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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 34a C. Entitlement & Enrollment VaCMS will automatically disregard the SSDI income of a client who meets the above criteria counting only the SSI maximum income limit for one person. Additionally, the MA institutionalized screen and various elements of the Eligibility summary screen have been updated with this change. Compare the total gross income to the 300% of SSI limit (see M0810.002 A. 3). If countable income is equal to or less than this limit, the individual is eligible for Medicaid in this covered group. If the total gross income exceeds this limit, the individual is not eligible for Medicaid in this covered group. Evaluate his/her eligibility as medically needy. Individuals eligible in this group are entitled to full Medicaid coverage beginning the first day of the individual’s application month if all eligibility requirements are met. Retroactive coverage does not apply to this covered group because an individual cannot be eligible in this covered group until he/she applies for Medicaid. [The individual cannot have received Medicaid covered waiver services in the retroactive period because he was not receiving Medicaid on or before the date he applied.] If the individual has Medicare Part A, re-calculate the individual’s income - subtract the appropriate exclusions. Compare the countable income to the QMB and SLMB limits. 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: