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Governor's Access Plan (GAP)

What is GAP?  
The Governor’s Access Plan (GAP) provides a limited Medicaid product to cover basic medical and targeted behavioral health care to uninsured Virginians with Serious Mental Illnesses (SMI). There are many diagnostic categories that contribute to aGAPLogo.png diagnosis of Serious Mental Illness. Some of the most common diagnoses include: Major depression, bipolar disorder, schizophrenia, Post-Traumatic Stress Disorder (PTSD), and panic disorder.

The City of Norfolk is excited to be a part of this program, bringing improved access to care for our most vulnerable citizens. Since its inception in 2015 and through June 30, 2017: 1,368 Norfolk residents have benefited from over $4 million dollars in behavioral health, prescription coverage, and medical care.

Beginning October 1, 2017 the income eligibility limits increased to persons at or below 100% of the Federal Poverty Level, see details below.


To get GAP benefits, you must meet all of the following:

  • Adult between the ages of 21 through 64 years old;
  • U. S. Citizen or lawfully residing immigrant;
  • Not eligible for any state or federal full benefits program including: Medicaid, Children’s Health Insurance Program (CHIP/FAMIS), or Medicare;
  • Resident of Virginia;
  • Household income that is below 100% of the Federal Poverty Limit (FPL) plus a 5% income disregard (about $12,663 for a single adult);
  • Uninsured; and
  • Not residing in a long-term care facility, mental health facility, long-stay hospital, intermediate care facility for persons with developmental disabilities, or penal institution.
  • Expanded eligibility of foster care youth between the ages of 18-26 who were once served in another state and moved to Virginia.

Applying for GAP Through Norfolk CSB:

The Norfolk Community Services Board is providing free GAP application clinics for persons residing in Norfolk every Wednesday from 9:00 a.m. – 11:00 a.m. and 1:00 p.m. – 3:00 p.m. at 3755 E. Virginia Beach Blvd. The first clinic is October 4, 2017.

  • A valid Virginia ID from any public or state agency
  • Proof of Virginia residency
  • Documentation from inpatient or outpatient provider showing mental illness diagnosis
  • Documentation of recent income

Applicants do not have to receive services from Norfolk Community Services Board to apply.  There are two steps to enrollment:

     1) GAP Clinical Eligibility Screening (offered by the Norfolk CSB), and
     2) General eligibility screening (through CoverVirginia).

There are two ways to submit a GAP Application to CoverVirginia:
  • By telephone at 1-855-869-8190 or TDD at 1-888-221-1590 or
  • Online with the help of the person who does your GAP SMI Screening. Submitting online may only be done with the help of the GAP SMI Screener. This is the preferred method for application.

Individuals who meet the requirements are enrolled for a period of 12 continuous months. After 12 months, you will need to update your financial information. However, you will not need a new SMI Screening.

Covered Services

There are three areas covered by the GAP Medicaid Plan: Outpatient Medical Services, Outpatient Behavioral Health Services, and Additional Services covered by Magellan.

Medical Services 

Behavioral Health Services 

Magellan Only Services 

  • Primary and Specialty Care
  • Pharmacy / Medications
  • Laboratory
  • Diagnostic Services
  • Physician’s Office
  • Outpatient hospital coverage is limited to diagnostic ultrasound, diagnostic radiology (excluding PET scans), and EKG including stress.
  • Diabetic Supplies
  •  GAP Case Management
  • Psychiatric Evaluation, Management &Treatment
  • Crisis Stabilization
  • Crisis Intervention
  • Psychosocial Rehabilitation
  • Outpatient Psych & Substance Abuse Treatment Services
  • Substance Abuse Intensive Outpatient (IOP)
  • Methadone & Opioid Treatment
  • Partial day hospitalization
  • Residential treatment services
  • Peer Support Services
  • Care Coordination including Community Wellness and Community Connection
  • Crisis Line available 24/7 and staffed by licensed mental health professionals
  • Recovery Navigation Services including a state wide warm telephone line staffed by trained peers and limited, local, voluntary, in-person supports

Other Information

  1. If you are unable to attend a GAP clinic, contact the Norfolk Community Services Board to schedule your GAP screening. Dial (757) 823-1600 and ask for “GAP Screening.
  2. If you want to be seen by another provider in Norfolk or are in another jurisdiction, please consult the Virginia GAP website: