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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M01 October 2022 Subchapter Subject Page ending with Page M0140 INCARCERATED INDIVIDUALS M0140.300 5

The worker will confirm a new Commonwealth of Virginia Medicaid Card has been generated and copy of the Notice of Action sent to the post-release address. If eligibility for ongoing Medicaid is denied, cancel existing Medicaid coverage the day prior to actual date of release. An offender with active Medicaid coverage (AC108/109) and released to the community before a Pre-Release Review can be conducted by the CVIU will transfer the offender’s case to the locality for review. The CVIU will send a CPU to LDSS Communication Form to alert the locality for the need to review the member for ongoing Medicaid coverage and any other requested benefits. 1. Release to a Community Living Arrangement An offender entering a household with existing benefits after incarceration may affect Medicaid eligibility for those in the household. The CVIU will process Pre-Release Reviews if approved, the case will be assigned to the locality where the ex-offender plans to reside. If the person is approved but cannot or will not provide an address where he will reside (e.g. reports as homeless or moving to a temporary shelter), the case will be transferred to the LDSS of his pre-incarceration, if known. If there is no known address or the individual lived outside of Virginia prior to incarceration and intends to remain in the state, transfer the case to the LDSS where the correctional facility is physically located.

2. Release to an Institutional Placement, LTSS, or HCBS When an offender is being released and needs to be placed in an institution or receive home and community-based services (HCBS), the CVIU will collaborate with LDSS in the locality where the individual will be residing for processing the application to ensure the eligible individual can receive necessary medical support/services when released.

E. Split Cases For case maintenance, an offender with active Medicaid coverage in aid category 108 or 109 should be placed in his own case in VaCMS and assigned to the CVIU. If the incarcerated individual is the case name and other household members with active coverage are on the case, the local agency will be responsible for removing any other member(s), setting up a new case, and transferring the offender’s case to the CVIU.