Page 46

Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M01 July 2020 Subchapter Subject Page ending with Page M0120 MEDICAL ASSISTANCE APPLICATION M0120.400 13

B. Foster Care, Adoption Assistance, Department of Juvenile Justice

1. Foster Care Responsibility for taking applications and maintaining the case belongs as follows: a. Title IV-E Foster Care Children in the custody of a Virginia LDSS or private foster care agency who receive Title IV-E maintenance payments apply at the agency that holds custody. Title IV-E foster care children in the custody of another state’s social services agency apply in the Virginia locality where they reside. b. State/Local Foster Care Non-Title IV-E (state/local) children in the custody of a Virginia LDSS or a private child placing agency apply at the LDSS that holds custody. Children in the custody of another state’s social services agency who have been placed with and are living with a parent or caretaker-relative apply at the LDSS where the child is residing. (see M0230). 2. Adoption Assistance Children receiving adoption assistance through a Virginia local department of social services apply at the LDSS that made the adoption assistance agreement. Children receiving adoption assistance through another state’s social services agency apply at the LDSS where the child is residing. 3. Virginia Department of Juvenile Justice/Court (Corrections Children) When a child is in the custody of the Virginia Department of Juvenile Justice (DJJ) or is the responsibility of a court (corrections children), responsibility for processing the application and determining eligibility will be handled either centrally or by the LDSS in the locality in Virginia in which he last resided prior to going into the DJJ system. For a new applicant use the physical address where the person is located. For pre-release and re-entry individuals, use the address where the person will reside after release (post-release).

C. Institutionalized Individual (Not Incarcerated) When an individual of any age is a resident or patient in a medical or residential institution, except a Virginia Veteran’s Care Center, responsibility for processing the application and determining eligibility rests with the department of social services in the locality in Virginia in which he last resided outside of an institution. Exception: If the applicant is applying for or receives SNAP, responsibility for processing the MA application and determining MA eligibility rests with the LDSS in the locality in which the institution where he is receiving care is located. If the individual did not reside in Virginia prior to entering an institution, responsibility for processing the application and determining eligibility rests with the LDSS in the locality in which the institution where he is receiving care is located.