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West Virginia Income Maintenance Manual Chapter 10

West Virginia Income Maintenance Manual Page 45 Chapter 10 The Case Maintenance Process

10.6 MEDICAID Individuals who receive Medicaid experience the same kinds of changes between application and the first redetermination, and between subsequent redeterminations, as individuals who receive the Supplemental Nutrition Assistance Program (SNAP) benefits and WV WORKS. The differences are as follows: • For Medicaid, there is no benefit level determined. Therefore, the individual is either eligible or ineligible. Every reported change result in a redetermination of eligibility. • For most Medicaid coverage groups, eligibility of assistance group (AG) members is determined on an individual basis. Therefore, the same change may impact each AG member differently. • Regardless of any changes, except those specified in Section 10.7 for Children Under Age 19, a child under the age of 19 determined eligible for a Medicaid coverage group must have 12 months of continuous coverage. o Exception: A child under age 19 receiving AFDC-Related or SSI-Related Spenddown is not eligible for continuous coverage. See Chapter 24 for case maintenance requirements for nursing care services and the Children with Disabilities Community Services Program (CDCSP), Intermediate Care Facility/Developmental Disabilities (ICF/DD) Program, Aged and Disabled Waiver (ADW), Traumatic Brain Injury Waiver (TBIW), and Intellectual/Developmental Disabilities (I/DD) Waiver. Specific items related to case maintenance are addressed here. 10.6.1 SOURCES OF INFORMATION In addition to the sources listed in Section 10.2.1, the FDH is used for Medicaid coverage groups. 10.6.2 CLIENT REPORTING REQUIREMENTS Clients must report all changes in circumstances such as, but not limited to, income, assets, household composition, and change of address.