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Groups Covered and Agencies Responsible for Eligibility Determination [12 VAC 30 ‑ 30]
Guidance Documents   Periodic Reviews
Chapter Information
Description This chapter contains all of the various categories of individuals who are eligible to receive Medicaid covered services. Categorically Needy groups are federally mandated groups which must be covered in all state Medicaid programs. Medically Needy groups are federal optional groups which may be covered at the discretion of the state.
State Authority COV 32.1-325 et seq et seq.
Federal Authority Title XIX of the Social Security Act (42 U.S.C. 1396 et seq.)
Exempt from APA No, changes to this chapter are subject to the Administrative Process Act and the standard executive branch review process.
Text of Regulation Link to Virginia Administrative Code
Goals of Regulation None entered
Meetings

Contact Information
Name / Title: Brian McCormick  / Regulatory Supervisor
Address: 600 E. Broad Street
Suite 1300
Richmond, VA 23219
Email Address: Brian.McCormick@DMAS.Virginia.gov
Telephone: (804)371-8856    FAX: (804)786-1680   
Current Actions
Action Title Latest Stage Status
Medicare Prescription Drug Program (Part D) - -

Past Actions
Action Title Latest Stage Status
Increase Resource Limits for Medicare Savings Program Groups Final Stage complete. This regulation became effective on 4/14/2010.
CHIPRA Deemed Newborns of FAMIS Enrollees Final Stage complete. This regulation became effective on 3/17/2010.
Clarify Requirements for Coverage as a Child Under Age 1 Final Stage complete. This regulation became effective on 7/9/2009.
Medicaid Buy-In program Final Stage complete. This regulation became effective on 7/23/2009.
Medicare Prescription Drug Program (Part D) Final Stage complete. This regulation became effective on 3/7/2007.
Aged, Blind, Disabled Individuals with Incomes at or below 80% of Federal Poverty Level Final Stage complete. This regulation became effective on 7/1/2001.
Optional Groups other than the Medically Needy: Eligibility of Women with Breast/Cervical Cancer Final Stage complete. This regulation became effective on 7/1/2001.
Technical Amendments: Medicaid Eligibility Requirements Final Stage complete. This regulation became effective on 4/11/2001.
Other Required Special Groups: Qualifying Individuals I and II Final Stage complete. This regulation became effective on 4/11/2001.

Withdrawn Actions
Action Title Latest Stage Status
Medicaid Buy-In Emergency/NOIRA Stage withdrawn before the Secretary's office completed its review.
Medicaid Works, a Medicaid Buy-In Program -