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Manual Title Chapter Page Revision Date Virginia Medical Assistance Eligibility M04 April 2022 Subchapter Subject Page ending with Page M04 MODIFIED ADJUSTED GROSS INCOME (MAGI) M0410.100 3

• Supplemental Security Income (SSI) recipients. • IV-E foster care or adoption assistance recipients • Deemed newborns • BCCPTA (Breast and Cervical Cancer Prevention and Treatment Act) enrollees • Auxiliary Grants. b. individuals who are eligible on the basis of being aged (age 65 or older), blind or disabled; • individuals eligible for or enrolled in Medicare; • individuals evaluated as Medically Needy (MN); 5. Adoption Assistance Children with Special Needs for Medical or Rehabilita- tive Care An adoption assistance child with special needs for medical or rehabilitative care is subject to MAGI methodology for the child’s initial Medicaid eligibility determination. These children are in their own household apart from parents and siblings. Parents’ and siblings’ income is not counted for these children. 6. MAGI Adults a. MAGI methodology is used to determine eligibility for the following individuals with income at or below 138% (133% + 5% disregard) of the Federal Poverty Limit: • Parents and caretaker- relatives with excess income for LIFC • Disabled individuals not eligible for or entitled to Medicare or individuals alleging disability who have not been determined disabled • Childless adults ages 19-64 • Incarcerated individuals ages 19-64. Incarcerated individuals are eligible for inpatient hospital services only; inpatient hospitalization may include long-term inpatient services, such as admission to a rehabilitation facility. • Non-citizens eligible for emergency services only • Individuals eligible for Long Term Care Services and Support (LTSS) ages 19-64 Note: See Chapter M14 for LTSS screening requirements. b. The following individuals are not eligible under the MAGI ADULTS group: • Individuals pregnant at initial application or redetermination of eligibility • Individuals under the age of 19 or 65 and over • Individuals eligible for or enrolled in Medicare Part A or B