She was named the second alternate for the European Championships and first alternate for the Winter Universiade; she was called up for the Winter Universiade after Elizaveta Tuktamysheva withdrew, but Medvedeva also withdrew and Maria Sotskova replaced Medvedeva. In February, at the 2019 Russian Cup Final, she won gold after placing first in the short program and second in the free. Medvedeva was selected for the 2019 World Figure Skating Championships team. The selection of Medvedeva was controversial, with some believing that Tuktamysheva, who had finished second at the Russian Cup Final but had a stronger season overall up until her withdrawal from the Nationals (due to being sick with pneumonia), should have been sent.