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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M02 April 2021 Subchapter Subject Page ending with Page M0220.000 CITIZENSHIP & ALIEN REQUIREMENTS M0220.313 14c

Note: If the LPR had prior immigration status in one of the “seven-year” alien groups listed in M0220.313.A, he is considered to have “seven-year” status for the purposes of Medicaid eligibility for the first seven years of residency in the U.S. To determine former status of a LPR, check the coding on the I-551 for codes RE- 6, RE-7, RE-8, or RE-9. Contact the USCIS at 1-800-375-5283 for assistance in identifying the former status for other seven year aliens. Effective 4-1-21, AFTER 5 years have passed from the date of entry into the U.S., LPRs are “full benefit” aliens. For eligibility determinations for months prior to April 2021, LPRs who DO NOT have at least 40 qualifying quarters of work remain emergency services aliens after 5 years have passed from the date of entry into the U.S. 2. Qualifying Quarter • A qualifying quarter of work means a quarter of coverage as defined under Title II of the Social Security Act which is worked by the alien and/or • all the qualifying quarters worked by the spouse of such alien during their marriage and the alien remains married to such spouse or such spouse is deceased, and all of the qualifying quarters worked by a parent of such alien while the alien was under age 18 years. See Appendix 3 to this subchapter for procedures for verifying quarters of coverage under Title II of the Social Security Act. Any quarter of coverage, beginning after December 31, 1996, in which the alien, spouse or parent of the alien applicant received any federal means-tested public benefit (such as SSI, TANF, Supplemental Nutrition Assistance Program [SNAP] and full-benefit Medicaid) cannot be credited to the alien for purposes of meeting the 40 quarter requirement. Medicaid coverage for emergency services does not impact the 40 quarter requirement. D. Services Available To Eligibles 1. Refugee, Amerasian, Asylee, Deportee, Cuban or Haitian Entrant, Victim of a Severe Form of Trafficking; Afghan or Iraqi Special Immigrant The following immigrants: • qualified refugee, • Amerasian, • asylee, • deportee, • Cuban or Haitian entrant, • victim of a severe form of trafficking, or