
Virginia Medicaid Updates
Medicaid Updates Made Easy
If you are age 65 or older,
the new Medicaid rules under H.R. 1 do NOT apply to you.
Your coverage continues normally. You do not need to meet work requirements or complete extra steps.
Summary of New Rules (Starting 2027)
Some adults must work, volunteer, or attend school to keep Medicaid.
Medicaid Expansion members will have eligibility reviewed every 6 months.
Retroactive coverage may be reduced.
These rules do NOT apply to seniors.
What is Changing?
A new federal law (H.R. 1) requires updates to Medicaid starting in 2027. These changes mostly affect younger adults (ages 19–64) who are enrolled in Medicaid Expansion.
Who is Affected?
Adults who:
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Are between ages 19 and 64
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Are not eligible for Medicare
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Receive Medicaid Expansion
Not affected:
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Seniors (65+)
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Children (18 and under)
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Pregnant individuals
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People with disabilities
Online Resources
Serve Virgina
Volunteers can create a free account on the Serve Virginia Volunteer Hub to record hours committed to opportunities found on the Hub, as well as other independent volunteering.
Apply for:
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Food assistance
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Child care assistance
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Heating and cooling assistance
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Health care
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Cash assistance

Meet TONI
Tools, Outreach, Navigation & Insight
VDSS' new intelligent agent for the HR1 work requirement.
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A guide customers can talk with 24/7, in plain language.
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Answers questions about the rules, clearly and kindly.
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Coaches each customer toward a real plan to meet the requirement.
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Connects people to training,
volunteering, and help with barriers
Piloting this fall. Live for January
You must report any change within ten (10) calendar days from the date the change occurred. These include changes of:
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Address
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Phone number
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Jobs
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Income
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Family members living with you
Norfolk Human Services
Scan & Submit QR code
Scan & Submit verifications to Norfolk Human Services here:
Beginning in January 2027, federal law will require certain adult Medicaid members to engage in employment, education, training or volunteer activities for at least 80 hours a month, to maintain their health care coverage.
H.R. 1 Federal Work Requirement
Advocate Toolkit
The communication toolkit provides materials that community partners and stakeholders can use to educate and assist Medicaid members.
H.R. 1 Federal Work Requirement
Member Toolkit
This communication toolkit provides important information regarding changes affecting Medicaid Expansion members.
H.R. 1 Federal Work Requirement
Provider Toolkit
This communication toolkit provides work requirement messaging for providers of Medicaid.







