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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:

  • Are between ages 19 and 64

  • Are not eligible for Medicare

  • Receive Medicaid Expansion

Not affected:

  • Seniors (65+)

  • Children (18 and under)

  • Pregnant individuals

  • People with disabilities

Online Resources

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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.

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Apply Online

Apply for:

  • Food assistance

  • Child care assistance

  • Heating and cooling assistance

  • Health care

  • Cash assistance

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Meet TONI

Tools, Outreach, Navigation & Insight

VDSS' new intelligent agent for the HR1 work requirement.

  • A guide customers can talk with 24/7, in plain language.

  • Answers questions about the rules, clearly and kindly.

  • Coaches each customer toward a real plan to meet the requirement.

  • Connects people to training,

volunteering, and help with barriers

 

Piloting this fall. Live for January

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Report a Change

You must report any change within ten (10) calendar days from the date the change occurred.  These include changes of:

  • Address

  • Phone number

  • Jobs

  • Income

  • Family members living with you

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Norfolk Human Services

Scan & Submit QR code

Scan & Submit verifications to Norfolk Human Services here:

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Medicaid Comparison Chart

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.

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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.

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H.R. 1 Federal Work Requirement

Member Toolkit

This communication toolkit provides important information regarding changes affecting Medicaid Expansion members.

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H.R. 1 Federal Work Requirement

Provider Toolkit

This communication toolkit provides work requirement messaging for providers of Medicaid. 

© 2023 by Tech Tutors

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