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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M01 July 2007 Subchapter Subject

Page M0120 MEDICAL ASSISTANCE APPLICATION Appendix 3 2

STATE COBRA OPTION* RECIPROCITY** COMMENT Pennsylvania Yes Yes Reciprocity with all states Rhode Island Yes Yes Reciprocity with ICAMA member states only South Carolina Yes Yes Reciprocity with all states South Dakota Yes Yes Reciprocity with all states Tennessee Yes Yes Reciprocity with all states Texas Yes Yes Reciprocity with all states Utah Yes Yes Reciprocity with ICAMA member states only Vermont

Virginia Yes Yes Reciprocity with ICAMA member states only Washington Yes Yes Reciprocity with all states West Virginia Yes Yes Reciprocity with all states Wisconsin Yes Yes Reciprocity with all states Wyoming

* per COBRA 1985 law, the ICAMA member state’s Medicaid program covers its own Non-IV-E (state-local) Adoption Assistance [AA] children).

** the ICAMA member state’s Medicaid program covers Non-IV-E AA children who have adoption assistance agreements with another state and move to the state.

*** ICAMA Associate Member State ICAMA Non-Member State (Vermont, Wyoming)