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Limited Medicaid, also know as Medicare Savings Plans, pays for Medicare coinsurance, premiums and deductibles, or may pay for premiums only. Available only to persons who have Medicare. Long Term Care Medicaid, pays for nursing home costs and home care (community based care services)
the FPL is published, or until March 1, 2020. There was a 1.6% COLA for 2020. The 2020 resource limits for QMB, SLMB and QI are $7,860 for one person and $11,800 for a couple.
In 2018, Virginia's legislature and governor agreed to take part in the federally-funded expansion of Medicaid, which broadened the eligibility of Medicaid to include adults ages 19-64 whose incomes fall within 138% of the federal poverty line (e.g. $17,237 for a single adult or $29,436 for a family of three).
For assistance with billing, claims, member eligibility, memos and other regulations, call the Virginia Medicaid Provider Helpline at the toll-free (800-552-8627) or in-state (804-786-6273) phone numbers. The Provider Helpline is available Monday to Friday between 8am and 5pm.
Virginia Health Care Foundation | Medicaid/FAMIS (Virginia's State-Sponsored Health Insurance programs)
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Virginia Health Care Foundation | Medicaid/FAMIS (Virginia's State-Sponsored Health Insurance programs)
For assistance with billing, claims, member eligibility, memos and other regulations, call the Virginia Medicaid Provider Helpline at the toll-free (800-552-8627) or in-state (804-786-6273) phone numbers. The Provider Helpline is available Monday to Friday between 8am and 5pm.
Medicaid policy allows for a 45 day processing timeframe. \u2013 If a disability determination is required, that timeframe may be extended to 90 days. (However, any non-financial requirements must be verified by the 45th day or the application will be denied.)
If you need a replacement Medicaid ID card, call Cover Virginia at 833-5CALLVA to order a new one. You can also contact your local Department of Social Services (DSS). Members who are in a health plan will also get an ID card from the plan.
Medical Assistance programs in Virginia are administered by the Department of Medical Assistance Services (DMAS). Eligibility for the programs are determined by the local Department of Social Services (DSS) offices, by Cover Virginia, or by the Federal Health Insurance Marketplace.

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