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West Virginia Income Maintenance Manual Chapter 10

West Virginia Income Maintenance Manual Page 60 Chapter 10 The Case Maintenance Process

10.11 PARENT/CARETAKER RELATIVES 10.11.1 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 coverage change or may result in AG closure or the AG’s eligibility for Transitional or Extended Medicaid. See Section 23.10.9 and 23.10.8.A for Transitional and Extended Medicaid. 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. See Section 10.7 for closures when a child in the family receives Medicaid and is eligible for Continuous Medicaid Eligibility (CME). 10.11.2 ADDITIONS TO OR REMOVALS FROM THE MODIFIED ADJUSTED GROSS INCOME (MAGI) HOUSEHOLD 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.

10.11.3 OTHER CHANGES: PREGNANCY 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 1.11.5.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.