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Postpartum Health Coverage and Maternity Support for Single Mothers in Virginia

Postpartum Health Coverage & Maternity Support for Single Mothers in Virginia

Last updated: September 2025

This guide shows you exactly how to get postpartum health coverage, mental health help, nutrition benefits, child care support, and legal protections in Virginia—fast. You’ll see phone numbers, timelines, and what to do next if something stalls. Keep this page open while you call, apply, and follow up through resources like Cover Virginia, Virginia’s Insurance Marketplace, Virginia Department of Social Services, Virginia Department of Health, and 211 Virginia.
Virginia Medicaid now brands coverage as “Cardinal Care,” and pregnancy-related programs include Medicaid for Pregnant Women, FAMIS MOMS (CHIP for pregnant adults), and FAMIS Prenatal (for those who don’t meet immigration rules); learn the differences on Cover Virginia, read eligibility details on Cardinal Care Pregnancy & Postpartum Coverage, and see managed care plan steps at VirginiaManagedCare.com. (coverva.dmas.virginia.gov)


If You Only Do 3 Things – Emergency Actions to Take

Quick Help Box — Phone Numbers & Links to Keep Handy

Who Qualifies for Postpartum Coverage in Virginia, and What’s Covered

Virginia gives you several paths to full coverage during pregnancy and after birth. The fastest path is through Cardinal Care (Virginia Medicaid), which includes Medicaid for Pregnant Women, FAMIS MOMS, and FAMIS Prenatal; compare all three on Cover Virginia, read FAMIS MOMS details on CoverVA, and check noncitizen prenatal coverage on FAMIS Prenatal.
Key rule: Medicaid for Pregnant Women and FAMIS MOMS now cover you for 12 months after the pregnancy ends (even if your income changes), while FAMIS Prenatal covers you during pregnancy and for 60 days postpartum; income charts are posted on Cover Virginia and explained in each program page on CoverVA and DMAS. (coverva.dmas.virginia.gov)

Table — Postpartum Coverage Quick Look

Program Who it’s for Postpartum length How to apply Help number
Medicaid for Pregnant Women (Cardinal Care) U.S. citizens/qualified immigrants within income limits 12 months CommonHelp or call Cover Virginia 1-833-522-5582
FAMIS MOMS (CHIP) U.S. citizens/qualified immigrants within CHIP limits 12 months CommonHelp or Cover Virginia 1-855-242-8282
FAMIS Prenatal People ineligible for Medicaid due to immigration status 60 days CommonHelp or FAMIS Prenatal 1-855-242-8282

What to do if this doesn’t work: Ask the hospital about Hospital Presumptive Eligibility to start temporary coverage the same day, then submit your full application within the deadline; find HPE flyers and the hospital list on Cover Virginia, get in-person help via Find Help in Your Area, and call Enroll Virginia at 1-888-392-5132 for step-by-step support. (coverva.dmas.virginia.gov)

How to Apply Right Now (Fastest Paths)

Start online or by phone. The state’s main portal is CommonHelp, and the phone line is Cover Virginia at 1-833-522-5582; you can also go in person to your local office via Find Local DSS. If your baby is already here, ask the hospital to report the birth or call Cover Virginia Specialized Pregnancy Unit to get the newborn added while you’re still inpatient. (coverva.dmas.virginia.gov)

What to do if this doesn’t work: Contact the Cover Virginia chat on Contact, request a supervisor at your local DSS, or get a navigator through Enroll Virginia (1-888-392-5132). If urgent care can’t wait, ask the ER registration desk about Hospital Presumptive Eligibility. (coverva.dmas.virginia.gov)

Add Your Newborn to Coverage (Do This Within Days of Birth)

Your baby is eligible for Cardinal Care for the first year if you were on Medicaid or FAMIS MOMS at delivery; tell Cover Virginia or your local DSS as soon as the baby is born, and the system now auto‑enrolls many “deemed newborns” so care starts at birth. You can call 1-833-522-5582, ask the hospital to submit the newborn form, or contact your assigned health plan listed at VirginiaManagedCare.com. (law.lis.virginia.gov)

What to do if this doesn’t work: If the baby doesn’t show active coverage within 10 days, call the Cardinal Care Managed Care Helpline at 1-800-643-2273, ask your plan to escalate newborn enrollment, and verify the deemed newborn rule via 12VAC30-141-100. (virginiamanagedcare.com)

Picking and Using Your Cardinal Care Plan

As of July 1, 2025, the five statewide Cardinal Care managed care plans are Aetna Better Health of Virginia, Anthem HealthKeepers Plus, Humana Healthy Horizons, Sentara Health Plans, and UnitedHealthcare; use the Enrollment Broker at 1-800-643-2273 or visit VirginiaManagedCare.com to compare provider networks and perks. If you were with Molina, you were moved to Humana and can switch until September 30, 2025; see updates on Cardinal Care (Members) and plan FAQs at DMAS. (dmas.virginia.gov)

Table — Cardinal Care Health Plans (How to Reach Member Services)

Health plan Enrollment/Help Compare plans
Aetna Better Health of Virginia 1-800-643-2273 (Broker) VirginiaManagedCare.com
Anthem HealthKeepers Plus 1-800-643-2273 (Broker) VirginiaManagedCare.com
Humana Healthy Horizons in Virginia 1-800-643-2273 (Broker) VirginiaManagedCare.com
Sentara Health Plans 1-800-643-2273 (Broker) VirginiaManagedCare.com
UnitedHealthcare Community Plan 1-800-643-2273 (Broker) VirginiaManagedCare.com

What to do if this doesn’t work: If your OB, pediatrician, or therapist is not in network, ask the plan for a temporary out-of-network continuity of care authorization; if you can’t resolve it, call the Managed Care Helpline (1-800-643-2273) and escalate to Cover Virginia for help. (virginiamanagedcare.com)

Postpartum Benefits You Should Use (Don’t Leave These on the Table)

Virginia covers many services beyond basic checkups. You can get free doula support, dental care, lactation help, and breast pumps under different parts of Cardinal Care and federal law; confirm details on Cardinal Care Pregnancy & Postpartum Coverage, see dental coverage via CardinalCare Smiles, and learn breastfeeding benefits for other plans at HealthCare.gov. (coverva.dmas.virginia.gov)

  • Doulas: Virginia Medicaid now pays for up to 10 doula visits total—4 during pregnancy and 6 through 12 months postpartum—starting July 2025; ask your plan to refer a Medicaid-enrolled doula and cite the July 2025 DMAS bulletin if needed. Read the policy update at DMAS Memos & Bulletins and the enacted law summary (HB 1614) on LegiScan. (vamedicaid.dmas.virginia.gov)
  • Dental care: Adults on Cardinal Care get comprehensive dental through DentaQuest; pregnant members have enhanced allowances and at least four preventive visits per pregnancy under HB 2539. Call CardinalCare Smiles 1-888-912-3456, find a dentist on Dental (DMAS), and see the pregnancy dental page at Dental—Pregnant Members. (dmas.virginia.gov)
  • Breastfeeding & pumps: Medicaid and most marketplace plans must cover lactation support and a pump; request through your OB or the plan. Learn federal rules on HealthCare.gov, check Medicaid notes at Medicaid for Pregnant Women, and ask your local WIC office for peer counseling via VDH WIC. (healthcare.gov)
  • Family planning after birth (Plan First): If you no longer qualify for full-benefit coverage after postpartum ends, Virginia’s free Plan First program covers birth control, annual exams, and STI testing. Check 2025 income limits at Plan First, see provider lists on DMAS Plan First members, and ask local clinics via VDH Family Planning. (coverva.dmas.virginia.gov)

What to do if this doesn’t work: Ask your plan’s case manager to flag postpartum benefits and submit a prior authorization if required; if the plan denies a covered maternal benefit, appeal using instructions on Cover Virginia Appeals and log a grievance with the plan through VirginiaManagedCare.com.

Your Rights at Work While Healing and Pumping

You have federal and state rights to reasonable accommodation for pregnancy and postpartum needs, and to pump milk at work in a private space that’s not a bathroom. The federal PUMP Act requires most employers to provide break time and a suitable space for one year after birth; see details from U.S. DOL, FAQs at DOL Pump FAQs, and EEOC guidance connecting the federal PWFA to lactation on EEOC. (dol.gov)

Virginia’s Human Rights Act requires employers to accommodate pregnancy, childbirth, and related medical conditions, including lactation; review §2.2-3909 on Virginia Law, a plain‑English copy on Justia, and workplace materials linked by VDH Breastfeeding. Also, Virginia law says you may breastfeed anywhere you’re lawfully present—carry the law card from VDH Breastfeeding Law page and the code at §32.1‑370. (law.lis.virginia.gov)

What to do if this doesn’t work: First, email HR with a short written request citing the PUMP Act and Virginia’s accommodation statute; if denied, file with EEOC, call U.S. DOL Wage & Hour, or seek free help through Virginia Poverty Law Center.

Mental Health, Safety, and Crisis Resources

If you feel overwhelmed, anxious, or depressed, reach out the same day. Start with Postpartum Support Virginia for free care coordination, call or text the 24/7 lines 988 or 1-833-852-6262 (TLC‑MAMA), and check hospital programs like VCU Health Postpartum Support if you’re near Richmond. The HHS Mental Health page lists national supports and the 988 Lifeline. (postpartumva.org)

If you’re unsafe at home, call the 24/7 Virginia Family Violence & Sexual Assault Hotline at 1-800-838-8238, text 804-793-9999, or chat via VDH Domestic & Sexual Violence Prevention; more help is listed by the Virginia Victim Assistance Network and on VA DOC victim resources. You can also dial 211 Virginia to find shelters and legal help near you. (vdh.virginia.gov)

What to do if this doesn’t work: Ask your OB or your child’s pediatrician to place a “warm handoff” to a therapist who takes your plan; request a crisis appointment through your county behavioral health board (found via 211 Virginia), and call your plan’s behavioral health line (on your ID card) to schedule telehealth if in‑person slots are booked.

Food, Cash, and Bills While You Recover

You likely qualify for WIC (food packages for you and your baby), SNAP (grocery money), and possibly TANF (cash aid). Apply for WIC at VDH WIC or call 1-877-835-5942, read postpartum WIC food package rules on USDA WIC Works, and get local clinic numbers through your Health District WIC page. For SNAP amounts (FY 2025), check USDA SNAP FY 2025 COLA and Virginia’s chart on VDSS SNAP before you apply in CommonHelp. (fns.usda.gov)

What to do if this doesn’t work: If benefits are delayed, ask DSS for an urgent appointment by calling your local DSS, get a signed “medical necessity” letter from your clinician to request a utility deferment, and call Virginia Poverty Law Center helplines for SNAP, utilities, or legal issues.

How to Stop Utility Shutoff in Virginia Today

  • Call your utility’s hardship line first: Ask for a payment plan and note your case number; most will pause action while you’re working with social services. Check Dominion Energy assistance, ask for EnergyShare if eligible, and request a short medical hold if your doctor can certify health risks.
  • Apply for Crisis Assistance: From Nov 1–Mar 15, ask for heating equipment or fuel help; for electric bills in summer, Cooling Assistance runs Jun 15–Aug 15 through VDSS Energy Assistance; cooling requires a “vulnerable person” (child under 6, older adult, or disability). Use CommonHelp to submit an application the same day. (dss.virginia.gov)
  • Call 211 if you need a same‑day pledge: 211 Virginia can locate local funds that send pledges to utilities to stop disconnection while your application processes.

What to do if this doesn’t work: Ask your clinician to fax a medical certification to your utility, escalate to a supervisor at VDSS Energy Assistance, and seek a small grant through local charities listed by 211 Virginia.

Child Care Subsidy and Going Back to Work

The Child Care Subsidy Program helps pay for infant care while you work or job‑hunt. Apply through CommonHelp, find program rules on Child Care VA, and get a list of licensed programs via Search for Child Care; you can also call Child Care Aware of Virginia at 1-866-543-7852 for referrals. Most applications are reviewed within 30 days, and DSS will authorize care with a participating provider. (childcare.virginia.gov)

What to do if this doesn’t work: If your county has a waitlist, ask about sliding‑fee spots at Virginia Community Health Centers, use Head Start/Early Head Start, and request flexible hours or remote options through your employer under PWFA if you need temporary accommodation.

Virginia’s Insurance Marketplace (for When Medicaid Ends or You Don’t Qualify)

You can enroll outside Open Enrollment if you’ve had a baby (within 60 days after birth) or—new in Virginia—if you are pregnant, thanks to a pregnancy Special Enrollment Period beginning March 1, 2025. Call 1-888-687-1501, browse plans at Virginia’s Insurance Marketplace, and see the pregnancy SEP bulletin posted by the Marketplace on GovDelivery. Navigators at Enroll Virginia can walk you through subsidies. (marketplace.virginia.gov)

What to do if this doesn’t work: If you get stuck with verification, ask the Marketplace to mark your case “expedited pregnancy SEP” via the call center, upload documents again in the portal, and request navigator help from Enroll Virginia (1-888-392-5132).

Reality Check — Delays, Denials, and Funding Gaps Happen

Applications can get delayed when documents are missing or when call centers are slammed. Keep copies of everything, send documents by upload or fax, and use live chat on Cover Virginia; if you’re close to losing coverage, ask about presumptive eligibility and retroactive coverage rules posted on Cover Virginia and HPE. If money is tight, bridge with WIC and SNAP. (coverva.dmas.virginia.gov)

County Differences You Should Know

TANF payment levels and case management vary by county groups (I, II, III) in Virginia’s rules; see group tables in the Virginia Administrative Code, confirm your locality group with your local DSS, and ask a caseworker about VIEW requirements before you sign a work plan. Some regions also have different child care waitlists; check Child Care VA and call your county’s subsidy unit listed at Child Care VA providers page. For health coverage, plan networks vary; compare providers at VirginiaManagedCare.com. (law.lis.virginia.gov)

Common Mistakes to Avoid

Quick Reference Cheat Sheet (Keep by Your Phone)

Need First call Backup help
Postpartum coverage Cover Virginia 1-833-522-5582 Find Help in Your Area
Newborn add Cover Virginia Specialized Unit Managed Care Helpline 1-800-643-2273
WIC & infant formula VDH WIC 1-877-835-5942 Local WIC clinic directory
SNAP/TANF CommonHelp VPLC Helpline 1-800-868-8752
Crisis/Lifeline 988 Lifeline Maternal MH Hotline 1-833-852-6262

Application Checklist (Print or Screenshot)

  • Photo ID and proof of Virginia address: Use a driver’s license, lease, or a utility bill; see accepted documents on Cover Virginia, and upload through CommonHelp.
  • Proof of income: Recent pay stubs or self‑employment log; income charts for pregnancy are on Cover Virginia.
  • Pregnancy or delivery info: Due date or delivery date; hospital can confirm via HPE.
  • Newborn details: Name, DOB, sex, race; add the pediatrician via your plan on VirginiaManagedCare.com.
  • Other coverage: Any policy numbers for private plans; if you need marketplace coverage, call Virginia’s Insurance Marketplace 1-888-687-1501.

Processing Times You Can Expect

Most non‑crisis determinations finish within a few weeks once you upload documents; newborn enrollment often appears in the system within days after the hospital sends data. If you apply during enrollment surges, you may wait longer; keep checking messages in CommonHelp, call Cover Virginia for status, and ask an assister through Enroll Virginia to follow up. For child care, expect up to 30 days; for Crisis Energy Assistance, decisions move faster in winter. (childcare.virginia.gov)

Table — Typical Timelines

Program Regular timeline Crisis timeline Who to call
Cardinal Care pregnancy/postpartum 10–30 days after docs HPE: same day Cover Virginia
Newborn add 2–10 days N/A Managed Care Helpline
SNAP 2–4 weeks Expedited if very low income Local DSS
Child Care Subsidy ≤30 days N/A Child Care VA
Energy Assistance 10–30 days Crisis window Nov–Mar; Cooling Jun–Aug VDSS Energy

Local Organizations, Charities, Clinics, and Support Groups

What to do if this doesn’t work: Ask your plan for a community health worker referral, call 211 Virginia to locate faith‑based baby supply closets, and contact VA Victim Assistance Network if you need confidential safety help. (vanetwork.org)

Resources by Region (Selected Examples)

Region Health system or clinic WIC Extra support
Northern Virginia Inova Cares for Women VDH WIC Contacts Managed Care Helpline
Central VCU Health Women’s Health Henrico WIC Urban Baby Beginnings
Hampton Roads Sentara VDH WIC Child Care VA
Shenandoah/Blue Ridge UVA Health VDH WIC VDSS Energy Assistance
Southside/Southwest Ballad/Carilion providers VDH WIC 211 Virginia

Diverse Communities: Where to Get Tailored Help

LGBTQ+ single mothers: Find inclusive perinatal mental health providers through Postpartum Support Virginia’s directory, ask Virginia’s Insurance Marketplace for plan directories listing gender‑affirming clinicians, and confirm nondiscrimination protections through EEOC pregnancy and lactation rights. VDH WIC also provides support for breastfeeding/chestfeeding with peer counselors and lactation help. (postpartumva.org)

Single mothers with disabilities or disabled children: Apply for coverage via Cover Virginia, ask your plan for care management and durable medical equipment, and contact early intervention through Infant & Toddler Connection of Virginia; use 211 Virginia to find transportation, home modifications, and respite.

Veteran single mothers: Call the VA Women Veterans Call Center 1-855-829-6636, connect to the Virginia Women Veterans Program, and ask about maternity care coordination through VA Women’s Health; apply for household benefits at CommonHelp if your income is tight. (womenshealth.va.gov)

Immigrant and refugee single moms: If you can’t meet immigration rules for Medicaid, ask for FAMIS Prenatal Coverage (no SSN or status proof required), get WIC at VDH WIC, and use interpreters through Cover Virginia or Virginia’s Insurance Marketplace (TTY 711). (coverva.dmas.virginia.gov)

Tribal‑specific resources: Ask IHS about nearest Indian Health Service clinics, verify Medicaid choices via Cover Virginia, and request cultural support through local tribal councils listed by Virginia Indian resources.

Rural single moms (limited access): Use telehealth for lactation and mental health through your plan’s app, apply by phone with Cover Virginia, and ask 211 Virginia to find churches with gas cards or rides to postpartum visits; if your clinic is far, ask for home visiting via Early Impact Virginia.

Single fathers: Most programs are parent‑based, not gendered. Apply for WIC for the infant at VDH WIC, get coverage through Cover Virginia, and call DCSE for child support services or paternity establishment if needed. (dss.virginia.gov)

Language access: Ask for free interpreters on Cover Virginia and Virginia’s Insurance Marketplace; TTY is 1-888-221-1590 for Medicaid and 711 for the Marketplace, and WIC offers multilingual services via VDH WIC. (coverva.dmas.virginia.gov)

Home Visiting Programs (Free Coaching at Home or by Phone)

Ask about evidence‑based home visiting like Healthy Families, Nurse‑Family Partnership, and Parents as Teachers; learn about statewide coordination at Early Impact Virginia, Virginia’s MIECHV program, and the VDH Family Home Visiting page. Teen parents can request Resource Mothers; private nonprofits sometimes offer emergency help listed at FACT Virginia. (vdh.virginia.gov)

What to do if this doesn’t work: If your county lacks home visiting, ask your plan for a community health worker, check VCU Health for group visits, and use Postpartum Support Virginia groups while you wait. (postpartumva.org)

Frequently Asked Questions (Virginia‑Specific)

How long does postpartum Medicaid last in Virginia? Your Cardinal Care pregnancy coverage (Medicaid for Pregnant Women or FAMIS MOMS) continues for 12 months after the pregnancy ends; FAMIS Prenatal continues for 60 days postpartum. See the income table and rules on Cardinal Care Pregnancy & Postpartum Coverage and program pages for FAMIS MOMS and FAMIS Prenatal. (coverva.dmas.virginia.gov)

I delivered—how do I add my baby today? Tell Cover Virginia or your local DSS; newborns of moms on Medicaid/FAMIS MOMS are “deemed eligible” for 1 year. Ask your plan to help choose a pediatrician listed at VirginiaManagedCare.com. (law.lis.virginia.gov)

Can I get a doula covered after birth? Yes. Virginia Medicaid now covers up to 6 postpartum doula visits (total 10 with prenatal) through 12 months postpartum; share the July 2025 DMAS bulletin if a rep seems unsure. Details on DMAS bulletin. (vamedicaid.dmas.virginia.gov)

What if I don’t qualify for Medicaid because of immigration status? Apply for FAMIS Prenatal (no immigration docs or SSN required) and WIC via VDH WIC; consider marketplace plans at Virginia’s Insurance Marketplace with translation support. (coverva.dmas.virginia.gov)

Do marketplace plans cover breast pumps and lactation help? Yes—most must cover breastfeeding support and pumps without cost‑sharing; confirm with your plan and see the federal rules at HealthCare.gov. If you have Medicaid, ask your plan for a pump and see Cardinal Care pregnancy benefits. (healthcare.gov)

How much SNAP could I get in 2025? The FY 2025 maximum for a family of four in Virginia is $975/month; see the full chart and gross income limits on USDA SNAP FY 2025 COLA and VDSS SNAP page, then apply via CommonHelp. (fns.usda.gov)

Can I stop a power shutoff with a newborn at home? Ask your utility for a medical hold and a payment plan, apply for LIHEAP Crisis through VDSS Energy Assistance, and request a same‑day pledge from a local nonprofit via 211 Virginia; Dominion’s EnergyShare may help as a last resort. (dominionenergy.com)

Do I have to pump in a bathroom at work? No. The federal PUMP Act and Virginia law require reasonable breaks and a private space that isn’t a bathroom; read DOL’s PUMP guidance and Virginia’s workplace accommodation statute. (dol.gov)

Where can I get free help picking a marketplace plan? Call Virginia’s Insurance Marketplace at 1-888-687-1501 or schedule with a navigator at Enroll Virginia for free, unbiased help. (marketplace.virginia.gov)

If my Medicaid renewal is denied, what now? Appeal through instructions in your notice, ask Cover Virginia to review missing documents, and check savings on Virginia’s Insurance Marketplace with a navigator at Enroll Virginia. (coverva.dmas.virginia.gov)

Tables You Can Use

Table — Program Basics and Contacts

Program Who qualifies Where to apply Phone
Cardinal Care (Medicaid/FAMIS) Pregnant/postpartum within income rules CommonHelp 1-833-522-5582
FAMIS Prenatal Pregnant, uninsured, regardless of immigration status CommonHelp 1-855-242-8282
WIC Pregnant/postpartum/breastfeeding; infants/children <5 VDH WIC 1-877-835-5942
SNAP Low‑income households CommonHelp Local DSS
Energy Assistance (LIHEAP) Income ≤150% FPL; heating/cooling need VDSS Energy Local DSS

Table — Maternal & Infant Covered Services (Postpartum Year)

Service Covered by How to access
Postpartum checkups and labs Cardinal Care PCP/OB via plan directory on VirginiaManagedCare.com
Doula visits Cardinal Care (up to 6 postpartum) Ask plan for enrolled doula; cite DMAS bulletin
Dental (adult) CardinalCare Smiles Call 1-888-912-3456; find dentist on DentaQuest
Lactation & pump Medicaid/Marketplace Call plan; see HealthCare.gov breastfeeding benefits
Mental health therapy All plans Use plan directory; free groups via Postpartum Support VA

Table — Work & Legal Protections

Right Law Who helps
Pumping breaks & private space PUMP Act (DOL) DOL WHD
Pregnancy/postpartum accommodation Va. Code §2.2‑3909 OAG/EEOC
Public breastfeeding anywhere lawful Va. Code §32.1‑370 VDH

If Your Application Gets Denied (Troubleshooting)

Spanish Summary — Resumen en Español (traducción generada con herramientas de IA)

Qué hacer ahora: Solicite cobertura posparto de “Cardinal Care” por teléfono al 1-833-522-5582 o en CommonHelp; pida al hospital Elegibilidad Presuntiva si necesita cobertura hoy. Para WIC, llame al 1-877-835-5942 o visite VDH WIC, y para SNAP/TANF use CommonHelp. Si necesita seguro del mercado, llame a Virginia’s Insurance Marketplace al 1-888-687-1501 (hay español). Para crisis de salud mental, llame o envíe mensaje al 988 o al 1-833-852-6262 (TLC‑MAMA), y para violencia doméstica llame al 1-800-838-8238 o escriba al 804-793-9999. Para ayuda local marque 211 Virginia.

About This Guide

Compiled by the ASingleMother.org Editorial Team.

This guide uses official sources including:

Last verified September 2025, next review April January 2026.
Please note that despite our careful verification process, errors may still occur—email info@asinglemother.org with corrections and we respond within 72 hours.

Disclaimer

This guide is for general information, not legal, medical, or financial advice. Program rules and funding can change with little notice. Always confirm current availability with your agency or health plan before you apply or schedule care. Where we listed expected timelines or benefit amounts, those are typical and may differ by county, plan, or funding levels; verify with Cover Virginia, VDSS, or Virginia’s Insurance Marketplace before making decisions.

What to do if anything in this guide doesn’t work for you

  • Ask for a supervisor: At your local DSS or your plan’s Member Services on VirginiaManagedCare.com.
  • Bring in a navigator: Enroll Virginia can escalate stalled cases.
  • Report urgent gaps: If health or safety is at risk, use HPE, call 988, or ask your hospital social worker to arrange emergency coverage or shelter through 211 Virginia.

Final Notes on Accuracy and Changes

Use the links in each section for the most current forms, phones, and instructions.

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