Virginia Administrative Code
Title 12 - HEALTH
Agency 30 - DEPARTMENT OF MEDICAL ASSISTANCE SERVICES
Chapter 110 - ELIGIBILITY AND APPEALS
Part VI - Deduction of Incurred Medical Expenses in Determining Countable Income(Spenddown)
Section 12VAC30-110-1150 - Qualified Medicaid Beneficiaries

Universal Citation: 2 VA Admin Code 30-110-1150

Current through Register Vol. 41, No. 3, September 23, 2024

A. When an enrolled medically indigent Medicare beneficiary meets the medically needy spenddown, he continues to be eligible for Medicaid as a Qualified Medicare Beneficiary (QMB) but is also eligible for Medicaid as medically needy beginning the date the spenddown was met, and ending the last day of the six-month spenddown period.

B. No new application for QMB shall be required to continue entitlement as a QMB at the end of the budget period; however, the individual must file a new application in order for eligibility for full Medicaid benefits in subsequent budget periods.

Statutory Authority

§ 32.1-325 of the Code of Virginia.

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