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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M03 October 2016 Subchapter Subject Page ending with Page M0320.000 AGED, BLIND & DISABLED GROUPS M0320.206 20

• becomes ineligible for SSI on or after July 1, 1987 because of the receipt of, or increase in, Title II disabled child's benefits; • has resources within the current Medicaid resource limit; and • has income which, in the absence of the Title II disabled child's benefit, or in the absence of the increase in such benefit, is within the current SSI income limit.

C. Financial Eligibility Determine whose resources and income will be counted or deemed available according to the assistance unit policy in chapter M05. 1. Resources Financial eligibility is determined by comparing the protected individual’s resources to the current Medicaid resource limit. Determine resources using policy in Chapter S11 (including the real property requirements that are more restrictive than SSI). Calculate resources according to the assistance unit policy in chapter M05. If current resources are within the limit, go on to determine income eligibility. If current resources are NOT within the limit, the individual is NOT eligible in this protected covered group; he/she may be eligible in an MSP covered group (which has more liberal resource methods and standards). 2. Income a. Receipt of SSA Child’s Benefits Causes SSI Ineligibility If the individual began receiving adult disabled child's benefits and this receipt caused SSI ineligibility, then the entire adult disabled child's benefit amount and any subsequent increases in the benefit are excluded when determining the individual's countable income. In determining whether the adult disabled child's income, in absence of the Title II adult disabled child's benefit is within the current SSI income limit, all of the adult disabled child’s other current countable income must be within the current SSI individual limit, or couple limit if the individual is married and living with his/her spouse. Calculate income according to the assistance unit policy in chapter M05, including deeming of parent(s)’ income when the individual is under age 21 and living with a parent(s). Exclude all of the protected individual’s current SSA adult disabled child’s benefit amount. Compare the total countable income to the appropriate SSI income limit. If countable income is within the SSI limit, the protected individual is eligible for Medicaid in this protected covered group. If countable income exceeds the SSI limit, determine the individual’s eligibility in another Medicaid covered group. b. Increase In SSA Child’s Benefits Causes SSI Ineligibility If the individual received an increase in disabled child's benefits and this increase caused SSI ineligibility, only the increase which caused SSI