Virginia Medicaid Program Overview
Enrollment, funding, and managed care facts for Virginia Medicaid.
Get Virginia's Medicaid Fee Schedule →Enrollment
Virginia Medicaid covered approximately 1.64-1.95M people. Two independent sources give substantially different figures because they cover different points in time, not because of a methodology error: KFF's monthly enrollment tracker reports 1,644,308 for Virginia as of May 2026, while CMS's 2024 Medicaid Managed Care Enrollment and Program Characteristics report cites 1,953,730 total Medicaid enrollees (2024 data). The gap is consistent with the ongoing post-pandemic 'unwinding' of continuous Medicaid enrollment, which has reduced enrollment nationally between 2024 and 2026. Virginia DMAS's own public materials describe Cardinal Care as covering 'about 1.8 million Virginians' as of 2026, which falls between the two cited figures and is consistent with the trend but is not yet independently double-sourced enough to replace this range.
Funding & federal match
Virginia has adopted ACA Medicaid expansion, effective 2019-01-01.
For FFY2026 (Oct 1, 2025 - Sep 30, 2026), Virginia's Federal Medical Assistance Percentage (FMAP) is 50.39%.
Waivers
Virginia operates Medicaid managed care under the Virginia Building and Transforming Coverage, Services, and Supports for a Healthier Virginia, a Section 1115 demonstration waiver. Project No. 11-W-00297/3. Covers Substance Use Disorder (SUD) Institutes for Mental Disease (IMD) treatment and Former Foster Care Youth (FFCY) coverage for individuals under 26 who aged out of foster care in another state. A renewal application was submitted August 2, 2024, and a pending amendment (submitted December 31, 2024) seeks to add Serious Mental Illness (SMI) IMD coverage.
Frequently Asked Questions
Get Virginia's Free Medicaid Fee Schedule
Request actual Virginia Medicaid reimbursement rates by billing code — free, delivered as a CSV.
Sources
- KFF State Health Facts - Total Monthly Medicaid & CHIP Enrollment
- CMS - Medicaid Managed Care Enrollment and Program Characteristics, 2024
- MACPAC - MACStats: Medicaid and CHIP Data Book, February 2026 (Exhibit 6, compiling HHS Federal Register FMAP notices)
- KFF State Health Facts - Federal Matching Rate (FMAP) and Multiplier
- KFF State Health Facts - Status of State Action on the Medicaid Expansion Decision
- healthinsurance.org - Medicaid eligibility and enrollment in Virginia
- Virginia DMAS - 1115 Demonstration Waiver
- Medicaid.gov - Section 1115 Demonstrations, Virginia BTCSSHV amendment application
Data last verified 2026-09-17. Also see our free Medicaid Fee Schedule tool.