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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M02 July 2022 Subchapter Subject Page ending with Page M0220.000 CITIZENSHIP & ALIEN REQUIREMENTS M0220.305 8

B. Procedure 1. Step 1 First, determine if the alien receives SSI. Section M0220.305 describes this group of aliens who receive SSI. If the alien does NOT receive SSI, go to Step 2. If the alien receives SSI, go to Step 6. 2. Step 2 Second, determine if the alien is an American Indian born in Canada 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)). Section M0220.306 describes this group of aliens. If NO, go to Step 3. If YES, go to Step 6. 3. Step 3 Third, determine if the alien is a “qualified” alien eligible for full benefits (a full benefit qualified alien). • Section M0220.310 defines “qualified” aliens. • Section M0220.311 defines qualified veteran or active duty military aliens. • Section M0220.312 describes qualified aliens who entered the U.S. before 8- 22-96. • Section M0220.313 describes qualified aliens who entered the U.S. on or after 8-22-96. If the alien is NOT a qualified alien eligible for full benefits, go to step 4. If the alien is a qualified alien eligible for full benefits, go to step 6. 4. Step 4 Fourth, determine if the alien is a lawfully residing non-citizen child under age 19 or pregnant woman. See section M0220.314. If the alien is NOT a lawfully residing non-citizen under age 19 or pregnant woman, go to Step 5. If the alien is a lawfully residing non-citizen child under age 19 or pregnant woman, go to Step 6. 5. Step 5 The alien is an “emergency services” alien. Go to Section M0220.400 which defines emergency services aliens, then to M0220.500 which contains the eligibility requirements applicable to all aliens, then to M0220.600 D, which contains the entitlement and enrollment policy and procedures for emergency services aliens. 6. Step 6 Use Section M0220.500, which contains the Medicaid eligibility requirements applicable to all aliens, to determine the alien’s Medicaid eligibility. Then use Section M0220.600, which contains the entitlement and enrollment procedures for full benefit aliens, to enroll an eligible full benefit alien.