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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M03 January 2023 Subchapter Subject Page ending with Page M0310 GENERAL RULES & PROCEDURES M0310.002 2

M0310.002 LIST OF MEDICAID COVERED GROUPS

Group and Description Mandatory = required under federal regulations Optional = State Plan Option Categorically Needy (CN) Medically Needy(MN)

Aged, Blind, or Disabled (ABD) SSI – mandatory X

AG – mandatory X

Protected – mandatory X

≤ 80% FPL – optional X

≤ 300% of SSI – optional (institutionalized only) X

Medicaid Works – optional X

Medicare Savings Programs (QMB, SLMB, QI, QDWI) --all mandatory X

Aged Blind Disabled --all optional

X

Families & Children (F&C)

` IV-E Foster Care or Adoption Assistance - mandatory X

LIFC Parent/Caretaker Relatives - mandatory X

Pregnant woman/newborn child – mandatory X mandatory X optional Child under age 19 – mandatory X

BCCPTA – optional X

Plan First – optional X

Child under 18 – optional

X Individuals under age 21, Adoption Assistance Children with Special Needs for Medical or Rehabilitative Care Adoption Assistance X optional X optional Former Foster Care Children under age 26 – mandatory (effective January 1, 2014) X

MAGI Adults – optional (effective January 1, 2019) X