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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M03 October 2024 Subchapter Subject Page ending with Page M0320.000 AGED, BLIND & DISABLED GROUPS M0320.201 5

M0320.102 AG RECIPIENTS

A. Policy 42 CFR 435.234 - An Auxiliary Grants (AG) recipient is eligible for Medicaid if he meets the assignment of rights to medical support and third party payments requirements (see M0250). AG eligibility is determined using the AG eligibility policy in the Auxiliary Grant Eligibility Manual. B. Financial Eligibility Verify the AG recipient’s eligibility for AG by agency records. Individuals who receive AG as “Conditional” SSI recipients do not meet the requirements for this covered group. C. Entitlement & Enrollment Eligible individuals in this group are entitled to full Medicaid coverage beginning the first day of the individual’s application month if all eligibility requirements are met in that month. Retroactive coverage is applicable to this covered group. If the person is already eligible for Medicaid as a LTSS recipient, they are eligible as an AG recipient the first day they reside in the Adult Home. The AC should be changed as of that date. If they leave the AH to receive LTSS, the AC should be changed as of the day they leave the AH. The ACs are: • 012 for an aged AG recipient; • 032 for a blind AG recipient; • 052 for a disabled AG recipient.

M0320.200 PROTECTED COVERED GROUPS

A. Legal base Federal law and regulations require that the Medicaid eligibility status of certain groups of persons be protected even though they may not meet current eligibility requirements. These groups, and the applicable eligibility requirements, are described in this section. B. Procedure • M0320.201 Former Money Payment Recipients August 1972 • M0320.202 Conversion Cases • M0320.203 Former SSI/AG Recipients • M0320.204 Protected Widows or Widowers • M0320.205 Qualified Severely Impaired Individuals (QSII)-1619(b) • M0320.206 Protected Adult Disabled Children • M0320.207 Protected SSI Disabled Children.

M0320.201 FORMER MONEY PAYMENT RECIPIENTS AUGUST 1972

A. Policy 42 CFR 435.114 and 42 CFR 435.134--The agency must provide Medicaid to individuals who meet the following conditions: 1. Entitled to OASDI In August 1972 & Received Cash Assistance In August 1972, the individual was entitled to OASDI and • he was receiving AFDC, Old Age Assistance (OAA), Aid to the Blind (AB), or Aid to the Permanently and Totally Disabled (APTD); or • he would have been eligible for one of those programs if he had applied and the Medicaid plan covered this optional group. The Virginia plan covered this group; or