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West Virginia Income Maintenance Manual Chapter 10

West Virginia Income Maintenance Manual Page 55 Chapter 10 The Case Maintenance Process

10.8 ADULT GROUP 10.8.1 CHANGE IN INCOME When a change in income is reported, eligibility for the AG must be re-evaluated. Changes include the onset or termination of income, as well as income increases and decreases. The reported change(s) may not result in any eligibility change, or they may result in AG closure. Advance notice is required for any adverse action, and the AG must be evaluated for all other Medicaid coverage groups and West Virginia Children's Health Insurance Program (WVCHIP) prior to closure. 10.8.2 ADDITIONS TO OR REMOVALS FROM THE MODIFIED ADJUSTED GROSS INCOME (MAGI) An individual(s) is removed from the AG the month following the month of the reported change and after the advance notice period expires. Eligibility for the remaining household members is re-evaluated based on the removal of the household member. Individuals are added to the household effective the month they meet all eligibility requirements to be included. No application form is required. 10.8.3 AG CLOSURES The AG must be closed when the individual(s): • Turns age 65; NOTE: When a change is reported during the certification period that affects eligibility, the Department of Human Services (DOHS) must only request the information on the change reported. When the information is received, the assistance group (AG) is evaluated for rolling redetermination. See Section 1.8.6.B. The AG may be assigned a new certification period, if eligible, even though the AG is not due for a scheduled redetermination. Case comments must be made in the eligibility system to document any actions taken.