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Building and Transforming Coverage, Services and Supports for a Healthier Virginia Approval Period: August 1, 2026 through December 31, 2031 Page 11 of 51

Serious Mental Illness (SMI)/Serious Emotional Disturbance (SED) Low-income Adults and Children

Adult group • 1902(a)(10)(A)(i)(VIII) • 42 CFR 435.119 133% FPL Aged, Blind, and Disabled • 42 CFR 435.121

80% FPL Pregnant Women • 42 CFR 435.116 143% FPL Former Foster Care Youth (FFCY) • Expenditure authority No income limit 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 17. Former Foster Care Youth. a. Individuals eligible for this demonstration are limited to “out-of-state former foster care youth” who are defined as individuals under age 26 who meet the following criteria: i. were in foster care under the responsibility of a state other than Virginia or an out of state tribe in such other state when they turned age 18 (or such higher age at which the other state’s foster care assistance ends under title IV-E of the Act); ii. were enrolled in Medicaid at any time during the foster care period in which they aged out of foster care; iii. turned 18 on or before December 31, 2022; iv. are now applying for Medicaid in Virginia; and, v. are not otherwise eligible for Medicaid. b. The benefit for out-of-state former foster care youth will be the same Medicaid benefit set provided to the state plan eligibility group serving former foster care children, under section 1902(a)(10)(A)(i)(IX) of the Act. c. The cost sharing requirements for out-of-state former foster care youth conform to the requirements implemented for the state plan eligibility group serving former foster care children, under section 1902(a)(10)(A)(i)(IX) of the Act.