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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M03 July 2024 Subchapter Subject Page ending with Page M0310 GENERAL RULES & PROCEDURES M0310.102 6
2. Special Medical Needs Children with special needs for medical or rehabilitative care adopted under a Non IV- E Adoption Assistance agreement with a Virginia local department of social services or a Virginia private, non-profit child placement agency in conjunction with a local department of social services, in accordance with policies established by the State Board of Social Services are considered to be residing in Virginia.
a. Documentation must indicate that the child has special needs for medical or rehabilitative care One of the following documents must indicate the child’s special needs for medical or rehabilitative care: • an adoption assistance agreement specifying that the child has a special need for medical or rehabilitative care; the agreement does NOT need to specify a particular diagnosis or condition.
• an amendment to the adoption assistance agreement specifying that the child has a special need for medical or rehabilitative care.
• a signed letter on official letterhead from the state that facilitated the adoption assistance agreement confirming that the child has a special need for medical or rehabilitative care.
b. Virginia Medicaid coverage for children with special needs for medical or rehabilitative care Medicaid coverage is to be provided to any child who has been determined to be a Non-IV-E Adoption Assistance Child with special needs for medical or rehabilitative care for whom there is in effect an adoption assistance agreement between a local Virginia department of social services (LDSS) or a Virginia child-placing agency and an adoptive parent(s). Virginia Medicaid coverage MAY be provided to a child with special needs for medical or rehabilitative care for whom there is in effect an adoption assistance agreement between another state’s child-placing agency and an adoptive parent(s) IF the other state reciprocates with Virginia per the Interstate Compact on Adoption and Medical Assistance (ICAMA).