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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M03 July 2025 Subchapter Subject Page ending with Page M0330.000 FAMILIES & CHILDREN GROUPS M0330.200 9

B. Nonfinancial Eligibility Requirements The individual must meet all the nonfinancial eligibility requirements in chapter M02. If the individual is not a U.S. citizen, he must meet the alien status requirements. These requirements differ depending on the age and pregnancy status of the individual. See subchapter M0220.

C. Financial Eligibility Requirements D. Entitlement There are no resource or income tests for the Former Foster Care group. Entitlement as a former foster care child begins the first day of the month following the month the child was no longer in the custody of a local department of social services or the URM Program if the child was enrolled in Medicaid during the month foster care ended.

Accept the individual’s declaration of enrollment in foster care or the URM Program and enrollment in Medicaid at the time turned at least 18.

If Medicaid coverage of a former foster care child was previously discontinued when the child turned 18, he may reapply for coverage and be eligible in this covered group if he meets the requirements in this section. The policies regarding entitlement in M1510 apply.

Individuals in this covered group receive full Medicaid coverage, including long-term care (LTC) services. Do not move enrollees in this covered group who need LTC to the 300% of SSI covered group.

E. Enrollment The AC for former foster care children is “070.”

M0330.200 LOW INCOME FAMILIES WITH CHILDREN (LIFC)

A. Policy Section 1931 of the Act - The federal Medicaid law requires the State Plan to cover (1) dependent children under age 18 or under the age of 19 and full-time students in a secondary school or in the equivalent level of vocational or technical training, or in a General Educational Development (GED) program IF they may be reasonably expected to complete the secondary school, training or program before or in the month they attain age 19; and (2) parents or caretaker- relatives of dependent children who meet the financial eligibility requirements of the July 16, 1996 AFDC state plan. This covered group is called “Low Income Families With Children” (LIFC). Public Law 111-148 (The Affordable Care Act) requires that coverage for all children under the age of 19 be consolidated in the Child Under Age 19 (FAMIS Plus) covered group. Virginia has chosen to implement this coverage effective October 1, 2013. Children are not enrolled as LIFC except when the child meets the definition of a dependent child in M0310.111 and his parents are receiving LIFC Extended Medicaid coverage (see M1520.500). In these situations, if the child’s household income exceeds the limit for coverage in the Child Under Age 19 group, the child must be evaluated for LIFC Extended Medicaid coverage with his family. B. Nonfinancial Eligibility The individual must meet all the non-financial eligibility requirements in chapter M02.