Medicaid income limits VA: expansion adults, FAMIS and FAMIS MOMS

Virginia Medicaid and FAMIS limits by household size

Virginia’s 2026 income limits run from $1,836 a month for a single adult to $5,638 for a family of four with a child on FAMIS, depending on who needs coverage.^[1][2] Cover Virginia, the Department of Medical Assistance Services (DMAS) information site, posted the figures as of January 13, 2026, and its charts already include the 5% disregard: the adult page says so in a footnote.^[1]

Medicaid and FAMIS count income under Modified Adjusted Gross Income (MAGI) rules, which “generally include” a disregard worth 5% of the poverty line.^[6] Every row is a percentage of the 2026 HHS guideline of $15,960 a year for one person plus $5,680 for each extra person.^[7] Cover Virginia’s own adult chart prints $1,836 for one person and $3,142 for three, the same amounts as the table.^[1]

Medicaid Expansion for adults 19 to 64

Virginia has expanded Medicaid, so an adult aged 19 to 64 qualifies with household income under 138% of poverty: $1,836 a month alone, $2,489 for two and $3,795 for four.^[1] On a yearly basis Cover Virginia shows $22,025 for one person and $45,540 for four.^[1]

Parents and caretaker relatives also have an older, lower standard. Medicaid.gov’s table (data as of December 2023) lists it at 49% of poverty, converted from a dollar amount, and that figure has not been re-verified for 2026.^[6] The checker turns it into $1,116 a month for a family of three. A parent who earns more than that but stays under $3,142 in a household of three still qualifies through Medicaid Expansion, so the expansion line is the one most families should compare against.

Pregnancy: MPW, FAMIS MOMS and FAMIS Prenatal Coverage

Pregnant Virginians qualify for Medicaid for Pregnant Women (MPW) up to 148% of poverty and for FAMIS MOMS or FAMIS Prenatal Coverage up to 205%, both figures with the disregard.^[3] In dollars, MPW reaches $2,669 a month for a household of two and $3,370 for three; the FAMIS pregnancy programs reach $3,697 and $4,668.

• MPW is regular Medicaid for pregnancy: 143% standard, 148% with the disregard.^[3]
• FAMIS MOMS and FAMIS Prenatal Coverage pick up between 148% and 205% and add one condition: you must be uninsured when you apply.^[3]

Children: Medicaid for Children and FAMIS

Every child from birth to 18 in Virginia has the same Medicaid limit, 143% of poverty (148% with the disregard), and FAMIS, the state’s CHIP, covers children up to 200% (205%).^[2] That means $3,370 a month for Medicaid and $4,668 for FAMIS in a family of three, or $4,070 and $5,638 for four.

There are no monthly premiums, co-payments, deductibles or other costs for covered services in either program, so a family just above the Medicaid line pays nothing extra for a child moved to FAMIS.^[2]

Aged, blind or disabled: a lower limit plus a resource test

Virginians who are 65 or older, blind or disabled are measured against a much lower limit: $1,084 a month for one person and $1,463 for two in 2026.^[4] Cover Virginia says those amounts include the poverty-line amount plus a standard $20 unearned income disregard; for one person that is 80% of the guideline ($1,064) plus $20.^[4][7] This category also has resource limits, which are not reproduced on this page.^[4]

All three limits come from the same Cover Virginia page and each carries its own resource test.^[4]

Applying through CommonHelp or the call center

You can apply online at commonhelp.virginia.gov or by phone through the Cover Virginia Call Center at 1-855-242-8282 (TTY 1-888-221-1590), Monday to Friday from 8 a.m. to 7 p.m.^[5] The Virginia Department of Social Services Enterprise Call Center is another phone route at 1-855-635-4370.^[5] Its Saturday hours ended on April 4, 2026.^[5]

• CommonHelp (apply, renew, report changes) Virginia Department of Social Services
• Cover Virginia: how to apply Call Center 1-855-242-8282

Virginia’s 2027 work and community engagement rules

Starting January 2027, work and community engagement requirements apply only to adults in Medicaid Expansion; they do not apply to children, pregnant or postpartum members, adults with a disability or people over 64.^[1] Under the federal rule, an expansion adult meets the requirement with 80 hours a month of work, community service, school or a work program, or with at least $580 a month in income.^[8]

• Renewals every six months for expansion adults, for renewals scheduled on or after January 1, 2027.^[9]
• Immigrant eligibility. Since October 1, 2026, federal Medicaid funds cover citizens, lawful permanent residents, Cuban and Haitian entrants and COFA migrants, with limited exceptions.^[10]

SNAP has its own gross and net tests; see Virginia food stamps or the national food stamps income limit tables. Other states’ rules are on Colorado Medicaid income limits, California (Medi-Cal) Medicaid income limits and New York Medicaid income limits, and the SNAP calculator estimates a food benefit for any state.