Eligibility Changes for Non-U.S. Citizen Adults

Non-U.S. citizens who have an eligible immigration status and meet all other eligibility requirements, such as having household income below the eligibility limit, may qualify for free health coverage from Virginia Medicaid or FAMIS.

Children under age 19 must be lawfully residing to be eligible for Medicaid. This means that they have a current visa or status. Children who have applied for asylum or a special immigrant juvenile may also meet Medicaid and FAMIS noncitizen eligibility rules.
Pregnant and postpartum individuals may be eligible for Virginia Medicaid or FAMIS regardless of their immigration status.
Nonpregnant adults must meet more restrictive immigration status rules to qualify. Starting October 1, 2026, adults who are not pregnant/postpartum must be a U.S. citizen, U.S. national, Legal Permanent Resident, Cuban-Haitian Entrant or Compact of Free Association Migrant to remain eligible for full-benefit Medicaid.

These changes apply only to adults. The eligibility rules for children and pregnant/postpartum members are not changing. Non-U.S. citizens who do not have an eligible immigration status, but meet all other Medicaid eligibility rules, may still be able to get Medicaid coverage for emergency services

Learn more about October 1, 2026 changes to eligibility for non-U.S. citizen adults: