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How Medicaid Can Help Pay for Long-Term Care in Virginia

Virginia's nursing home personal spending allowance is one of the lowest in the country — but there's genuinely good news on the income-planning side. Here's the real picture.

Virginia-specific — figures don't apply nationally
Published August 28, 2026 How we keep this accurate
This page is Virginia-specific. Medicaid long-term care rules vary significantly by state. See our national Medicaid Waivers Explained guide if you're elsewhere.

A number worth knowing before you plan

Once a Virginia nursing home resident's income goes toward the cost of care, they keep a Personal Needs Allowance of just $40/month for their own spending — the second-lowest figure in the entire country, ahead of only South Dakota's $30. This isn't a reason to avoid nursing home Medicaid if it's needed, but it's worth planning around, especially for small personal expenses that add up.

The good news: no Qualified Income Trust required

Virginia is a Medically Needy spend-down state — one of a smaller group of states (along with Vermont) that doesn't require a Qualified Income Trust for income above the limit. Instead, you deduct medical expenses to bring your countable income down, a genuinely more accessible mechanism than the trust structure required in income-cap states like Texas or Florida.

CCC Plus: Virginia's consolidated waiver

Virginia consolidated its HCBS options into a single program: Commonwealth Coordinated Care Plus (CCC Plus), operating under the state's Cardinal Care managed care system. It covers adult day care, personal care assistance, home modifications, and personal emergency response systems — but it's not an entitlement, so waitlists can exist, with priority typically based on application date.

CCC Plus (HCBS)Nursing Home Medicaid
2026 income limit$2,982/monthExcess goes toward care; $40/month PNA retained
2026 asset limit$2,000 (single)$2,000 (single)
Guaranteed if eligible?No — waitlist possibleYes — an entitlement

Source: Virginia Department of Medical Assistance Services (DMAS); figures effective 2026.

Hiring your own caregiver — as their actual employer

CCC Plus offers a Consumer-Directed option that goes further than many states' family-hiring rules: you become the actual employer of your own attendant, responsible for hiring, training, and managing them — and, if needed, terminating the arrangement. A Services Facilitator assists with the employer-side responsibilities, so you're not navigating this entirely alone.

Spousal protections

1
Community Spouse Resource Allowance: the non-applicant spouse can keep 50% of joint assets, between $32,532 and $162,660.
2
Minimum Monthly Maintenance Needs Allowance: approximately $2,644/month — with income transferred from the applicant spouse if the community spouse's own income falls short.

One piece of context worth knowing

Virginia's average nursing home costs run about 6.5% below the national average — a modest but real difference if you're comparing costs against other states in the region.

How to actually start

1
Apply through CommonHelp online or by calling Cover Virginia at 855-242-8282 — ask specifically about CCC Plus waitlist status for your area.
2
If your income exceeds $2,982/month, ask about the Medically Needy spend-down pathway rather than assuming you need a Qualified Income Trust — see Questions to Ask an Elder Law Attorney if your situation is complex.

Common Questions

What is Virginia's nursing home Personal Needs Allowance?

$40/month — the second-lowest in the country, ahead of only South Dakota's $30.

Does Virginia require a Qualified Income Trust for excess income?

No — Virginia uses Medically Needy spend-down instead, deducting medical expenses rather than requiring a trust.

Can I hire a family member as my caregiver in Virginia?

Yes, through Consumer-Directed services within CCC Plus, where you act as the actual employer of your attendant.

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