Chapter 110. Eligibility and AppealsRead Chapter
- Part I.Read allClient Appeals
Subpart I
General - Article 1.Read allDefinitions
- Section 10
- Definitions
- Article 2.Read allAppeal System
- Section 20
- Appeals Division
- Section 30
- Time limitation for appeals
- Section 35
- Expedited appeals
- Section 40
- Judicial review
- Article 3.Read allRepresentation
- Section 50
- Right to representation
- Section 60
- Designation of representative
- Article 4.Read allNotice and Appeal Rights
- Section 70
- Notification of adverse agency action
- Section 80
- Advance notice
- Section 90
- Right to appeal
- Section 100
- Maintaining services
- Article 5.Read allMiscellaneous Provisions
- Section 110
- Appeals Division records
- Section 120
- Computation of time limits
- Article 1.Read allCommencement of Appeals
- Section 130
- Request for appeal
- Section 140
- Place of filing a Request for Appeal
- Section 150
- Filing date
- Section 160
- Time limit for filing
- Section 170
- Extension of time for filing
- Section 180
- Provision of information
- Section 185
- Appeal summary
- Article 2.Read allPrehearing Review
- Section 190
- Review
- Section 200
- Medical assessment
- Section 210
- Prehearing action
- Article 3.Read allHearing
- Section 220
- Evidentiary hearings
- Section 230
- Scheduling and rescheduling
- Section 240
- [Repealed]
- Section 250
- Notification
- Section 260
- Postponement
- Section 270
- Location
- Section 280
- Client access to records
- Section 285
- Appeals Division access to agency records
- Section 290
- Subpoenas
- Section 300
- Role of the hearing officer
- Section 310
- Informality of hearings
- Section 320
- Evidence
- Section 330
- Record of hearing
- Section 340
- Oath or affirmation
- Section 350
- Dismissal of Request for Appeal
- Section 360
- Post-hearing supplementation of the record
- Section 370
- Final decision and transmission of the hearing record
- Section 380
- [Repealed]
- Section 390
- [Repealed]
- Part II.Read allRelated Cash Assistance Property Rules
- Article 3.Read allHearing
- Section 610
- Definitions
- Section 620
- Availability of real or personal property
- Section 630
- Income-producing real property other than the home for aged, blind and disabled individuals
- Section 640
- Income
- Section 650
- Deeming of income and resources; responsibility of spouses
- Section 660
- Deeming of income and resources; responsibility of parents for blind or disabled children
- Section 670
- Aid to Dependent Children (ADC) Related Medically Needy Individuals
- Section 680
- SSI
- Section 690
- Imposition of lien
- Part III.Read allRelated More Liberal Methods of Treating Resources-Transfer of Assets
- Article 3.Read allHearing
- Section 700
- Transfer of assets
- Part IV.Read allTransfer of Resources
- Article 3.Read allHearing
- Section 710
- Undue hardship; transfer of resources
- Part V.Read allMarried Institutionalized Individuals' Eligibility and Patient Pay
Subpart I
Definitions - Article 3.Read allHearing
- Section 720
- Definitions
- Article 1.Read allGeneral
- Section 730
- Applicability
- Section 740
- [Repealed]
- Article 2.Read allAssessments of Couple's Resources
- Section 741
- Resource assessment required
- Section 744
- Resource assessment initiated
- Section 747
- Total resources
- Section 750
- Notification of documentation required
- Section 751
- Spousal share
- Section 760
- Failure to provide documentation
- Section 770
- Notification of assessment and appeal rights
- Section 780
- Appeal of resource assessment
- Article 3.Read allResource Eligibility Determinations for Institutionalized Spouses
- Section 790
- Applicability
- Section 800
- Initial eligibility determinations
- Section 810
- Initial determinations of ineligibility
- Section 813
- Attribution of resources at the time of initial eligibility determination
- Section 815
- Spousal protected resource amounts
- Section 820
- [Repealed]
- Section 830
- Additional resource exclusions
- Section 831
- Undue hardship
- Section 840
- Separate treatment of resources after eligibility for benefits established
- Section 850
- Post-eligibility resource transfers
- Section 853
- Community spouse resource allowance
- Section 856
- Revisions to the community spouse resource allowance
- Section 860
- Protected periods of eligibility
- Section 870
- Exception to protected period of eligibility
- Section 880
- Additional resources acquired during protected period of eligibility
- Section 890
- [Repealed]
- Section 900
- Resource eligibility determinations in retroactive months
- Section 910
- Eligibility for community spouses and other family members
- Article 4.Read allIncome
- Section 920
- Applicability
- Section 921
- Treatment of income
- Section 930
- Determining income
- Section 940
- Applicability
- Section 950
- Mandatory deductions from institutionalized spouse's income
- Section 960
- Community spouse income allowance
- Section 970
- Family members maintenance needs allowance
- Section 980
- Applicability, notices and regulatory authority
- Section 990
- [Repealed]
- Section 1000
- [Repealed]
- Section 1010
- Hearing officer authority
- Section 1011
- Appealable issues
- Part VI.Read allDeduction of Incurred Medical Expenses in Determining Countable Income (Spenddown)
- Article 4.Read allIncome
- Section 1020
- Definitions
- Section 1030
- Income eligibility
- Section 1040
- Spenddown calculation
- Section 1050
- Required deductions based on kinds of services
- Section 1060
- Required deductions based on the age of bills
- Section 1070
- Projection of expenses
- Section 1080
- Projection of institutional care expenses
- Section 1090
- [Reserved]
- Section 1100
- Individuals and families with income below the MNIL
- Section 1110
- [Reserved]
- Section 1120
- Reconciliation
- Section 1130
- Eligibility
- Section 1140
- Spenddown entitlement
- Section 1150
- Qualified Medicaid Beneficiaries
- Section 1160
- Retroactive spenddown; countable income; entitlement date
- Section 1170
- [Reserved]
- Part VII.Read allMedical Assistance Eligibility Resulting from Welfare Reform
- Article 4.Read allIncome
- Section 1200
- Definitions
- Section 1210
- [Repealed]
- Section 1220
- Scope of coverage
- Section 1230
- Written notice and reporting requirements
- Section 1240
- Appeals
- Section 1300
- [Repealed]
- Part VIII.Read allApplications for Medicaid
- Article 4.Read allIncome
- Section 1350
- Definitions
- Section 1360
- Right to apply
- Section 1370
- Applicant's signature
- Section 1380
- Authorized representative for individual age 18 or older
- Section 1390
- Authorized representative for children under 18 years of age
- Section 1400
- Authorized representative for a deceased applicant
- Section 1410
- Persons prohibited from signing an application
- Section 1500
- Working individuals with disabilities; basic coverage group (Ticket to Work and Work Incentive Improvement Act (TWWIIA))
- Section 1600
- 12VAC30-110-1600. (Reserved).
- Section 1610
- Deemed newborn eligibility under FAMIS.
- Section 1620
- Coverage of former foster care youth