1. A. 1. Groups I, II, and III income limits are set forth in this subdivision 1.

   1. 2. Pregnant women and infants under § 1902(a)(10)(i)(IV) of the Act. Effective January 1, 2014, based on 143% of the official federal income poverty level.
   2. 3. Children under § 1902(a)(10)(i)(VI) of the Act (children who have attained age one year but have not attained age six years), the income eligibility level is 143% of the federal poverty level (as revised annually in the Federal Register) for the size family involved.
   3. 4. For children under § 1902(a)(10)(i)(VII) of the Act (children who were born after September 30, 1983, and have attained age six years but have not attained age years), the income eligibility level is 143% of the federal poverty level (as revised annually in the Federal Register) for the size family involved.

   	Group I
   	Size of assistance unit	Monthly	Yearly
   	1	$239	$2,868
   	2	364	4,368
   	3	464	5,568
   	4	563	6,756
   	5	663	7,956
   	6	748	8,976
   	7	844	10,128
   	8	945	11,340
   	Each additional person	98	1,176

   	Group II
   	Size of assistance unit	Monthly	Yearly
   	1	$313	$3,756
   	2	449	5,388
   	3	565	6,780
   	4	675	8,100
   	5	794	9,528
   	6	895	10,740
   	7	1,002	12,024
   	8	1,119	13,428
   	Each additional person	111	1,332

   	Group III
   	Size of assistance unit	Monthly	Yearly
   	1	$472	5,664
   	2	633	7,596
   	3	774	9,288
   	4	909	10,908
   	5	1,074	12,888
   	6	1,195	14,340
   	7	1,330	15,960
   	8	1,471	17,652
   	Each additional person	135	1,620

2. B. Treatment of cost of living adjustment (COLA) for groups with income related to federal poverty level.

   1. 1. If an individual receives a Title II benefit, any amount attributable to the most recent increase in the monthly insurance benefit as a result of a Title II COLA is not counted as income during a "transition period" beginning with January, when the Title II benefit for December is received, and ending with the last day of the month following the month of publication of the revised annual federal poverty level.
   2. 2. For individuals with Title II income, the revised poverty levels are not effective until the first day of the month following the end of the transition period.
   3. 3. For individuals not receiving Title II income, the revised poverty levels are effective no later than the beginning of the month following the date of publication.

3. C. Qualified Medicare beneficiaries with incomes related to federal poverty level. The levels for determining income eligibility for groups of qualified Medicare beneficiaries under the provisions of § 1905(p)(2)(A) of the Act are as follows:

   Section 1902(f) states, which as of January 1, 1987, used income standards more restrictive than SSI, Virginia did not apply a more restrictive income standard as of January 1, 1987.

   Based on the following percentage of the official federal income poverty level:

   Effective January 1, 1989: 85%

   Effective January 1, 1990: 90% (no more than 100)

   Effective January 1, 1991: 100% (no more than 100)

   Effective January 1, 1992: 100%

4. D. Aged and disabled individuals described in § 1902(m)(1) of the Act; Level for determining income eligibility for aged and disabled persons described in § 1902(m)(1) of the Act is 80% of the official federal income poverty level (as revised annually in the Federal Register) for the size family involved.

5. E. Income levels - for medically needy. (Increased annually the increase in the Consumer Price Index but no higher than the level permitted to claim federal financial participation.

   1. 1. The following income levels are applicable to all groups, urban and rural.

   2. 2. The agency has methods for excluding from its claim for federal financial participation payments made on behalf of individuals whose income exceeds these limits.

      	(1)	(2)	(3)
      	Family Size	Net income level protected for maintenance for 12 months	Amount by which Column 2 exceeds limits specified in 42 CFR 435.10071
      		Group I	Group II	Group III
      	1	$2,691.00	$3,105.00	$4,036.50	$0
      	2	$3,519.00	$3,824.00	$4,867.00	$0
      	3	$4,036.50	$4,450.50	$5,485.50	$0
      	4	$4,554.00	$4,968.00	$6,003.00	$0
      	5	$5,071.50	$5,485.50	$6,520.50	$0
      	6	$5,589.00	$6,003.00	$7,038.00	$0
      	7	$6,106.50	$6,520.50	$7,555.50	$0
      	8	$6,727.50	$7,141.50	$8,073.00	$0
      	9	$7,348.50	$7,762.50	$8,797.50	$0
      	10	$8,073.00	$8,487.00	$9,418.50	$0
      	For each additional person, add:	$695.52	$695.52	$695.52	$0

      ¹As authorized in § 4718 of OBRA '90.

      GROUPING OF LOCALITIES
      GROUP I: Counties
      Accomack	King and Queen
      Alleghany	King William
      Amelia	Lancaster
      Amherst	Lee
      Appomattox	Louisa
      Bath	Lunenburg
      Bedford	Madison
      Bland	Matthews
      Botetourt	Mecklenburg
      Brunswick	Middlesex
      Buchanan	Nelson
      Buckingham	New Kent
      Campbell	Northampton
      Caroline	Northumberland
      Carroll	Nottoway
      Charles City	Orange
      Charlotte	Page
      Clarke	Patrick
      Craig	Pittsylvania
      Culpeper	Powhatan
      Cumberland	Prince Edward
      Dickenson	Prince George
      Dinwiddie	Pulaski
      Essex	Rappahannock
      Fauquier	Richmond
      Floyd	Rockbridge
      Fluvanna	Russell
      Franklin	Scott
      Frederick	Shenandoah
      Giles	Smyth
      Gloucester	Southampton
      Goochland	Spotsylvania
      Grayson	Stafford
      Greene	Surry
      Greensville	Sussex
      Halifax	Tazewell
      Hanover	Washington
      Henry	Westmoreland
      Highland	Wise
      Isle of Wight	Wythe
      James City	York
      King George
      GROUP I: Cities
      Bristol	Franklin
      Buena Vista	Galax
      Danville	Norton
      Emporia	Suffolk
      GROUP II: Counties
      Albemarle	Loudoun
      Augusta	Roanoke
      Chesterfield	Rockingham
      Henrico	Warren
      GROUP II: Cities
      Chesapeake	Petersburg
      Covington	Portsmouth
      Harrisonburg	Radford
      Hopewell	Richmond
      Lexington	Roanoke
      Lynchburg	Staunton
      Martinsville	Virginia Beach
      Newport News	Williamsburg
      Norfolk	Winchester
      GROUP III: Counties
      Arlington	Montgomery
      Fairfax	Prince William
      GROUP III: Cities
      Alexandria	Fredericksburg
      Charlottesville	Hampton
      Colonial Heights	Manassas
      Fairfax	Manassas Park
      Falls Church	Waynesboro

Statutory Authority

§ 32.1-325 of the Code of Virginia; 42 USC § 1396 et seq.

Historical Notes

Derived from VR460-03-2.6101:1, eff. June 30, 1994; amended, Virginia Register Volume 11, Issue 10, eff. March 9, 1995; Volume 11, Issue 24, eff. October 1, 1995; Volume 17, Issue 18, eff. July 1, 2001; Errata, 17:21 VA.R. 3124 July 2, 2001; amended, Virginia Register Volume 18, Issue 7, eff. January 16, 2002; Volume 18, Issue 18, eff. July 1, 2002; Volume 33, Issue 21, eff. July 27, 2017.