Authorizations
How to Become a Medicaid Provider for Home Care
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
What are the Medicaid income and asset limits for home care in Virginia?
Last verified October 17, 2026 · All Virginia resources
In Virginia, the income limit is $2,982/month and the asset limit is $2,000 single. Virginia's categorically needy income limit for long-term care groups is 300% of the SSI benefit, $2,982 a month in 2026. People with higher income may qualify as medically needy by spending down to Virginia's medically needy income limits, which vary by locality group. The aged, blind and disabled resource limit is $2,000 for one person and $3,000 for a couple. Home equity over $752,000 counts against long-term care eligibility.
| Program | Virginia Medicaid long-term services and supports: Commonwealth Coordinated Care Plus (CCC Plus) Waiver, PACE and nursing facility care (Cardinal Care) |
|---|---|
| Income limit (single applicant) | $2,982/month for a single applicant (Categorically Needy 300% of SSI); higher income may qualify through medically needy spenddown |
| How income is counted | special income limit (300% SSI) |
| Medically needy spend-down | Yes |
| Asset limit (single) | $2,000 single |
| Asset limit (couple, both applying) | $3,000 couple |
| Home equity limit | $752,000 |
| Look-back period | 60 months |
What if a married applicant's spouse stays at home?
Federal spousal impoverishment rules protect part of the couple's income and assets for the spouse who stays home. For 2026 the community spouse can keep between $32,532 and $162,660 in assets, depending on the state.
Which programs pay for care at home?
Once someone is financially eligible, home care is usually paid through a waiver or state plan program. See the Virginia Medicaid waivers that pay for home care.
How to apply in Virginia (Virginia Department of Medical Assistance Services (DMAS); local departments of social services determine eligibility)
What should you confirm with the state?
Ask your local department of social services which resource limit applies to your long-term care application.
More for Virginia
Medicaid eligibility by state: other states
Related guides
Operations
Private Pay vs. Medicaid: Choosing Your Agency's Payer Mix
Private pay means higher rates and fast payment; Medicaid means steady volume at state-set rates with authorizations and EVV. Compare rates, cash timing and admin before you mix them.
These free tools are made by the team behind Caregiver Scheduling, caregiver scheduling software for home care agencies.
Simple pricing
From $199 /month
Up to 10 caregivers on Starter, 50 on Growth.
More than 50 caregivers? We'll put together a custom Scale plan for your agency.