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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M02 January 2022 Subchapter Subject Page ending with Page M0220.000 CITIZENSHIP & ALIEN REQUIREMENTS M0220.300 7 M0220.300 FULL BENEFIT ALIENS

A. Policy A “full benefit” alien is • an alien who receives SSI (M0220.305); • an American Indian born in Canada to whom the provisions of section 289 of the Immigration and Nationality Act (INA) apply, or a member of an Indian tribe (as defined in section 4(e) of the Indian Self-Determination and Education Assistance Act (25 U.S.C. 450b(e)) (M0220.306); • a “qualified” alien (defined in M0220.310 below) who entered the U.S. before 8-22-96; • a qualified alien refugee; asylee; deportee; Amerasian; Cuban or Haitian entrant; victim of a severe form of trafficking; or a qualified Afghan or Iraqi immigrant admitted to the U.S. on a Special Immigrant Visa or an Afghan special immigrant who meets the criteria in M0220, Appendix 4; who entered the U.S. on or after 8-22-96, but only for the first 7 years of residence in the U.S. (M0220.313.C) unless the criteria in M0220 Appendix 4 are applicable. • effective 12-27-20, a qualified alien who is a Compact of Free Association (COFA) migrant (also referred to as compact citizens). COFA is a compact between the United States and the three Pacific Island sovereign states of Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau—known as the Freely Associated States. • before 4-1-21, a qualified LPR who entered the U.S. on or after 8-22-96 who has at least 40 qualifying quarters of work, but only AFTER 5 years of residence in the U.S. (M0220.313 B). Effective 4-1-21, a qualified LPR who entered the U.S. on or after 8-22-96 and who has resided in the U.S. for at least five years is no longer required to have any qualifying quarters of work to receive full Medicaid benefits; • the following qualified aliens, but only AFTER 5 years of residence in the U.S.: - a parolee under section 212(d)(5) of the Immigration and Nationality Act for a period of at least 1 year; - an alien who is granted conditional entry pursuant to section 203(a)(7) of the Immigration and Nationality Act as in effect prior to April 1, 1980; - an alien, and/or an alien parent of battered children and/or an alien child of a battered parent who is battered or subjected to extreme cruelty while in the U.S. • a qualified alien who meets the veteran or active duty military requirements in M0220.311 below; or • a lawfully residing non-citizen child under age 19 or pregnant woman who meets the requirements in M0220.314 below. A full benefit alien is eligible for full Medicaid benefits if he/she meets all other Medicaid eligibility requirements. Aliens who are not “full benefit” aliens are “emergency services” aliens and may be eligible for emergency Medicaid services only if they meet all other Medicaid eligibility requirements. See section M0220.400 for emergency services aliens.