Page 148

Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M03 July 2022 Subchapter Subject Page ending with Page M0330.000 FAMILIES & CHILDREN GROUPS M0330.801 32

Example: A pregnant woman applied for Medicaid on January 5, 2022. Her estimated date of delivery is May 10, 2022. Her income exceeds the income limit for 2 persons for Medicaid and FAMIS MOMS. Her resources are within the medically needy resource limit for the retroactive period and ongoing, and she is placed on a retroactive spenddown for the period October 1, 2021, through December 31, 2021, and a prospective spenddown for the period January 1, 2022 through June 30, 2022. She delivered the child and met the spenddown on May 20, 2022. She was enrolled in MN coverage effective May 20, 2022. Although her spenddown period ends on June 30, her MN Medicaid coverage does not end until May 31, 2023, the last day of the 12th month following the end of the month the child was born. Note: The eligibility worker must evaluate the individual’s eligibility in all other covered groups prior to taking action to cancel the MN coverage. D. Enrollment Eligible individuals in this group are enrolled in AC 097.