Medicaid provides health care services to low-income Americans across all age groups. The program operates nationwide as a jointly funded collaboration between individual states and the federal government. In Virginia, the Medicaid program is overseen by the Department of Medical Assistance Services. Seniors age 65 and older and people with disabilities who are U.S. citizens or in the country legally can qualify for Medicaid coverage if they meet specific eligibility guidelines:
- $2,313 or less per month in income for an individual or $4,626 for couples
- $2,000 in assets for individuals and $4,000 for couples
All sources of income count. Counted assets include cash, stocks and bonds, bank account balances and real estate, with the exception of an applicant’s principal residence if it’s valued at less than $585,000. Other excluded assets are personal belongings, household effects and one vehicle.
McLean seniors can apply for Medicaid in person at any Fairfax County Department of Family Services office,
online or by calling (855) 635-4370.
Commonwealth Coordinated Care Plus waiver Medicaid-eligible Virginia residents age 65 and older who need medical or nursing home care are automatically enrolled in the
CCC Plus waiver program if they have a monthly income below $2,313, which is 300% of the SSI federal benefit rate. Medicaid asset limits also apply.
The CCC Plus program’s purpose is to allow seniors to stay in a home or community setting and postpone or prevent the need for nursing home placement. Approved
managed care organizations provide the waiver’s long-term care supports and services. The covered services begin with case management but can include a wide range of benefits such as:
- Personal care assistance
- Durable medical equipment and assistive technology
- Private-duty nursing services
- Transition services
- Medical and emergency care
- Diagnostic services
- Prescriptions
- Medical transportation
Those who are over the Medicaid or CCC Plus waiver income limit but have high medical bills may still qualify through a spend-down. Also called a medically needy pathway, this provision allows an individual to lower their countable income by deducting out-of-pocket medical expenses.
To learn more about the CCC Plus waiver program or to begin the application process by scheduling a screening assessment, contact the
Fairfax County Department of Family Services at (703) 324-7500.