Page 17

Building and Transforming Coverage, Services and Supports for a Healthier Virginia Approval Period: August 1, 2026 through December 31, 2031 Page 10 of 51

Aged, blind, and disabled

• 42 CFR 435.121

80% FPL Parents and other caretaker relatives

• 1902(a)(10)(A)(i)(I) • 1931 (b) and (d) • 42 CFR 435.110 Dollar amounts by household size • Group 1: ~24% FPL • Group 2: ~32% FPL • Group 3: ~48% FPL Pregnant women • 1902(a)(10)(A)(i)(III) and (IV) • 1931(b) and (d); • 42 CFR 435.116 143% FPL Out of state FFCY (no income limit) • Expenditure Authority

N/A, no income limit Children with Title IV-E adoption assistance, foster care, or guardianship care • 473(b)(1) • 1902(a)(10)(A)(i)(I) • 42 CFR 435.145 N/A, no income limit

Children under age 19 • 1902(a)(10)(A)(i)(III) and (IV) • 1931(b) and (d); • 42 CFR 435.118 143% FPL Transitional medical assistance • 1902(a)(52) • 1902(e)(l) • 1925 • 1931(c)(2) N/A in first six-month extension; 185% FPL average monthly earnings in second six-month extension Extended Medicaid due to spousal support collections • 408(a)(11)(B) • 1902(a)(10)(A)(i)(I) • 1921(c) • 42 CFR 435.115 No limit so long as the reason the family no longer meets the income limit is due to increased spousal support. Former foster care youth up to age 26 who aged out of foster care in Virginia • 42 CFR 435.150 • 1902(a)(10)(A)(i)(IX) N/A, no income limit