Virginia Medicaid Income Limits

Updated August 2026

Virginia expanded Medicaid under the Affordable Care Act effective January 1, 2019. Most adults ages 19–64 now qualify at or below 138% of the Federal Poverty Level — the standard ACA expansion threshold. Income limits differ by household category as shown below.

Virginia Medicaid income limits by coverage group (2026)

Coverage group	Income limit (% FPL)	Approx. annual (1 person)
Adults ages 19–64 (ACA expansion)	138% FPL	~$22,025/yr
Pregnant women	205% FPL	~$32,718/yr
Children (FAMIS Plus — Medicaid)	up to 148% FPL	Varies by age
Children (FAMIS — CHIP)	148%–205% FPL	~$32,718/yr (family of 1)
SSI recipients	SSI limit	Automatic eligibility
Long-term care / nursing facility	300% FBR	~$2,982/mo (2026)

Adults ages 19–64 (ACA expansion)

Income limit (% FPL): 138% FPL
Approx. annual (1 person): ~$22,025/yr

Pregnant women

Income limit (% FPL): 205% FPL
Approx. annual (1 person): ~$32,718/yr

Children (FAMIS Plus — Medicaid)

Income limit (% FPL): up to 148% FPL
Approx. annual (1 person): Varies by age

Children (FAMIS — CHIP)

Income limit (% FPL): 148%–205% FPL
Approx. annual (1 person): ~$32,718/yr (family of 1)

SSI recipients

Income limit (% FPL): SSI limit
Approx. annual (1 person): Automatic eligibility

Long-term care / nursing facility

Income limit (% FPL): 300% FBR
Approx. annual (1 person): ~$2,982/mo (2026)

Adult Medicaid income limits by household size (2026)

The table below shows 138% FPL income limits for the standard adult Virginia Medicaid expansion group. These are DMAS's published 2026 income guidelines, effective January 13, 2026, and include a 5% Federal Poverty Level disregard.

Household size	Annual limit (138% FPL)	Monthly equivalent
1 person	$22,025	$1,836/mo
2 people	$29,864	$2,489/mo
3 people	$37,702	$3,142/mo
4 people	$45,540	$3,795/mo
5 people	$53,379	$4,449/mo
6 people	$61,217	$5,102/mo
7 people	$69,056	$5,755/mo
8 people	$76,894	$6,408/mo
Each additional person	add $7,839/yr

1 person

Annual limit (138% FPL): $22,025
Monthly equivalent: $1,836/mo

2 people

Annual limit (138% FPL): $29,864
Monthly equivalent: $2,489/mo

3 people

Annual limit (138% FPL): $37,702
Monthly equivalent: $3,142/mo

4 people

Annual limit (138% FPL): $45,540
Monthly equivalent: $3,795/mo

5 people

Annual limit (138% FPL): $53,379
Monthly equivalent: $4,449/mo

6 people

Annual limit (138% FPL): $61,217
Monthly equivalent: $5,102/mo

7 people

Annual limit (138% FPL): $69,056
Monthly equivalent: $5,755/mo

8 people

Annual limit (138% FPL): $76,894
Monthly equivalent: $6,408/mo

Each additional person

Annual limit (138% FPL): add $7,839/yr

No asset test for most Virginia Medicaid enrollees

Virginia's MAGI-based Medicaid — the program covering most adults, children, and pregnant individuals — has no asset test. A savings account, vehicle, or home does not affect eligibility for these categories. This has been the rule since the ACA expansion took effect in Virginia in 2019.

An asset test applies only to long-term care Medicaid programs. Nursing facility eligibility and related waiver programs have separate resource limits and financial eligibility rules evaluated at application. If you are applying because of a nursing home situation, ask DMAS or your local DSS office specifically about long-term care financial requirements.

How income is counted for Virginia Medicaid

Virginia uses Modified Adjusted Gross Income (MAGI) methodology to determine income for most Medicaid categories. MAGI-based income is similar to what you report on a federal tax return — it includes wages, salaries, tips, self-employment income, Social Security income (most types), and certain other income.

Several income types are excluded from the MAGI calculation, including child support received, veterans' benefits, and certain TANF payments. In a mixed-income household, only income from the household members applying for coverage is typically counted — income from a non-applying member (such as an undocumented spouse) may not affect eligibility.

DMAS uses monthly income amounts at the time of application, not annual projections. If your income fluctuates month-to-month (seasonal work, commission-based jobs), discuss how DMAS will count your income with a Cover Virginia representative before applying.