Clients applying under the permanent and total disability category are required to complete the Medicaid Application for Permanent and Total Disability (APTD) process unless they are already receiving Social Security Disability Benefits.

Person determined eligible are normally eligible for up to 12 months (unless their circumstances change) at which time a redetermination must be performed to continue eligibility.

The VI has also implemented Presumptive Eligibility (PE) as another door to enroll into Medicaid/CHIP Programs.  The PE Process allows uninsured individuals who need medical care to be temporarily determined eligible by certain providers when they appear at their facilities.  The PE Process allows the individuals to complete a brief PE application and self-attest to all information on the application and be immediately determined eligible if they qualify, and receive services immediately paid for by the Medicaid or CHIP Programs.  Note that PE eligibility is very limited and runs only to the end of the month following the month the PE application is completed and only one PE eligibility is permitted in any 12-month period.  PE Individuals must come into the DHS/MAP offices to complete a full Medicaid application to ensure continued eligibility and to ensure continuity of care.  Currently, PE is performed at the hospitals in the territory.

Unlike Medicaid enrollees in the States, VI Enrollees do not have the freedom of choice (FOC) to select their preferred medical providers.