[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-306751-105":53,"doc-detail-306751-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","section-2-eligibility-and-application-5-2025-eligibility-application","Section-2-Eligibility-and-Application-5-2025 - Eligibility & Application","","Eligibility & Application outlines non-financial and financial requirements for Virginia state-sponsored health insurance programs, including rules tied to age groups, Virginia residency, and assignment of third-party payment rights. It explains how eligibility is assessed through household size and income comparisons against program guidelines, then details application procedures by telephone, online via CommonHelp, and by paper. It also covers hospital presumptive eligibility, required verification documents, processing timelines, and case dispositions, plus notices for approvals and denials and related appeal materials.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/section-2-eligibility-and-application-5-2025-eligibility-application/306751/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/section-2-eligibility-and-application-5-2025-eligibility-application/306751.png","ImageObject",442,249,{"name":88,"@type":89},"McGucket","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-27","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",10,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What non-financial requirements must applicants meet?","Question",{"text":109,"@type":110},"Applicants must meet non-financial eligibility requirements in addition to financial requirements, including age-related program rules, Virginia residency, and assignment of third-party payment rights.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"How does the application determine household size and income eligibility?",{"text":114,"@type":110},"The process determines household size and household income and compares both to program guidelines to establish eligibility.",{"name":116,"@type":107,"acceptedAnswer":117},"What are the available ways to apply and what documents are needed?",{"text":118,"@type":110},"Applicants can apply by telephone, online via CommonHelp, through the Virginia Insurance Marketplace, or by paper. Verification documents are required, and processing timelines and case dispositions are provided as part of the application process.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},306751,1790348418,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":136,"language":137,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":61,"update_tm":141,"read_time":40},1236954412713,"https://us-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","Eligibility & Application  \nNon-Financial Requirements  \nAge .................................................................... 2.1  \nVirginia Residence ................................................ 2.1  \nAssignment of Third Party Payment Rights ......... 2.1-2.2  \nSocial Security Number ......................................... 2.2  \nUS Citizenship or Alien Status Requirements ...... 2.2-2.3 Other Insurance ................................................... 2.3  \nResidents of Institutions ....................................... 2.4  \nCooperation with Child Support Enforcement ........... 2.4  \nLiving with a Dependent Child ................................ 2.4  \nFinancial Requirements  \nDetermining Household Size ............................ 2.5-2.8  \nDetermining Household Income ......................2.8-2.10  \nComparing Household Size and Income to Program Guidelines .............................................2.10-2.13  \nApplication Procedures  \nWho Can Apply .................................................. 2.14  \nHow to Apply:  \nBy Telephone .........................................2.14-2.15  \nOnline Via CommonHelp ..........................2.15-2.17  \nVirginia Insurance Marketplace.................2.17-2.18  \nBy Paper ...............................................2.18-2.24  \nHospital Presumptive Eligibility ........................ 2.25  \nVerification Documents ....................................... 2.26  \nApplication Processing Timeframes ....................... 2.27  \nDisposition of the Case ....................................... 2.27  \nWhat Happens if the Application is Denied .....2.28-2.29 Application Step 5 .......................................2.31-2.32  \nLDSS Request for Verifications ......................2.33-2.34  \n• • • • • • SignUpNow Tool Kit  \nApplication Procedures(continued)  \nNotice of Action-Approval ........................... 2.35-2.40  \nNotice of Action-Denial...............................2.41-2.43  \nHPE Approval Notice ........................................... 2.44  \nMedicaid/FAMIS Appeal Request Form ............2.45-2.47  \nMedicaid Manual Alien Code Chart .................2.48-2.50  \nSignUpNow Tool Kit• • • • • •  \nNon-Financial Requirements  \nIn addition to financial requirements that must be met to qualify for Virginia’s state-sponsored health insurance programs, several non-financial requirements must also be met.  \nAn asterisk ( * ) indicates a rule that differs between the programs in the following list of non-financial eligibility requirements.  \nA . Age  \nFAMIS and FAMIS Plus are for children from birth up to their 19th birthday.  \nNote: a pregnant individual under age 19 will be screened for the pregnancy programs (Medicaid for Pregnant Women, FAMIS MOMS or FAMIS Prenatal) not the children’s programs.  \nMedicaid for Pregnant Women, FAMIS MOMS, and FAMIS Prenatal Coverage are for pregnant individuals of any age.  \nMedicaid Expansion for Adults is for non-pregnant adults ages 19 to 64.  \nLow Income Families With Children (LIFC) is for parents, or a caretaker relative of any age, who have the care of a dependent child under age 18 in their household. If they do have an 18 year old, they may still be eligible if that child is in a secondary school or equivalent level of vocational or technical training or GED program and is reasonably expected to complete the schooling/training before or in the month he/she attains age 19.  \nA person applying for Medicaid for Former Foster Care (FFC) Youth must be between the ages of 19 and 26. They have to have aged out of statesponsored foster care and Medicaid in Virginia or another state.  \nPlan First is primarily for men and women of child bearing age (19-64), but any age person may be eligible.  \nB . Virginia Residence  \nApplicants must be residents of Virginia. This means that they must live in, and intend to remain living in, Virginia. Self-declaration of residency  \nis all that is required. (“Regardless of the individual’s immigration ","cbCaicqrFso0uOk0","https://ap.wps.com/l/cbCaicqrFso0uOk0","pdf",2674503,52,"English","# Eligibility & Application\n## Non-Financial Requirements\n## Financial Requirements\n## Application Procedures","[{\"question\":\"What non-financial requirements must applicants meet?\",\"answer\":\"Applicants must meet non-financial eligibility requirements in addition to financial requirements, including age-related program rules, Virginia residency, and assignment of third-party payment rights.\"},{\"question\":\"How does the application determine household size and income eligibility?\",\"answer\":\"The process determines household size and household income and compares both to program guidelines to establish eligibility.\"},{\"question\":\"What are the available ways to apply and what documents are needed?\",\"answer\":\"Applicants can apply by telephone, online via CommonHelp, through the Virginia Insurance Marketplace, or by paper. Verification documents are required, and processing timelines and case dispositions are provided as part of the application process.\"}]","Section-2-Eligibility-and-Application-5-2025 - Eligibility & Application | PDF",1789840723]