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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 Appendix 8 3

Immigration Status Eligible for Full Medicaid Benefits? MMIS Code Non-Citizen No limitation on date of arrival to the U.S. No time limitation on eligibility as long as covered group requirements are met a. A qualified alien and veteran who was discharged honorably not on account of alienage, and who fulfills the minimum active-duty service requirements of section 5303A(d) of title 38, United States Code Yes P b. A qualified alien on active duty (other than active duty for training) in the Armed Forces of the United States (not in the Armed Forces Reserves) Yes R The spouse or the unmarried dependent child (see M0220.311 A) of a living (not deceased) qualified alien who meets the conditions in a. or b. above Yes P The unremarried surviving spouse of an individual described in a. or b. above who is deceased, if the spouse was married to the veteran • before the expiration of fifteen years after the termination of the period of service in which the injury or disease causing the death of the veteran was incurred or aggravated; or • for one year or more; or • for any period of time if a child was born of the marriage or was born to them before the marriage. Yes P Recipients of Supplemental Security Income (SSI) Yes P An alien who is • 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)), Yes P 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. Yes Effective 12/27/20 P

Arrived in U.S. on or after 8/22/1996 Regardless of length of residency in U.S. Individuals other than pregnant women with no immigration documents (undocumented) For a pregnant woman who is not lawfully residing in the U.S., go to Chapter M23. No—Eligible for Emergency Services Coverage Only A Deferred Action Childhood Arrivals (DACA) No—Eligible for Emergency Services Coverage Only A Individuals whose immigration status has expired and who do not meet any other immigration status No—Eligible for Emergency Services Coverage Only A Lawful Permanent Resident who has resided in the U.S. for fewer than 5 years, and/or prior to 4-1-21, without at least 40 qualify quarters of work coverage on record with the Social Security Administration. Effective 4-1- 21, there is no longer a work requirement. The 5 year residency requirement remains in effect. No—Eligible for Emergency Services Coverage Only A