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Medicaid Planning · Virginia

Virginia Medicaid look-back rules

Medicaid look-back rules rules for Virginia.

Published: September 5, 2026. Last checked: September 5, 2026.

Look-back period

60 months

Source: Virginia Medical Assistance Eligibility manual, chapter M14 [state-medicaid-agency] — Manual transmittal effective July 1, 2025; current divisor table effective January 1, 2025

Transfer-penalty divisor

$9,703 per month in Northern Virginia and $7,324 per month elsewhere in Virginia

Source: Virginia Medical Assistance Eligibility manual, chapter M14 [state-medicaid-agency] — Manual transmittal effective July 1, 2025; current divisor table effective January 1, 2025

How the state administers the rule

Virginia divides the uncompensated transfer value by the applicable locality's average monthly private-pay nursing-facility cost; the penalty begins under the manual's eligibility and institutionalization rules, and partial-month penalties use the monthly rate divided by 31.

Source: Virginia Medical Assistance Eligibility manual, chapter M14 [state-medicaid-agency] — Manual transmittal effective July 1, 2025; current divisor table effective January 1, 2025

Sources

Methodology & sources

Checked at least annually and whenever the state publishes a new transfer-penalty divisor or administration rule.

General information, not legal advice.