Section 220. Income eligibility levels

Part IV. Eligibility Requirements

A. Mandatory Categorically Needy

1. AFDC-related groups other than poverty level pregnant women and infants.

	Family Size	Need Standard	Payment Standard	Maximum Payment Amounts
		See Table 1	See Table 2

	STANDARDS OF ASSISTANCE (Increased annually by the increase in the Consumer Price Index)
	GROUP I
	Size of Assistance Unit	Table 1 (100%)	Table 2 (90%)
	1	$151.11	$135.58
	2	237.01	214.24
	3	305.32	274.27
	4	370.53	333.27
	5	436.77	393.30
	6	489.55	441.94
	7	553.72	498.87
	8	623.07	559.93
	9	679.99	611.68
	10	743.13	669.64
	Each person above 10	63.13	57.96
	MAXIMUM REIMBURSABLE PAYMENT $403

	GROUP II
	Size of Assistance Unit	Table 1 (100%)	Table 2 (90%)
	1	$180.09	$162.49
	2	265.99	239.08
	3	333.27	301.18
	4	399.51	359.14
	5	472.99	423.35
	6	526.81	474.03
	7	589.95	529.92
	8	658.26	592.02
	9	716.22	644.80
	10	780.39	701.73
	Each person above 10	63.13	57.96
	MAXIMUM REIMBURSABLE PAYMENT $435

	GROUP III
	Size of Assistance Unit	Table 1 (100%)	Table 2 (90%)
	1	$251.50	$227.70
	2	338.44	304.29
	3	406.75	366.39
	4	472.99	424.35
	5	560.97	505.08
	6	613.75	552.69
	7	677.92	610.65
	8	745.23	672.75
	9	806.26	725.53
	10	868.33	781.42
	Each person above 10	63.13	57.96
	MAXIMUM REIMBURSABLE PAYMENT $518

2. Pregnant women and infants under 1902(a)(10)(i)(IV) of the Act:

Effective April 1, 1990, based on 133% of the official federal income poverty level.

3. Children under § 1902(a)(10)(i)(VI) of the Act (children who have attained age 1 but have not attained age 6), the income eligibility level is 133% of the federal poverty level (as revised annually in the Federal Register) for the size family involved.

4. For children under § 1902(a)(10)(i)(VII) of the Act (children who were born after September 30, 1983, and have attained age 6 but have not attained age 19), the income eligibility level is 100% of the federal poverty level (as revised annually in the Federal Register) for the size family involved.

B. Treatment of COLA for groups with income related to federal poverty level.

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. 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. 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.

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. (VA 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 Jan. 1, 1989: 85%

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

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

Effective Jan. 1, 1992: 100%

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.

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

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

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

Historical Notes

Derived from VR460-03-2.6101:1, eff. June 30, 1994; amended, 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 07, eff. January 16, 2002; Volume 18, Issue 18, eff. July 1, 2002.

Statutory Authority

§ 32.1-325 of the Code of Virginia.