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Virginia regulations · Through 2026 Regular Session (effective July 1, 2026)

12VAC30-10-70: Coverage and conditions of eligibility

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Where this section sits in the code
  1. Title 12. Health
  2. Agency 30. Department of Medical Assistance Services
  3. Chapter 10. State Plan under Title XIX of the Social Security Act Medical Assistance Program; General Provisions
  4. Part II. Coverage and Eligibility

Medicaid is available to the groups specified in 12VAC30-30-10 et seq., that is, the mandatory categorically needy, other required special groups, specified optional groups, and the medically needy.*

The conditions of eligibility that must be met are specified in 12VAC30-40-10.

All applicable requirements of 42 CFR 435 and § 1902(a)(10)(A)(i)(IV), (V), and (VI), 1902(a)(10)(A)(ii)(XI), 1902(a)(10)(E), 1902(l) and (m), 1905(p), (q) and (s), 1920, and 1925 of the Act are met.

*Medicaid is available to the groups as identified in 12VAC30-30-10, except for the following: eligibility will be denied any individual for a period of twelve (12) months following the date of their conviction for fraud against the Program.

Collected 2026-09-14T04:50:50Z. Source file · JSON

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