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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M03 January 2025 Subchapter Subject Page ending with Page M0320.000 AGED, BLIND & DISABLED GROUPS M0320.501 32a

1. Dual-eligible As QMB or SLMB If the individual is also a Qualified Medicare Beneficiary (QMB) or Special Low Income Medicare Beneficiary (SLMB) - the individual has Medicare Part A and has countable income within the QMB or SLMB income limits - the AC is:

• 022 for an aged individual also QMB; • 042 for a blind individual also QMB; • 062 for a disabled individual also QMB; • 025 for an aged individual also SLMB; • 045 for a blind or disabled individual also SLMB. 2. Not QMB or SLMB If the individual is NOT a QMB or SLMB - the individual does NOT have Medicare Part A, OR has countable income over the QMB and SLMB income limits - the AC is: • 020 for an aged individual NOT also QMB or SLMB; • 040 for a blind individual NOT also QMB or SLMB; • 060 for a disabled individual NOT also QMB or SLMB. D. Ineligible In This Covered Group If the individual is not eligible for Medicaid in this covered group because of income, determine the individual’s eligibility as medically needy spenddown. If the individual is not eligible for Medicaid in this covered group because of resources, determine the individual’s eligibility as QMB, SLMB, QDWI or QI if he/she has Medicare Part A.