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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 M0220.600 21

7. Financial Eligibility the asset transfer requirements (see subchapter M1450) apply. Resources must be within the resource limit appropriate to the individual's covered group. (Chapter M06 for F&C covered groups; Chapter S11 for ABD covered groups). Income must be within the income limit appropriate to the individual's covered group (Chapter M04 for Modified Adjusted Gross Income [MAGI] covered groups; Chapter M07 for F&C Medically Needy covered groups, and Chapter S08 for ABD covered groups). Spenddown provisions apply to individuals who meet a Medically Needy covered group. All medical expenses count toward meeting the spenddown, but once an entitlement date is determined after the individual meets the spenddown, only emergency services rendered on or after the entitlement date are covered for emergency services aliens. M0220.600 ENTITLEMENT & ENROLLMENT

A. Policy An alien who is determined eligible for full Medicaid benefits and who meets all Medicaid eligibility requirements (including covered group requirements) is eligible for all Medicaid-covered services available to the recipient's covered group. B. Application & Entitlement 1. Application Processing The eligibility worker must take the application and develop it in the same manner as any other individual's application. All eligibility requirements, including covered group requirements must be met. 2. Entitlement If the applicant is found eligible for Medicaid, ongoing eligibility may exist unless the recipient is on a spenddown. 3. Spenddown Spenddown provisions apply to medically needy individuals who have excess income. 4. Notice Appropriate notice must be sent to the applicant of the status of his application and of his Medicaid eligibility. C. Enrollment Procedures Once a full benefit alien is found eligible for Medicaid, he must be enrolled in VaCMS using the following data: 1. Country In this field, Country, enter the code of the alien's country of origin. 2. Cit Status In this field, Citizenship Status, enter the Citizenship code that applies to the alien. Below, next to the Citizenship code, is the corresponding Alien Code from the Alien Code Chart in Appendix 5 to this subchapter. Eligible alien codes are: R = refugee (Alien Chart codes F1, F2, G1, G2); also used for Afghan and Iraqi Special Immigrants (Alien Chart Code Z1). E = entrant (Alien Chart code D1). P = full benefit qualified aliens (Alien Chart codes A1, A2, A3, B1, B3, C1, CC1, D1, D3, E1, E3, H1, H2, I1, I3, J1, J2, K1); I = legal immigrant children under age 19 only (Alien Chart codes Y1, Y2, Y3)