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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M03 July 2017 Subchapter Subject Page ending with Page M0310 GENERAL RULES & PROCEDURES M0310.131 38

B. Procedure RSDI Is not used in the Medicaid manual. Because Title II of the Social Security Act is still officially called “Old Age, Survivors & Disability Insurance”, the Medicaid manual uses the abbreviation “OASDI” interchangeably with “Title II” to refer to Title II Social Security benefits.

M0310.129 SLMB

A. Special Low-income Medicare Beneficiary (SLMB) SLMB is the short name used to designate the Medicaid covered group of “Special Low-income Medicare Beneficiary”. A special low-income Medicare beneficiary means an individual • who is entitled to enroll for Medicare Part A, • who has resources that are within the resource limits for the Medicare Savings Programs (MSPs). See chapter section M1110.003 for the current resource limits; and

• whose income exceeds the QMB income limit (100% of the FPL) but does NOT exceed the higher SLMB income limit, which is 120% of the FPL. B. Procedure SLMB is a mandatory covered group that the state plan must cover for the purpose of paying the beneficiary’s Medicare Part B premium. See section M0320.602 for the procedures to use to determine if an individual meets the SLMB covered group.

M0310.130 SSI

A. Supplemental Security Income (SSI) Supplemental Security Income (SSI) is the federal cash assistance benefit program under Title XVI of the Social Security Act that provides cash assistance to eligible aged, blind or disabled individuals to meet their shelter, food and clothing needs. B. Procedures Individuals who receive SSI (SSI recipients) are not “automatically” eligible for Medicaid in Virginia. SSI recipients must meet all of the Medicaid nonfinancial eligibility requirements and must meet the Medicaid resource eligibility requirements that are more restrictive than SSI’s resource requirements. See section M0320.101 for the procedures to use to determine if an SSI recipient meets a covered group.

M0310.131 STATE PLAN

A. Definition The State Plan for Medical Assistance is a comprehensive written statement submitted by the Department of Medical Assistance Services (DMAS) describing the nature and scope of Virginia’s Medicaid program. It contains all the information necessary for the federal Centers for Medicare and Medicaid Services (CMS) to determine whether the state plan can be approved for federal financial participation (FFP) in the state’s Medicaid program expenses.