U.S.citizenship or provide documentation of alien
status.
• Verify income and resources.
• Submit bills for medical services received in the past three
months.
Once a completed application is received, the local Department of
Social Services will determine whether the applicant meets a group
covered by Virginia’s Medicaid Program and if the applicant’s
resources and income are within the required limits. The amount
of income and resources the applicant can have and be eligible for
Medicaid depends on how many people the applicant has in their family
and the covered group. An eligibility decision will be made on
the applicant’s Medicaid application within 45 days or 90
days if a disability determination is needed. The local Department
of Social Services will send the applicant a written notice that
their application has either been approved or denied. If the applicant
disagree with the decision made by the local Department of Social
Services, they may file an appeal.
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