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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M03 January 2024 Subchapter Subject Page ending with Page M0330.000 FAMILIES & CHILDREN GROUPS M0330.803 34

B. Financial Eligibility No other nonfinancial or financial eligibility requirements need to be met by the child. C. Entitlement & Enrollment Eligible newborns in this MN group are entitled to full Medicaid coverage beginning the date of the child’s birth. Retroactive coverage is applicable to this covered group, but coverage cannot begin prior to the date of the child’s birth. A renewal must be completed for the newborn before system cut-off in the last month in which the child meets the Newborn Children Under Age 1 covered group and must include SSN or proof of application, as well as verification of income and resources. Children under 19 receive 12 months of continuous eligibility unless they reach age 19; are no longer Virginia residents; the child or child’s representative requests eligibility be closed; the agency determines that eligibility was incorrectly approved because of agency error or fraud, abuse, or perjury attributed to the child or the child's representative; or the child is deceased. Eligible children in this group are enrolled in aid category 099.

M0330.803 CHILDREN UNDER AGE 18

A. Nonfinancial Eligibility 42 CFR 435.301(b)(1)(ii) - If the state chooses to cover the medically needy, the State Plan must provide medically needy coverage to all children under 18 years of age who, except for income and resources, would be eligible for Medicaid as categorically needy. A child is eligible in this MN covered group if he/she has not attained age 18 years and meets the nonfinancial requirements in chapter M02. A child under age 18’s Medicaid eligibility is first determined in the Child Under Age 19 covered group and for FAMIS, which have no resource limits and have income limits that are higher than the medically needy income limit. If a child under age 18 is not eligible for Medicaid in the Child Under 19 covered group or for FAMIS because the child’s countable income is too high, and the child’s resources are within the MN resource limit, evaluate the child’s in the MN Children Under Age 18 covered group. B. Financial Eligibility 1. Assistance Unit The assistance unit policy and procedures in chapter M05 apply to this covered group. If not institutionalized, count or deem any resources and income from the child’s spouse and/or parent with whom he/she lives.