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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M03 May 2015 Subchapter Subject Page ending with Page M0320.000 AGED, BLIND & DISABLED GROUPS M0320.202 6

• he would have been eligible for one of those programs if he was not in a medical institution or intermediate care facility and the Medicaid plan covered this optional group. The Virginia plan covered this group. 2. Would Currently Be Eligible If Increase Were Excluded The individual would meet the F&C income limits for LIFC or currently eligible for SSI or AG except that the increase in OASDI under P.L. 92-336 raised his income over the F&C income limits or SSI. This includes an individual who • meets all LIFC requirements or current SSI requirements except for the requirement to file an application; or • would meet all current LIFC or SSI requirements if he were not in a medical institution or intermediate care facility and the Medicaid plan covers this optional group. The Virginia plan covers this group B. Nonfinancial Requirements The protected individual must meet all of the following criteria: • he was a recipient of OAA, AB, APTD, or AFDC cash assistance as of August, 1972; • his money payment was subsequently discontinued as a result of the 20% increase in Social Security benefits received in October, 1972; • his current countable resources are less than or equal to the current resource limit for Medicaid; and • his current countable income is less than or equal to the F&C income limit or the current SSI income limit, as appropriate, after excluding the 20% increase amount received in 1972. The current SSI standards are in subchapter S0810; the F&C income limit is available from a Regional Medical Assistance Program consultant.

Contact a Medicaid Assistance Consultant if you have an applicant you believe meets this covered group.

M0320.202 CONVERSION CASES

A. Policy 42 CFR 435.131, 435.133--Conversion cases are classified as categorically needy and consist of the following individuals: • blind or disabled individuals eligible in December 1973; • individuals eligible as essential spouses of aged, blind or disabled individuals in December 1973. B. Eligibility Determination The agency must continue the individual’s Medicaid if • the ABD individual continues to meet the December 1973

eligibility requirements of the applicable cash assistance program;

and