Page 11

Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M03 October 2018 Subchapter Subject Page ending with Page M0310 GENERAL RULES & PROCEDURES M0310.002 3

A. Categorically Needy (CN) The ABD, and F&C (including the MAGI Adults) covered groups in the CN classification are listed below. 1. ABD Groups a. SSI cash assistance recipients who meet more restrictive Medicaid resource eligibility requirements. b. Auxiliary Grants (AG) cash assistance recipients. c. ABD individuals who are institutionalized in a medical institution, who meet all Medicaid eligibility requirements and have income before exclusions that is less than 300% of the SSI individual payment limit. d. ABD individuals who receive or are applying for Medicaid-approved community-based care services, who meet all Medicaid eligibility requirements and who have income before exclusions that is less than 300% of the SSI individual payment limit. e. ABD individuals who have a “protected” status: 1) individuals who received OAA, AB, APTD, or ADC as of August 1972, and meet specified requirements. 2) individuals who are former SSI/AG recipients and meet specified requirements. 3) individuals who are widows(ers) and meet specified requirements. 4) individuals who are classified as 1619(b) by Social Security and meet specified requirements. 5) individuals who are adult disabled children and meet specified requirements

f. Hospice--a hospice patient is a person who is terminally ill and has elected to receive hospice care; if the individual is not aged, presume that the individual is disabled. g. Qualified Medicare Beneficiaries (QMBs). h. Special Low-income Medicare Beneficiaries (SLMBs). i. Qualified Disabled and Working Individuals (QDWIs). j. Qualified Individuals (QIs). k. ABD With Income  80% Federal Poverty Limit (ABD 80% FPL). l. MEDICAID WORKS.