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Governor's Access Plan (GAP)

Apply today! 1-855-869-8190

The Governor’s Access Plan (GAP) is a program that integrates primary and behavioral health services and coordinates care for Virginia’s uninsured adults with serious mental illness (SMI). Other key benefits include diagnostic, and laboratory services, as well as coverage for prescriptions.

The three key goals of the GAP plan are to:

  • Improve access to care for uninsured Virginians with significant behavioral health needs.
  • Improve their physical and behavioral health outcomes.
  • Serve as a bridge to closing the insurance coverage gap for uninsured Virginians with serious mental illness.


1-855-869-8190

Who is Eligible?

In order to be eligible, individuals must meet ALL of the requirements outlined below, which are reviewed and verified by Cover Virginia:

  • Adult age 21 through 64 years old;
  • U. S. Citizen or lawfully residing immigrant;
  • Resident of Virginia;
  • Household income that is below 100% of the Federal Poverty Level (FPL) (100% plus a 5% income disregard);
  • Uninsured;
  • Not otherwise eligible for any state or federal full benefits program including: Medicaid, FAMIS, Medicare, or TriCare;
  • Not residing in a long term care facility, mental health facility, long-stay hospital or penal institution; and
  • Screened and meet the criteria for GAP SMI.


Sample GAP ID Cards

GAP Income Guidelines

Qualifying for GAP also depends on household income and family size. For your family size, count the number of people included on your federal taxes. If you do not file taxes, count how many children and stepchildren under age 19 live in your home. Add yourself if you are the mother, father or stepparent of the children. Then add your husband or wife. For example, if you have 4 children and/or stepchildren under age 19 living in your home, plus yourself and your husband, your family size is 6. We determine eligibility based on monthly income. The current monthly income limit for a family of 6 is $2,885.

GAP Income Limits* (Gross Income) - Effective October 1, 2017
Family Size Monthly Yearly
Additional person add $367 $4,389
1
$1,056 $12,663
2
$1,422 $17,052
3
$1,788 $21,441
4
$2,153 $25,830
5
$2,519 $30,219
6
$2,885 $34,608
7
$3,250 $38,997
8
$3,617 $43,386

*includes 5% standard disregard

How to Apply

There are two ways to apply for the GAP program:

  1. Individuals can apply for themselves over the phone by calling Cover Virginia’s GAP unit toll free at 1-855-869-8190 between 8am - 7pm Monday through Friday and 9am - noon on Saturdays. Interpretation services lines are available.
    TDD: 1-888-221-1590

    OR

  2. Certain providers can assist individuals to apply on-line. These providers who also perform SMI screenings include local Community Service Boards (CSBs), participating Inpatient Psychiatric Facilities and Hospitals with Inpatient Psychiatric Units, and Federally Qualified Health Centers (FQHCs). Call Cover Virginia’s GAP unit toll free at 1-855-869-8190 to locate the nearest SMI screening provider who can also help you apply.

You can designate someone to receive information about your case on the GAP Authorized Representative Form.

To order the GAP poster, please visit our Materials page.