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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M03 September 2012 Subchapter Subject Page ending with Page M0310 GENERAL RULES & PROCEDURES M0310.118 31
B. Procedure The individual must elect hospice care in a non-institutional setting. Election of hospice care is verified either verbally or in writing from the hospice care provider. If verification is verbal, document the case record.
M0310.117 INSTITUTION
A. Definition An institution is an establishment that furnishes (in single or multiple facilities) food, shelter, and some treatment or services to four or more persons unrelated to the proprietor. B. Medical Institution (Facility) A medical institution is an institution that: • is organized to provide medical care, including nursing and convalescent care, • has the necessary professional personnel, equipment, and facilities to manage the medical, nursing and other health needs of patients, • is authorized under state law to provide medical care, and • is staffed by professional personnel who are responsible to the institution for professional medical and nursing services. C. Procedures The procedures used to determine if an individual meets a covered group of individuals in institutions are contained in subchapters M0320 and M0330.
M0310.118 LIFC
A. Low Income Families with Children (LIFC) Low Income Families with Children (LIFC) is a covered group of individuals in families who have a dependent child(ren) living in the home, and whose income is within the Medicaid F&C income limits. B. Procedure Section M0330.200 contains the detailed requirements for the LIFC covered group.