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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M02 October 2016 Subchapter Subject Page ending with Page M0230 VIRGINIA RESIDENCY REQUIREMENTS M0230.204 6

1. Lack Of Facilities When a placement is initiated by a state because the state lacks a sufficient number of appropriate facilities to provide services to its residents, the state making the placement is the individual's state of residence for Medicaid purposes. 2. Individual Leaves Facility When a competent individual leaves the facility in which he was placed by a state, that individual's state of residence for Medicaid purposes is the state where the individual is physically located. C. Individual Placed Out-of-State by Virginia Government An individual can leave Virginia and retain Virginia residency if he is placed in an institution outside Virginia by a Virginia government agency. Out-of-state placement into a long-term care facility must be preauthorized by the Director of the Virginia Department of Medical Assistance Services for Virginia Medicaid to pay for the institutional care. When a competent individual voluntarily leaves the facility in which Virginia placed him, he becomes a resident of the state where he is physically located.

M0230.204 CASH ASSISTANCE PROGRAM RECIPIENTS

A. Introduction Certain individuals are considered residents of Virginia for Medicaid purposes if they live in Virginia and receive a cash assistance payment specified below in this section. Some recipients of cash assistance from a Virginia social services agency who do NOT reside in Virginia are considered residents of Virginia for Medicaid purposes, as specified below. B. Auxiliary Grants Recipients An individual receiving an Auxiliary Grants (AG) payment from a locality in Virginia is considered a Virginia resident. An individual who receives a State Supplement of SSI payment from another state is considered a resident of the state making the State Supplement payment. C. IV-E Payment Recipients For an individual of any age who receives federal foster care or adoption assistance payments under Title IV-E of the Social Security Act, the state of residence for Medicaid eligibility is the state where the child lives. D. Non-IV-E Foster Care Payment Recipients A child in foster care receiving a non-IV-E (state and local) payment whose custody is held by another state but who has been placed with and is residing in Virginia with a parent or care-taker relative is considered a resident of Virginia. If the child is not living with a parent or care-taker relative, the child is a resident of the state that is making the non IV-E payment. E. Non-IV-E Adoption Assistance Payment Recipients The non IV-E (state/local) Adoption Assistance recipient is a resident of the state in which the child’s adoptive parent(s) resides, regardless of whether a final order of adoption has been entered in court.