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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M01 July 2025 Subchapter Subject Page ending with Page M0130 APPLICATION PROCESSING M0130.200 10

information from SSA through SVES or SOLQ-I. Verification of income is valid if the information is less than 6 months old. The agency must include in each applicant’s case record facts to support the agency’s decision on the case.

1. Resources The value of all countable, non-excluded resources must be verified. If an applicant’s attested resources are over the resource limit, the applicant or authorized representative must be given the opportunity to provide verification of the resources. All available resource verification system(s) must be searched prior to requesting information from the applicant. 2. Use of Federal Income Tax Data The Hub provides verification of income reported to the IRS. Income information reported to the IRS may be used for eligibility determinations for Families and Children (F&C), MAGI Adults, and ABD covered groups when IRS information is available. The income reported on the application is compared to the data obtained from the Hub for reasonable compatibility per M0420.100. When IRS verification is used for an ABD individual, reasonable compatibility is acceptable as verification of earned (i.e. taxable) income.

3. SSA Data Social Security and/or Supplemental Security Income must be verified through SSA. The Federal Hub links to SSA data. SOLQ-I may also be used. The State Data Exchange (SDX) system should only be used as an alternate method when the Hub or SOLQ-I is not available. 4. Income For all case actions effective August 26, 2022, the applicant’s attested income, including when the applicant attests to having zero ($0.00) income, is considered the verified income if the income attested to by the applicant is within 20% of the income reported by electronic data sources OR both sources are below the applicable income limit. If the attested income is under the income limit and the reasonable compatibility standard is not met, request verification of income and allow a minimum of 10 days to return. If the applicant meets a MN covered group, verification of income is required to determine spenddown liability based on actual income received. For individuals requesting long-term services and supports (LTSS), verification of income is required to calculate the patient pay. See M1470. If the attested income is over the income limit and the individual does not meet a Medically Needy (MN) covered group, deny the application. If the individual agrees that the discovered countable income was received, determine if the on-line information can be used to evaluate current/ongoing eligibility. If the discovered information is not sufficient to evaluate eligibility, send a written request for needed verifications and allow at least ten calendar days for the return of the verifications. If the individual reports the income has stopped, ask when the income stopped to ensure all income needed to correctly determine prospective and retroactive eligibility (if appropriate) is evaluated. Note the date of termination of income (last pay received) in the record. If the income stopped during a month that is being evaluated for eligibility, the individual must provide verification of the termination of income.