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Virginia Administrative Code
Title 12. Health
Agency 30. Department of Medical Assistance Services
Chapter 10. State Plan under Title XIX of the Social Security Act Medical Assistance Program; General Provisions
10/8/2024

12VAC30-10-160. Amount, duration, and scope of services: Other required special groups.

A. Qualified Medicare beneficiaries. Medicare cost sharing for qualified Medicare beneficiaries described in § 1905(p) of the Act is provided only as indicated in 12VAC30-10-310.

B. Qualified disabled and working individuals. Medicare Part A premiums for qualified disabled and working individuals described in § 1902(a)(10)(E)(ii) of the Act are provided as indicated in 12VAC30-10-310.

C. Specified low-income Medicare beneficiaries. Medicare Part B premiums for specified low-income Medicare beneficiaries described in § 1902(a)(10)(E)(iii) of the Act are provided as indicated in 12VAC30-10-310.

D. Qualifying Individuals-1. Medicare Part B premiums for qualifying individuals described in § 1902(a)(10)(E)(iv)(I) and subject to § 1933 of the Act are provided as indicated in 12VAC30-10-310.

E. Qualifying Individuals-2. The portion of the amount of increase to the Medicare Part B premium attributable to the home health provisions for qualifying individuals described in § 1902(a)(10)(E)(iv)(II) and subject to § 1933 of the Act are provided as indicated in 12VAC30-10-310.

F. Families receiving extended Medicaid benefits. Extended Medicaid benefits for families described in § 1925 of the Act are provided as indicated in 12VAC30-10-300.

Statutory Authority

§ 32.1-325 of the Code of Virginia.

Historical Notes

Derived from VR460-01-21, eff. January 1, 1993; amended, Virginia Register Volume 17, Issue 13, eff. April 11, 2001.

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