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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M03 October 2013 Subchapter Subject Page ending with Page M0330.000 FAMILIES & CHILDREN GROUPS M0330.300 11 M0330.300 CHILD UNDER AGE 19

A. Policy The Affordable Care Act requires that all coverage for children under age 19 be consolidated into one covered group. The authority for coverage of these children is found in 42CFR 435.11. 8. Virginia will begin covering children in this group effective October 1, 2013. The income limit for this group is 143% FPL. Coverage under the Child Under Age 19 covered group is also known as FAMIS Plus in printed materials. B. Nonfinancial Eligibility The child must be under age 19 years. The child's date of birth must be provided, but birth verification is not required. Any child under age 19 years can be eligible in this covered group regardless of the child’s living arrangements or the child’s mother’s Medicaid eligibility. The child must meet the nonfinancial eligibility requirements in chapter M02. A child no longer meets this covered group effective the end of the month in which the child reaches age 19 years, provided he was under age 19 on the first day of the month. If the child was born on the first day of the month, his eligibility ends the last day of the month prior to the month he reaches age 19. NOTE: a child who has excess income for Medicaid may be evaluated for FAMIS eligibility.