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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M03 July 2022 Subchapter Subject Page ending with Page M0330.000 FAMILIES & CHILDREN GROUPS M0330.105 2a
M0330.250 MAGI Adults Group M0330.300 Child Under Age 19 (FAMIS Plus); M0330.400 Pregnant Women & Newborn Children; M0330.500 300% of SSI Covered Groups M0330.600 Plan First--Family Planning Services; M0330.700 Breast and Cervical Cancer Prevention and Treatment Act C. Eligibility Methodology Used
With the exception of the F&C 300% of SSI covered groups for institutionalized individuals, the F&C covered groups that require a financial eligibility determination use Modified Adjusted Gross Income (MAGI) methodology for evaluating countable income. The policies and procedures for MAGI methodology are contained in chapter M04 unless otherwise specified.
MAGI methodology is not applicable to the F&C 300% of SSI covered groups. See M0330.501 – M0330.503 for information regarding the applicable financial eligibility policies.
D. Aid Categories
Aid Categories (ACs) are used in the eligibility and enrollment systems to denote covereage groups. Some covered groups have multiple ACs for designating disability status, age, income, and other demographic information. These ACs may be used for reporting and funding purposes. The policy sections for each CN covered group contain the assigned ACs.
Exception—F&C individuals who have been determined to be eligible for Medicaid coverage of emergency services only based on the alien status requirement policies in subchapter M0220 will be assigned to the following ACs regardless of their covered group:
• AC 112 for individuals in the Modified Adjusted Gross Income (MAGI) Adults covered group; • AC 113 for all other individuals.
M0330.105 IV-E FOSTER CARE OR IV-E ADOPTION ASSISTANCE RECIPIENTS
A. Policy 42 CFR 435.145--The federal Medicaid law requires the State Plan to cover children who are eligible for foster care or adoption assistance payments under Title IV-E of the Social Security Act.