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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M03 June 2016 Subchapter Subject

Page M03 COVERED GROUPS REQUIREMENTS TOC i

TABLE OF CONTENTS

M03 COVERED GROUPS REQUIREMENTS

SUBCHAPTER Page

GENERAL RULES & PROCEDURES .................... M0310.000

General Principles of Covered Groups .......................... M0310.001 ..............................1 List of Medicaid Covered Groups .................................. M0310.002 ............................2a Definitions of Terms ........................................................ M0310.100 ..............................5 Cover Sheet for Expedited Referral to DDS.................. Appendix 1 ..............................1 DDS Regional Offices ...................................................... Appendix 2 ..............................1

AGED, BLIND & DISABLED GROUPS .................. M0320.000

Aged, Blind & Disabled General Policy Principles ....... M0320.001 ............................... 1 ABD Cash Assistance Groups ......................................... M0320.100 ............................... 2 Protected Covered Groups .............................................. M0320.200 ............................... 5 ABD with Income < 80% FPL ........................................ M0320.300 ............................. 23 MEDICAID WORKS ...................................................... M0320.400 ............................. 24 300% of SSI Income Limit Groups ................................ M0320.500 ............................. 30 Medicare Savings Plan (MSP) Groups .......................... M0320.600 ............................. 38 Medically Needy Groups ................................................. M0320.700 ............................. 53

FAMILIES & CHILDREN GROUPS ....................... M0330.000

General Policy Principles ................................................ M0330.001 ..............................1 Families & Children Categorically Needy Groups ....... M0330.100 ..............................2 Low Income Families with Children (LIFC) ................. M0330.200 ..............................9 Child Under Age 19 (FAMIS Plus)................................. M0330.300 ............................10 Pregnant Women & Newborn Children ........................ M0330.400 ............................13 300% of SSI Income Limit Groups ................................ M0330.500 ............................16 Plan First – Family Planning Services ........................... M0330.600 ............................24 Breast and Cervical Cancer Prevention Treatment Act (BCCPTA) ........................................................................... M0330.700 ............................26 Families & Children Medically Needy Groups ............. M0330.800 ............................29