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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M03 July 2022 Subchapter Subject Page ending with Page M0320.000 AGED, BLIND & DISABLED GROUPS M0320.100 2

D. Aid Categories Aid Categories (ACs) are used in the eligibility and enrollment systems to denote covered group. Some covered groups have multiple ACs for designating disability status, age, income, and other demographic information. These ACs may be used for reporting and funding purposes. The policy sections for each ABD covered group in this subchapter contain the assigned ACs Exception–ABD individuals of any age who have been determined to be eligible for Medicaid coverage of emergency services based on the alien status requirement policies in subchapter M0220 will be assigned to AC 113 regardless of their covered group.

M0320.001 ABD CATEGORICALLY NEEDY

A. Introduction To be eligible in an ABD covered group, the individual must meet all Medicaid non-financial requirements in chapter M02 and an “Aged,” “Blind” or “Disabled” definition in subchapter M0310. If he does not, then go to the Families & Children covered groups in subchapter M0330. B. Procedures The policy and procedures for determining whether an individual meets an ABD CN covered group are contained in the following sections: • M0320.202 Conversion Cases • M0320.203 Former SSI/AG Recipients • M0320.206 Protected Adult Disabled Children • M0320.207 Protected SSI Disabled Children • M0320.300 ABD with Income ≤ 80% FPL • M0320.400 MEDICAID WORKS • M0320.501 ABD In Medical Institution, Income ≤ 300% SSI • M0320.502 ABD Receiving CBC Services • M0320.503 ABD Hospice • M0320.601 Qualified Medicare Beneficiary (QMB) • M0320.602 Special Low-income Medicare Beneficiary (SLMB) • M0320.603 Qualified Individuals (QI) • M0320.604 Qualified Disabled & Working Individual (QDWI))

M0320.100 ABD CASH ASSISTANCE COVERED GROUPS

A. Legal base Medicaid eligibility for certain individuals is based on their receipt of cash assistance from another benefit program that has a cash assistance component. B. Procedure The policy and procedures for cash assistance recipients are found in the following sections: • M0320.101 SSI Recipients • M0320.102 AG Recipients