12 Va. Admin. Code § 5-200-120 – Automatic eligibility.

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.

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

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.