Eligibility Manual

The Medical Assistance Eligibility Manual is used by eligibility staff and others to determine a person's eligibility for Medicaid, FAMIS, FAMIS MOMS, and FAMIS Prenatal Coverage.

Chapters

Table of Contents
Chapter M01 - Application for Medical Assistance
Chapter M02 - Nonfinancial Eligibility Requirements
Chapter M03 - Covered Groups Requirements
Chapter M04 - Modified Adjusted Gross Income (MAGI)
Chapter M05 - Medicaid Assistance Unit
Chapter M06 - Families and Children Resources
Chapter M07 - Families and Children Income
Chapter M08 - ABD Income
Chapter M11 - ABD Resources
Chapter M13 - Spenddown
Chapter M14 - Long Term Care
Chapter M15 - Entitlement Policy and Procedures
Chapter M16 - Appeal Process
Chapter M17 - Medicaid Fraud and Recovery
Chapter M18 - Medical Services
Chapter M20 - Extra Help Medicare Part D Low Income Subsidy
Chapter M21 - Family Access to Medical Security Insurance Plan (FAMIS)
Chapter M22 - FAMIS Moms
Chapter M23 - FAMIS Prenatal Coverage

Please visit CoverVA.org or CubreVirginia.org to learn more about eligibility for the Medicaid and FAMIS programs and to apply for coverage.