Required Medical Documents for a Virginia Medicaid Application

Virginia Medicaid Application Process

     As of 2023, Virginia Medicaid applicants generally cannot have an income greater than $2,742 per month or more than $2,000 in assets to qualify for the program. Certain assets do not count towards this limit, such as an applicant’s personal car, primary home, or prepaid funeral contracts. Applicants bear the burden to provide the proper documents that show their income and assets qualify them for Medicaid benefits. The Virginia Department of Medical Assistance Services (VDMAS) is not mandated to act on an applicant’s behalf in this process, except for in rare circumstances. The Virginia Medicaid application requires all applicants to submit copies for the following documents:

• Full Legal Name
• Date of Birth
• Social Security Number
• Employer and Income Information for Everyone in the Applicant’s
• Family
• Policy Numbers for all Current Health Insurance Policies
• Information About Any Job-Related Health Insurance Available to the Applicant’s Family
• Any Other Documentation that the VDMAS Deems Necessary to Complete the Application
• Proof of Income
• Proof of Assets & Prior Asset Transfers

     After receiving these documents, the VDMAS will verify the application in its entirety for its accuracy. It is important to provide accurate answers and documentation on a Medicaid application, as intentionally providing false information is a serious crime.

     Virginia will look back at least five years to determine whether an applicant transferred their assets for less than they were worth at the time. Applicants who transferred their assets under fair market value may find themselves ineligible for Medicaid for a period of time, but the mere fact that an asset was sold for less than it was worth does not automatically mean the applicant will be ineligible for any amount of time. Applicants are generally able to provide additional documents to help explain certain asset transfers to the VDMAS before their application is outright rejected. Additionally, certain assets may be required to be transferred before the application can be approved at all.

     After a Medicaid Application is approved, the recipient is required to provide income and asset documentation to the VDMAS once per year to ensure the recipient remains eligible for Medicaid benefits.

Conclusion

     The Virginia Medicaid application can be difficult to complete depending on many factors. Additionally, to recover the costs of providing Medicaid benefits, the Virginia government may be entitled to receive part or all of a recipient’s estate upon their death.

     Navigating the process of receiving Virginia Medicaid benefits can prove to be difficult. The attorneys at Smith Strong are able to assist you in applying for Virginia Medicaid benefits and protecting your assets after you passing so that your beneficiaries can receive the gifts you have left for them.

     If you would like assistance in obtaining your Virginia Medicaid benefits, please call one of our offices at 804-325-1245 (Richmond) or 757-941 4298 (Williamsburg) to discuss

Special Thanks to Brayden Meadows for his assistance with this article.