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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M03 May 2015 Subchapter Subject Page ending with Page M0330.000 FAMILIES & CHILDREN GROUPS M0330.502 19
C. Financial Eligibility When determining income to compare to the 300% of SSI income limit, use the ABD income policy and procedures, regardless of the individual’s definition or covered group. MAGI methodology is not used to determine eligibility for this covered group. When determining resources, use F&C resource policy in chapter M06 for unmarried F&C individuals; use ABD resource policy for married F&C individuals. The individual must also meet the asset transfer policy in M1450. 1. Resources a. Resource Eligibility - Married Individual Age 18 and Older When determining resources for a married F&C institutionalized individual with a community spouse, use the resource policy in subchapter M1480. When determining resources for a married F&C institutionalized individual who has no community spouse, use the resource policy in subchapter M1460. Evaluate countable resources using ABD resource policy in chapter S11. b. Resource Eligibility - Unmarried Individual Age 18 and Older When determining resources for an unmarried F&C institutionalized individual, use the Medicaid F&C resource requirements in chapter M06. All of the individual’s resources must be verified, evaluated, and counted together to determine if the individual meets the F&C resource limit of $1,000. Pay close attention to • ownership of his/her former residence when the individual is in an institution. Determine if the former home is excluded in M06. DO NOT DEEM any resources from a child’s parent living in the home. If current resources are within the limit, go on to determine income eligibility. If current resources are NOT within the limit, the individual is NOT eligible in this covered group. He/she may be eligible as medically needy in a medically needy covered group. c. Resource Eligibility – Child Under Age 18 Children under age 18 are not subject to a resource test.