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West Virginia Income Maintenance Manual Chapter 10

West Virginia Income Maintenance Manual Page 49 Chapter 10 The Case Maintenance Process

The following Medicaid categories WILL NOT be switched to Pregnant Women coverage AND receive 12-month postpartum: • Supplemental Security Income Recipients (SSI) • Disabled Adult Children • Blind Disabled Substantial Gainful Activity • Essential Spouses of SSI Recipients • Pass-Throughs • Pickle Amendment Coverage • Disabled Widows and Widowers • Nursing Facility • Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IDD) • Aged and Disabled Waiver (ADW) • Intellectual and Developmental Disabilities Waiver (I/DD) • Traumatic Brain Injury Waiver (TBI) • Children with Disabilities Community Services Program (CDCSP)

The following Medicaid categories WILL NOT be switched to Pregnant Women coverage AND NOT receive 12-month postpartum: • Qualified Medicare Beneficiaries (QMB) • Specified Low-Income Medicare Beneficiaries (SLMB) • Qualified Individual (QI-1) • Qualified Disabled Working Individuals (QDWI) • Emergency Medicaid • Continuously Eligible Newborns (CEN) 10.6.5 IMPACTS OF CHANGES REPORTED 10.6.5.A AG Closures When the client’s circumstances change to the point that he becomes ineligible, the AG is closed. The eligibility system automatically closes a Medicaid AG when: • Phase II of Transitional Medicaid (TM) coverage expiries • Extended Medicaid coverage ends • Medically Needy spenddown AG is at the end of the period of consideration (POC)