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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M03 January 2018 Subchapter Subject Page ending with Page M0320.000 AGED, BLIND & DISABLED GROUPS M0320.101 4

When an SSI recipient has no real property resource listed in 1) through 5) above, do NOT determine the SSI recipient’s resources. The SSI recipient meets the Medicaid resource requirements because he receives SSI and does not have a real property resource listed above.

2. Income Verify the SSI recipient's eligibility for SSI payments by an SSI awards notice and inquiring the State On-line Query-Internet (SOLQ-I) system, SDX (State Data Exchange) or SVES (State Verification Exchange System). If the recipient is eligible for SSI, he meets the Medicaid income eligibility requirement. C. Entitlement & Enrollment Eligible individuals in this group are entitled to full Medicaid coverage beginning the first day of the individual’s application month if all eligibility requirements are met in that month, including the receipt of, or entitlement to, an SSI payment in that month. When the SSA record indicates a payment code(s) of “C01” and no payment amount is shown, the individual is considered to be an SSI recipient for Medicaid purposes. If the SSA record indicates a code of EO1 or E02 and no SSI payment has been received in more than twelve months, the individual’s SSI status must be confirmed. Retroactive coverage is applicable to this covered group. However, if the individual did not receive, or was not entitled to, an SSI payment in the retroactiv period, the individual is not eligible for retroactive Medicaid in the SSI recipients covered group. His retroactive eligibility must be evaluated in another Medicaid covered group. The ACs are: • 011 for an aged SSI recipient; • 031 for a blind SSI recipient; • 051 for a disabled SSI recipient. D. Ineligible as SSI Recipient If a non-institutionalized SSI recipient is ineligible for Medicaid because of resources, evaluate the individual’s eligibility in all other Medicaid covered groups including, but not limited to, the ABD with Income ≤ 80% FPL and the MSP covered groups.