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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M02 July 2024 Subchapter Subject Page ending with Page M0220.000 CITIZENSHIP & ALIEN REQUIREMENTS Appendix 5 1

Code MEDICAID ALIEN CODE CHART QUALIFIED ALIEN GROUPS Arrived Before August 22, 1996 Arrived On or After August 22, 1996 1st 5 years After 5 years A Qualified aliens who are Veterans or Active Military (includes spouses/dependent children); certain American Indians [Form DD 214-veteran] Full Benefit A1 Full Benefit A2 Full Benefit A3 B Permanent Resident Aliens (Aliens lawfully admitted for permanent residence) who have worked 40 qtrs., except Amerasians [I-151; AR-3a; I-551; I-327; I-688B- 274a.12(a)(1)] Full Benefit B1 Emergency Only B2 Full Benefit (40 quarter work requirement ended effective 4-1-21) B3 C Permanent Resident Aliens (Aliens lawfully admitted for permanent residence) who have NOT worked 40 qtrs., except Amerasians and citizens of Micronesia, Marshall Islands, Palau [I-327; I-151; AR-3a; I-551; I688B-274 a.12(a)(1)] Full Benefit C1 Emergency Only C2 Full Benefit effective 4-1-21 C1; Emergency Only for months prior to 4-21 C2 CC Compact of Free Association (COFA) migrants who are citizens of the Federated States of Micronesia, the Republic of the Marshall Islands, or the Republic of Palau. Full Benefit CC1 Full Benefits effective 12-27-20. CC1; Emergency Only for months prior to 12-20. CC2 Full Benefit effective 12-27-20. CC1; Emergency Only prior to 12-20. CC2 D Conditional entrants-aliens admitted pursuant to 8 U.S.C. 1153(a)(7), section 203(a)(7) of the INA [I-94] Full Benefit D1 Emergency Only D2 Full Benefit D3 E Aliens, other than Cuban or Haitian Entrants, paroled in the US pursuant to 8 U.S.C. 1182(d)(5) section 212(d)(5) of INA [I-94; I-688B – 274a(12)(c)(11)] Afghan Special Immigrant Parolees paroled into the United States between July 31, 2021, and September 30, 2023 will have an I-94 form noting SQ or SI Parole (per section 602(B)(1) AAPA/Sec 1059(a) NDAA 2006). They are eligible for full coverage without a 5-year waiting period. See Appendix 4. Ukraine Humanitarian Parolees. See Appendix 4. Full Benefit E1 Emergency Only E2 Full Benefit E3 I Battered aliens, alien parents of battered children, alien children of battered parents [U.S. Attorney General] Full Benefit I1 Emergency Only I2 Full Benefit I3 QUALIFIED ALIEN GROUPS 1st 7 years After 7 years F Aliens granted asylum pursuant to section 208 of the INA [I-94; I-688B – 274a.12(a)(5)] Full Benefit F1 Full Benefit F2 Emergency Only F3 G Aliens admitted as refugees pursuant to section 207 of the INA, or as Cuban or Haitian Entrants as defined in section 501(e) of Refugee Education Assistance Act of 1980 {including those under section 212(d)(5)}, or Amerasians [I-551; I-94; I-688B] Full Benefit G1 Full Benefit G2 Emergency Only G3 H Aliens whose deportation has been withheld pursuant to Section 243(h) or 241(b)(3) of the INA [I-688B – 274a.12(a)(10); Immigration Judge’s Order] Full Benefit H1 Full Benefit H2 Emergency Only H3