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Table of Contents » Title 12. Health » Agency 5. Department of Health » Chapter 200. Regulations Governing Eligibility Standards and Charges for Medical Care Services to Individuals » Part III. Application and Charges » 12VAC5-200-120. Automatic eligibility.

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Virginia Administrative Code
Title 12. Health
Agency 5. Department of Health
Chapter 200. Regulations Governing Eligibility Standards and Charges for Medical Care Services to Individuals

2/16/2026

12VAC5-200-120. Automatic eligibility.

The department shall provide services to an applicant receiving assistance from the following programs as Income Level A patients without additional income verification:

1. General Relief.

2. Title XIX-Medicaid.

3. National School Lunch Program for children receiving school meals at no cost. Only applicable to child dental services.

4. Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Only applicable to dental varnish services under the Dental Varnish Program for children from six months to three years of age.

Statutory Authority

§§ 32.1-11 and 32.1-12 of the Code of Virginia.

Historical Notes

Derived from VR355-39-100 § 3.5, eff. December 1, 1993; amended, Virginia Register Volume 20, Issue 22, eff. August 11, 2004; Volume 42, Issue 9, eff. January 29, 2026.

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