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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M03 July 2025 Subchapter Subject Page ending with Page M0310 GENERAL RULES & PROCEDURES M0310.102 5
2. F&C Groups a. Children under age 18 b. Children under age 1
c. Pregnant Women d. Children with Special Needs for Medical or Rehabilitative Care
e. Individuals under age 21 E. Refugees “Refugees” are a special group of individuals who have an alien status of “refugee” and are eligible for Medicaid under a different federal funding source. Virginia receives full federal funding with no state matching funds for the medical assistance provided to these individuals during the first 4 months they are in the U.S who entered as of 10/1/2021. There are two aid categories (ACs) for this group. AC 078 is used for Refugee Other and Refugee Medicaid Other and AC 079 is used for Refugee Medicaid Unaccompanied Minors. The policy and procedures used to determine whether an individual is eligible in this group are found in the Refugee Resettlement Program Manual, Volume XVIII.
M0310.100 DEFINITION OF TERMS
A. Introduction The terms used in the covered groups policy and procedures and the procedures for determining if an individual meets a definition are stated in sections M0310.101 through 131 below.
M0310.101 ABD
A. ABD Definition "ABD" is the short name used to refer to aged, blind or disabled individuals. B. Procedures See the following sections for the procedures to use to determine if an individual meets an ABD definition: • M0310.105 Age and Aged • M0310.106 Blind • M0310.112 Disabled
M0310.102 ADOPTION ASSISTANCE
A. Definition Adoption Assistance is a Title XX of the Social Security Act social services program that provides cash assistance and/or social services to adoptive parents who adopt "hard to place" foster care children who were in the custody of a local department of social services or a child placing agency licensed by the state of Virginia. 1. Residing in Virginia Adoption assistance children are children who reside in Virginia who are adopted under a Title IV-E or Non-IV-E (state-local) adoption assistance agreement with a department of social services or in conjunction with a child- placing agency.