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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M03 May 2015 Subchapter Subject Page ending with Page M0330.000 FAMILIES & CHILDREN GROUPS M0330.503 22

C. Financial Eligibility When determining income to compare to the 300% of SSI income limit, use the ABD income policy and procedures, regardless of the individual’s definition or covered group. MAGI methodology is not used to determine eligibility for this covered group. When determining resources, use F&C resource policy in chapter M06 for unmarried F&C individuals; use ABD resource policy for married F&C individuals. The individual must also meet the asset transfer policy in M1450.When determining resources, use F&C resource policy for unmarried F&C individuals; use ABD resource policy for married F&C individuals. 1. Resources a. Resource Eligibility - Married Individual Age 18 and Older When determining resources for a married F&C hospice individual with a community spouse, use the resource policy in subchapter M1480. When determining resources for a married F&C hospice individual who has no community spouse, use the resource policy in subchapter M1460. Evaluate countable resources using ABD resource policy in chapter S11. If current resources are within the limit, go on to determine income eligibility. If current resources are NOT within the limit, the individual is NOT eligible in this covered group; he/she may be eligible as medically needy in a medically needy covered group. b. Resource Eligibility - Unmarried Individual Age 18 and Older When determining resources for an unmarried F&C hospice individual, use the Medicaid F&C resource requirements in chapter M06. All of the individual’s resources must be verified, evaluated, and counted together to determine if the individual meets the F&C resource limit of $1,000. DO NOT DEEM any resources from a child’s parent living in the home. If current resources are within the limit, go on to determine income eligibility. If current resources are NOT within the limit, the individual is NOT eligible in this covered group. He/she may be eligible as medically needy in a medically needy covered group. c. Resource Eligibility – Child Under Age 18 Children under age 18 are not subject to a resource test. 2. Income To determine if an individual has income within the 300% SSI income limit, use gross income, not countable income, and use the ABD income policy and procedures in chapter S08. Determine what is considered income according to subchapter S0815, ABD What Is Not Income. DO NOT subtract the $20 general exclusion or any other income exclusions.