What factor can trigger a Medicaid eligibility review in Virginia?

A change in household income or circumstances is a key factor that can trigger a Medicaid eligibility review in Virginia. Medicaid is a needs-based program designed to provide health coverage for low-income individuals and families. As such, eligibility is closely tied to the income level and financial situation of the applicant.

When there is a change in household income, whether it is an increase or decrease, it can significantly affect eligibility. For instance, an increase in income may push an individual above the threshold for Medicaid, while a decrease may make them eligible if they were previously ineligible. Similarly, any changes in household circumstances, such as the addition or removal of a family member or changes in living arrangements, can also affect eligibility. Therefore, it is crucial for Medicaid recipients to report such changes promptly to ensure they continue to meet the eligibility criteria for the program.

Options related to changes in health insurance provider, residency, or employment status can also have implications for coverage or eligibility in some scenarios, but they do not directly result in a Medicaid eligibility review as consistently as changes in household income or circumstances do.