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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M03 April 2022 Subchapter Subject Page ending with Page M0330.000 FAMILIES & CHILDREN GROUPS M0330.804 37

d. Child in Independent Living Arrangement A child in an independent living arrangement is eligible for Medicaid in this covered group if the child is receiving services from the local social services agency. 2. Non-IV-E Adoption Assistance Children under age 21 who meet the adoption assistance definition in M0310.102 for whom a Non-IV-E adoption assistance agreement between the LDSS and the adoptive parent(s) is in effect are “individuals in adoptions subsidized in full or in part by a public agency.” If the child receives a Non- IV-E adoption assistance payment, or if the child was adopted under an adoption assistance agreement and is not eligible as a IV-E Adoption Assistance child, then the child meets the “Non-IV-E adoption assistance” definition. Adoption assistance children with special needs for medical or rehabilitative care have additional requirements. See section M0330.805. 3. In ICF or ICF- ID Children under age 21 who are patients in either an ICF or ICF- ID meet the classification of “individuals in an ICF or ICF- ID” in the Individual Under Age 21 covered group. D. Assistance Unit a. Non-IV-E Foster Care Children (Includes DJJ) The child is an assistance unit of one effective the date the child is removed from the home and placed in foster care. Each child in foster care is evaluated as a separate assistance unit, even if the child is living with his/her siblings in a foster care home. A foster care or DJJ child continues to be a single person unit during a trial visit in his own home. A “trial visit” is no longer than six months for this section’s purposes. b. Adoptive Placement While in adoptive placement, the child may continue to be treated as a foster care child. However, once the interlocutory or the final order of adoption is entered, the child must be treated as a Non-IV-E adoption assistance child; see 3. below. c. Non-IV-E Adoption Assistance- Interlocutory or Final Order Entered Financial eligibility is determined using the assistance unit procedures in subchapter M0520, which require the inclusion of the child’s adoptive parent(s) and sibling(s). An adoption assistance child must have his/her eligibility determined by counting or deeming (as appropriate) his/her parent’s and sibling’s income.