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Virginia Administrative Code
Title 12. Health
Agency 30. Department of Medical Assistance Services
Chapter 40. Eligibility Conditions and Requirements
11/21/2024

12VAC30-40-200. Effective date of eligibility.

a. Groups Other Than Qualified Medicare Beneficiaries.

(1) For the prospective period. Coverage is available for the full month if aged, blind, disabled or AFDC-related individuals are eligible at any time during the month.

(2) For the retroactive period. Coverage is available for three months before the date of application if aged, blind, disabled or AFDC-related individuals would have been eligible had they applied.

b. For qualified Medicare beneficiaries defined in § 1905(p)(1) of the Act, coverage is available beginning with the first day of the month after the month in which the individual is first determined to be a qualified Medicare beneficiary under § 1905(p)(1). The eligibility determination is valid for 12 months.

Statutory Authority

Social Security Act Title XIX; 42 CFR 430 to end; all other applicable statutory and regulatory sections.

Historical Notes

Derived from VR460-02-2.6100 C, eff. June 16, 1993.

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