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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M03 April 2022 Subchapter Subject Page ending with Page M0330.000 FAMILIES & CHILDREN GROUPS TOC i

TABLE OF CONTENTS

M03 MEDICAID COVERED GROUPS

M0330.000 FAMILIES & CHILDREN GROUPS

Section Page

General Policy Principles ............................................................ M0330.001 ......................... 1

Families & Children Categorically Needy Groups ................... M0330.100.......................... 2 IV-E Foster Care & IV-E Adoption Assistance ................... M0330.105.......................... 2 Individuals Under Age 21 ...................................................... M0330.107.......................... 4 Adoption Assistance Children With Special Needs for Medical or Rehabilitative Care ......................................... M0330.108.......................... 7 Former Foster Care Children Under Age 26 Years ........... M0330.109 ......................... 8

Low Income Families With Children (LIFC) ............................ M0330.200.......................... 9

MAGI Adults (Effective January 1, 2019) ................................. M0330.250.......................... 10a

Child Under Age 19 (FAMIS Plus) ............................................. M0330.300.......................... 11 Pregnant Women & Newborn Children .................................... M0330.400.......................... 13 300% of SSI Income Limit Groups .......................................... M0330.500.......................... 16

F&C in Medical institution, Income < 300% SSI .............. M0330.501.......................... 16

F&C Receiving Waiver Services (CBC) ............................... M0330.502.......................... 18

F&C Hospice .......................................................................... M0330.503.......................... 21 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

Pregnant Women .................................................................... M0330.801 ......................... 30 Newborn Children Under Age 1 ........................................... M0330.802 ......................... 33 Children Under Age 18 .......................................................... M0330.803 ......................... 34 Individuals Under Age 21 ...................................................... M0330.804 ......................... 36 Adoption Assistance Children With Special Needs for Medical or Rehabilitative Care ......................................... M0330.805 ......................... 39