Updated August 26, 2026. Quick answer: For application dates from January 1, 2025 to the present, Virginia uses $9,703 a month in the northern Virginia localities and $7,324 a month everywhere else.
The figure Virginia publishes
| What the state lists | Figure |
|---|---|
| Northern Virginia localities | $9,703 per month |
| All other localities | $7,324 per month |
| Application dates covered | 1-1-25 to present |
How the penalty period is calculated
- Virginia sets an average monthly private nursing facility cost, split into northern Virginia and all other localities, using figures provided by Virginia Health Information.
- The manual’s partial-month example divides the monthly rate by 31.
Once you have the figure above, the Medicaid penalty period calculator does the arithmetic. This page is the Virginia rate record; the calculator is the class parent.
What this page does not settle
- The northern Virginia localities named by the manual are Alexandria, Arlington, Fairfax, Fairfax County, Falls Church, Loudoun, Manassas, Manassas Park and Prince William.
Eligibility is decided by the state agency on the whole file, not by this one number. Nothing here is legal advice, and no one should transfer, retitle or give away property on the strength of a worksheet.
Source
Virginia DMAS Medicaid Manual M14, Transfer of Assets — retrieved and checked against the state text on August 26, 2026.
A transfer penalty is a separate test from the income standard that decides eligibility in the first place. For what Virginia uses as that standard, and the state document it comes from, see Medicaid nursing home income limit in Virginia ($2,691 to $4,036.50/Month).
Related: Virginia’s Medicaid home equity limit for a single applicant with no spouse or dependent child at home.
Related: Virginia’s Medicaid Personal Needs Allowance; the amount a nursing-facility resident keeps from their own income each month.