---
title: "Virginia Nursing Home Medicaid | Funding LTC Marketplace"
url: https://fundingltcmarketplace.com/states/virginia/nursing-home-medicaid/
description: "Virginia requires LTSS authorization and generally applies a $40 facility personal-needs allowance in the patient-pay calculation."
last_updated: 2026-10-20
author: George A. Mellendorf, CLTC, LTCP (Central States Insurance Services, Inc.)
publisher: Funding LTC Marketplace
note: Educational content; not legal, tax or financial advice. Markdown copy of the HTML page at the URL above.
---
Virginia · Nursing Home Coverage

# Virginia Nursing Home Medicaid

Last updated 2026-10-20

Virginia Medicaid pays for nursing-facility LTSS once a person clears the nonfinancial, financial, and transfer-of-assets rules and has the necessary authorization. DMAS defines institutionalization for these purposes as 30 consecutive days of care in a medical institution, Medicaid HCBS, or some combination of the two — 30 consecutive days of elected hospice also qualifies. The manual requires authorization before Medicaid will pay for nursing-facility care, waiver services, or PACE (DMAS Chapter M14).

On the consumer side, Cover Virginia explains that the LTSS screening step is what decides both the level of care needed and whether Medicaid will cover the cost. Someone seeking nursing-facility coverage applies through the local Department of Social Services serving the locality where they last lived before admission, and requests a pre-admission screening — a clinical step that's kept distinct from the resource and income review (Cover Virginia LTSS overview; Virginia LTSS fact sheet).

## Virginia figures

- Facility personal-needs allowance: $40/month
- Institutionalization threshold: 30 consecutive days

## Sources and official resources

- [Virginia Administrative Code: 12VAC30-60-302, Access to Medicaid-funded long-term care](https://law.lis.virginia.gov/admincode/title12/agency30/chapter60/section302/)
- [CMS: 2026 SSI and Spousal Impoverishment Standards](https://www.medicaid.gov/federal-policy-guidance/downloads/cib04272026.pdf)

Rules and figures change. Confirm current details with the agency before you act.

[← Back to the full Virginia guide](https://fundingltcmarketplace.com/states/virginia/)