Department of Medical Assistance Services
Board of Medical Assistance Services
Groups Covered and Agencies Responsible for Eligibility Determination
[12 VAC 30 ‑ 30]
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 . |
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. |
Text of Regulation | Link to Virginia Administrative Code |
Goals of Regulation | None entered |
Meetings |
Contact Information
Name / Title: | Emily McClellan / Regulatory Supervisor |
Address: |
Policy Division, DMAS 600 E. Broad Street, Suite 1300 Richmond, VA 23219 |
Email Address: | Emily.McClellan@DMAS.Virginia.gov |
Telephone: | (804)371-4300 FAX: (804)786-1680 TDD: ()- |
Current Actions | ||
Action Title | Latest Stage | Status |
---|---|---|
12 Months Postpartum | - | |
Modified Adjusted Gross Income (MAGI) Changes | - | |
Repeal of Out-of-Date and Unnecessary Regulations | - |
Past Actions | ||
Action Title | Latest Stage | Status |
---|---|---|
Medicaid Expansion: Hospital Presumptive Eligibility | Fast-Track | Stage complete. This regulation became effective on 09/02/2021. |
Expansion-Related Changes - Expansion Group, FMAP, HIPP, Determination State | Fast-Track | Stage complete. This regulation became effective on 03/17/2022. |
Former Out-of-State Foster Care Youth
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Final | Stage complete. This regulation became effective on 06/15/2018. |
Hospital Presumptive Eligibility | Fast-Track | Stage complete. This regulation became effective on 08/26/2016. |
Increase Resource Limits for Medicare Savings Program Groups
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Final | Stage complete. This regulation became effective on 04/14/2010. |
CHIPRA Deemed Newborns of FAMIS Enrollees
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Final | Stage complete. This regulation became effective on 03/17/2010. |
Clarify Requirements for Coverage as a Child Under Age 1
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Final | Stage complete. This regulation became effective on 07/09/2009. |
Medicaid Buy-In program | Final | Stage complete. This regulation became effective on 07/23/2009. |
Medicare Prescription Drug Program (Part D) | Final | Stage complete. This regulation became effective on 03/07/2007. |
Medicare Prescription Drug Program (Part D)
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Final | Stage withdrawn on 11/08/2005 before Attorney General's office completed its review. |
Aged, Blind, Disabled Individuals with Incomes at or below 80% of Federal Poverty Level
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Final | Stage complete. This regulation became effective on 07/01/2001. |
Optional Groups other than the Medically Needy: Eligibility of Women with Breast/Cervical Cancer
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Final | Stage complete. This regulation became effective on 07/01/2001. |
Technical Amendments: Medicaid Eligibility Requirements
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Final | Stage complete. This regulation became effective on 04/11/2001. |
Other Required Special Groups: Qualifying Individuals I and II
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Final | Stage complete. This regulation became effective on 04/11/2001. |
Withdrawn Actions | ||
Action Title | Latest Stage | Status |
---|---|---|
Medicaid Buy-In | Emergency/NOIRA | Stage withdrawn on 03/06/2007 before the Secretary's office completed its review. |
Medicaid Works, a Medicaid Buy-In Program |