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West Virginia Income Maintenance Manual Chapter 22

West Virginia Income Maintenance Manual Page i Chapter 22 West Virginia Children’s Health Insurance Program (WVCHIP)

Chapter 22 West Virginia Children’s Health Insurance Program (WVCHIP) Table of Contents 22.1 INTRODUCTION ......................................................................................................... 1 22.2 APPLICATION/REDETERMINATION PROCESS ....................................................... 2 22.2.1 GENERAL INFORMATION ...................................................................................... 2 22.2.2 SHARED POLICIES – WVCHIP AND CHILDREN UNDER AGE 19 GROUP ........... 2 22.2.3 POLICIES THAT DIFFER BETWEEN WVCHIP AND THE CHILDREN UNDER AGE 19 GROUP ............................................................................................................................. 3 22.2.4 AGENCY DELAYS ................................................................................................... 4 22.2.4.A BEGINNING DATE OF ELIGIBILITY ................................................................. 5 22.2.5 DEEMED WVCHIP NEWBORN ............................................................................... 5 22.2.6 REDETERMINATION SCHEDULE AND SPECIAL PROCEDURES ........................ 6 22.2.6.A Redetermination Schedule and Procedures ...................................................... 6 22.2.6.B Clients Found Ineligible at Redetermination ...................................................... 6 22.2.6.C Special Procedures – Rolling Redeterminations ................................................ 6 22.2.6.D Client Notification .............................................................................................. 7 22.2.6.E The Benefit ........................................................................................................ 8 22.2.6.F Agency Time Limit ............................................................................................. 9 22.3 COMMON ELIGIBILITY REQUIREMENTS ................................................................10 22.3.1 RESIDENCE ...........................................................................................................10 22.3.2 CITIZENSHIP STATUS ...........................................................................................10 22.3.3 COOPERATION WITH QUALITY CONTROL .........................................................10 22.3.4 LIMITATIONS ON RECEIPT OF OTHER BENEFITS ..............................................10 22.3.5 NON-DUPLICATION OF BENEFITS .......................................................................11 22.3.6 ENUMERATION ......................................................................................................11 22.4 ELIGIBILITY DETERMINATION GROUPS ................................................................13 22.4.1 THE ASSISTANCE GROUP (AG) ...........................................................................13