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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M02 January 2023 Subchapter Subject Page ending with Page M0280 INSTITUTIONAL STATUS REQUIREMENTS M0280.301 9

G. Probation, Parole, Conditional Release, Furlough An individual released from prison or jail on probation, parole, or release order, with a condition of: • home arrest • community services • outpatient treatment • inpatient treatment (not inpatient hospitalization) is not an inmate of a public institution and may be eligible for Medicaid. An individual released from prison or jail under a court order due to a medical emergency, medical treatment, or pregnancy is NOT an inmate of a public institution and may be eligible for Medicaid. An individual released from a correctional facility on furlough, for example during a pregnancy, is not an inmate of a public institution while furloughed and may be eligible for Medicaid. For an offender sentenced to the DOC Community Corrections Alternative Program (CCAP) refer to M0280.140.A H. Juvenile in Detention Center Due to Care, Protection, Best Interest A minor in a juvenile detention center prior to disposition (judgment) due to care, protection or the best interest of the child (e.g., Child Protective Services [CPS]), if there is a specific plan for that child that makes the detention center stay temporary, is NOT an inmate of a public institution and may be eligible for Medicaid. This could include a juvenile awaiting placement but who is still physically present in the juvenile detention center. I. Juvenile on Probation in Secure Treatment Center A minor placed on probation by a juvenile court and placed in a secure treatment facility is NOT an inmate of a public institution and may be eligible for Medicaid.

J. Juvenile On Conditional Probation A minor placed on probation by a juvenile court with, as a condition of probation, treatment in a psychiatric hospital or a residential treatment center, or treatment as an outpatient may be eligible for Medicaid. However, if the minor is NOT on probation but is ordered to the treatment facility, he remains an inmate of a public institution and not eligible for full benefit Medicaid. He may be eligible for Medicaid coverage limited to inpatient hospitalization. K. Juvenile On Probation in Secure Treatment Center A minor placed on probation by a juvenile court and placed in a secure treatment facility may be eligible for Medicaid.