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Official source

Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M03 October 2019 Subchapter Subject Page ending with Page M0310 GENERAL RULES & PROCEDURES M0310.136 40

M0310.136 MAGI ADULT

A. Definition A MAGI Adult is a person who is not defined as a “child” (see M0310.110). The 2018 Appropriations Act mandated that Medicaid in Virginia be expanded effective January 1, 2019. This new expanded coverage group is called MAGI Adults and covers individuals ages 19-64 who are not eligible for or enrolled in Medicare and who have income at or below 138% of FPL. Several new aid categories have been added for the MAGI Adults covered group. • Childless adults, income less than 100% FPL;

• Childless adults, income less than 138% FPL (133% + 5% income disregard);

• Parent/Caretaker adult relatives, above current LIFC income limit and at or below 100% FPL;

• Parent/Caretaker adult relatives, above 100% FPL and at or below 138% FPL (133% + 5% income disregard);

• Presumptive eligible adult, income at or below 138% FPL (133% + 5% income disregard);

• Incarcerated adult who otherwise meet a Medicaid MAGI Adult aid category but not enrolled due to incarceration. B. Procedure The procedures used to determine if an individual meets the MAGI Adults covered group are contained in subchapters M0320 and M0330.

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Page 47

Official source

Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M03 October 2019 Subchapter Subject Page ending with Page M0310 GENERAL RULES & PROCEDURES M0310.136 40

M0310.136 MAGI ADULT

A. Definition A MAGI Adult is a person who is not defined as a “child” (see M0310.110). The 2018 Appropriations Act mandated that Medicaid in Virginia be expanded effective January 1, 2019. This new expanded coverage group is called MAGI Adults and covers individuals ages 19-64 who are not eligible for or enrolled in Medicare and who have income at or below 138% of FPL. Several new aid categories have been added for the MAGI Adults covered group. • Childless adults, income less than 100% FPL;

• Childless adults, income less than 138% FPL (133% + 5% income disregard);

• Parent/Caretaker adult relatives, above current LIFC income limit and at or below 100% FPL;

• Parent/Caretaker adult relatives, above 100% FPL and at or below 138% FPL (133% + 5% income disregard);

• Presumptive eligible adult, income at or below 138% FPL (133% + 5% income disregard);

• Incarcerated adult who otherwise meet a Medicaid MAGI Adult aid category but not enrolled due to incarceration. B. Procedure The procedures used to determine if an individual meets the MAGI Adults covered group are contained in subchapters M0320 and M0330.