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Chapter Page Revision Date Virginia Medical Assistance Eligibility M03 July 2024 Subchapter Subject Page ending with Page M0320.000 AGED, BLIND & DISABLED GROUPS M0320.400 24

B. Financial Eligibility 1. Assistance Unit The assistance unit policy and procedures in chapter M05 apply to ABD individuals with income less than or equal to 80% FPL. If not institutionalized, deem or count any resources and income from the individual’s spouse with whom he lives. If institutionalized with a community spouse, go to subchapter M1480. 2. Resources The resource limit is $2,000 for an individual and $3,000 for a couple. The resource requirements in chapter S11 and Appendix 2 to chapter S11 apply to this covered group. All of the individual’s resources must be verified and evaluated. All nonexempt resources must be added together to determine if the individual meets the Medicaid resource requirements. 3. Income The income limits are < 80% of the FPL and are in section M0810.002. The income requirements in chapter S08 must be met. 4. Income Exceeds 80% FPL Spenddown does not apply to this covered group. If the individual’s income exceeds the 80% FPL limit, he is not eligible in this covered group. Determine the individual’s eligibility in all other Medicaid covered groups. D. Entitlement

If all eligibility factors are met in the application month, entitlement to full Medicaid coverage in this covered group begins the first day of the application month. ABD individuals in this covered group are entitled to retroactive coverage if they meet all the requirements in the retroactive period. E. Enrollment The ABD 80% group AC is: • 029 for an aged individual; • 039 for a blind individual; • 049 for a disabled individual; or • 109 for all incarcerated individuals.

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