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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M03 September 2012 Subchapter Subject Page ending with Page M0320.000 AGED, BLIND & DISABLED GROUPS M0320.203 7

• the essential spouse continues to meet the conditions that were in effect in December 1973 under the applicable cash assistance plan for having his needs included in computing the payment to the ABD individual. C. Essential Spouse The agency must provide Medicaid to any person who was eligible for Medicaid in December 1973 as an essential spouse of an aged, blind or disabled individual who was receiving cash assistance, if the conditions below are met. An “essential spouse” is defined as one who is living with the individual, whose needs were included in determining the amount of cash payment to the individual under OAA, AB, or APTD in December 1973, and who is determined essential to the individual’s well-being. The spouse of the protected conversion person is included in the conversion case if: • his/her needs were included in the OAA, AB, or APTD grant as of December, 1973, and • he/she continues to live in the home of the protected individual D. Blind or Disabled In December 1973 The agency must provide Medicaid to individuals who: • meet all current Medicaid eligibility requirements except the

criteria for blindness or disability; • were eligible for Medicaid in December 1973 as blind or disabled individuals; and for each consecutive month after December 1973, continue to meet the criteria for blindness or disability and the other eligibility requirements used under the Medicaid plan in December 1973. Contact your Regional Medical Assistance Program Consultant if you have an applicant you believe meets this covered group.

M0320.203 FORMER SSI/AG RECIPIENTS

A. Policy 1. Nonfinancial Requirements The protected former SSI/AG recipient must meet the nonfinancial eligibility requirements in chapter M02. The protected former SSI recipient is one who was eligible for and received either: • SSA and SSI, or • SSA and AG, or • SSA, SSI, and AG concurrently, but who became ineligible for SSI or AG due to any reason on or after April 1, 1977. The individual did not have to be receiving Medicaid at that time.