Medicaid & Insurance for Home Health Care in Virginia
Understanding your coverage.
Understanding insurance and Medicaid coverage can be one of the most confusing parts of finding home health care.
Eligibility, covered services, authorization requirements, and provider participation vary by individual circumstances and insurance plan.
Virginia Medicaid programs
Pediatric home health services may be available to eligible children through programs such as:
DMAS-7 EPSDT
Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) is a Medicaid program designed to provide eligible children with access to medically necessary screening, diagnostic, and treatment services.
CCC Plus Waiver
The Commonwealth Coordinated Care Plus (CCC Plus) Waiver may provide eligible individuals with access to certain home and community-based services.
DD Waiver
The Developmental Disabilities (DD) Waiver may provide eligible individuals with services and supports designed around qualifying developmental disabilities and individual needs.
Insurance plans
The following insurance plans may be accepted for applicable services:
- Anthem
- UnitedHealthcare
- Aetna
- Sentara Health Plans
- Kaiser Permanente–Sentara partnership plans
- Humana
- Virginia Premier / Better Health
Plans not currently included
- Molina
- Direct Medicaid
Important coverage notice
Insurance participation, eligibility, and covered services can change. Always verify your coverage and eligibility before beginning services.
Talk to us
Need help finding the right care?
Explore home health care options for yourself or a loved one.
Call703-420-4565