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Our newsletter is not canned. Its authored by Edward Zetlin Law to provide important information to clients, providers and the community.

The Virginia GAP Program

What is GAP? GAP stands for the Governor's Access Plan for the Seriously Mentally Ill. It started on January 12, 2015. Its goals are:

  • Improve access to care for up to 20,000 uninsured Virginians with significant behavioral health needs.

  • Improve physical and behavioral health outcomes.

  • Serve as a bridge to closing the insurance coverage gap for uninsured Virginians with serious mental illness.

What are the Benefits?
  • Primary and behavioral health services and care coordination for Virginia's uninsured with serious mental illness.

  • Diagnostic, and laboratory services.

  • Coverage for prescriptions.

Who is Eligible?
  • Adults 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. For an individual living alone that means monthly income at or below $981 monthly or $11,770 yearly.

  • 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 Seriously Mentally Ill (SMI).

How to Apply

There are two ways to apply for the GAP program:
  1. Call the GAP unit toll free number at 1-855-869-8190 between 8am - 7pm Monday through Friday; 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. You can 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.

To find out more, visit

Edward Zetlin will present at the next Autism Society of Northern Virginia (ASNV) Advocacy Forum on Wednesday, May 13, 2015 at 7:00 pm. The topic is The ABLE Act and the Disabled Military Child Protection Act. Please note that this will be held at ASNV's new office in Oakton (10467 White Granite Drive, Oakton VA). For questions or to sign up, please email or contact Edward Zetlin Law.

Contact us at (703)379-0442;

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