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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M03 July 2020 Subchapter Subject Page ending with Page M0310 GENERAL RULES & PROCEDURES M0310.106 7
M0310.105 AGE and AGED
A. Age “Age” is the individual's age reached on the anniversary of birth. If the year but not the month and day of the individual's birth is known, July 1 is assigned for both eligibility determination and enrollment. For covered groups with a maximum age requirement, an individual meets the age requirement for the month of his birthday unless his birthday falls on the first day of the month. Examples: Gracie has been enrolled in the Child Under 19 covered group. She turns 19 on August 15. She continues to be eligible in the Child Under 19 covered group through the month of August. Oliver has been enrolled in the MAGI Adults covered group. He turns 65 on July 1. Therefore, he is no longer eligible for the MAGI Adults covered group for the month of July. B. Aged “Aged,” means age 65 years or older. C. Procedures For individuals under age 21, accept the date of birth provided on the application/redetermination form. No verification is required. For aged individuals, verify the individual’s age by Social Security records or documents in the individual’s possession. Acceptable documents include: • birth certificate or notification of birth; • hospital or physician’s record; • court record of adoption; • baptismal record; • midwife’s record of birth; • form VS95 from state Bureau of Vital Statistics; or • marriage records.
M0310.106 BLIND
A. Definition The Medicaid blindness definition is the same as that of the Supplemental Security Income (SSI) blindness definition. Blindness is defined by using one of two criteria. The first criteria indicates that blindness is defined as having best corrected central visual acuity of 20/200 or less in the better eye. The second criteria indicates that blindness is defined as the contraction of the visual field in the better eye with the widest diameter subtending an angle around the point of fixation no greater than 20 degrees.