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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 M0320.502 34

living in the home. Count actual resources the parent makes available to the child. If current resources are within the limit, then determine income eligibility. If current resources are NOT within the limit, the individual is NOT eligible for Medicaid in this covered group. b. Resource Eligibility - Married Individual If the individual is married and has a community spouse, use the resource policy in subchapter M1480. If the individual is married, but has no community spouse, use the resource policy in subchapter M1460. Evaluate countable resources using ABD resource policy in chapter S11. If current resources are within the limit, then determine income eligibility. If current resources are NOT within the limit, the individual is NOT eligible in this covered group; he/she may be eligible in an MSP covered group (which has more liberal resource methods and standards). 3. Income To determine if an individual has income within the 300% of SSI limit, use gross income, not countable income. Determine what is income according to chapter S08 and subchapter M1460. DO NOT subtract the $20 general exclusion or any other income exclusions. The individual is an assistance unit of 1 person. DO NOT DEEM any income from the individual’s spouse or parent. Effective 12/1/2024, Virginia’s state Medicaid plan was updated to disregard Social Security Disability Income (SSDI) when determining eligibility for Long Term Services and Supports (LTSS) for approved Developmental Disability (DD) Waiver recipients. This change does not apply to CCCPlus waiver recipients. The disregard is not applicable to the post-eligibility calculation of patient pay. • SSDI over and above the current SSI payment limit will be disregarded for Medicaid applicants offered a DD waiver slot dependent upon Medicaid eligibility and enrollment.

• SSDI over and above the current SSI payment limit will be disregarded at renewal or change for individuals approved for LTSS through a DD waiver.

• SSDI will be countable as applicable for the covered group(s) in which the individual is being re-evaluated if they are no longer approved for a DD waiver, for example no longer meeting the level of care (LOC) requirement.