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West Virginia Income Maintenance Manual Chapter 22

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

22.16.3.A Relationship to Children with Special Health Care Needs (CSHCN) .............31 22.16.3.B Child Support Requirements .........................................................................31 22.16.4 MEDICAID REQUIREMENTS THAT ARE DIFFERENT FOR WVCHIP ...............31 22.16.4.A Assignment of Medical Support Rights .........................................................31 22.16.4.B Certificate of Coverage When WVCHIP Coverage Ends ...............................32 22.16.4.C Backdating Coverage....................................................................................32 22.16.4.D Relationship Between WVCHIP and Medicaid Coverage Groups .................33 22.16.4.E Long Term Care ............................................................................................34 22.16.5 CREDITABLE (NON-EXCEPTED) HEALTH INSURANCE ..................................34 22.16.6 WVCHIP PREMIUM PAYMENT...........................................................................34 22.17 WVCHIP PREGNANCY (Codes: MGPB-Blue, MGCR-Premium) .............................36 22.17.1 SPECIFIC WVCHIP PREGNANCY REQUIREMENTS ........................................36 22.17.1.A Postpartum Coverage ...................................................................................37 22.17.1.A.1 Eligibility for Postpartum Coverage ...........................................................37 22.17.1.A.2 Duration of Postpartum Coverage ............................................................38 22.17.2 APPLICATION/REDETERMINATION PROCESS ................................................38 22.17.2.A General Information ......................................................................................38 22.17.2.B Agency Time Limits ......................................................................................39 22.17.2.C Beginning Date of Eligibility...........................................................................39 22.17.2.C.1 Application while Pregnant .......................................................................39 22.17.2.C.2 Application after Pregnancy Ends .............................................................39 22.17.2.D Referrals To The Office Of Maternal, Child And Family Health (OMCFH) .....39 22.17.2.E Redetermination ...........................................................................................40 22.17.2.F The Benefit ...................................................................................................40 22.17.2.G Ending Date of Eligibility ...............................................................................40 22.17.3 COMMON ELIGIBILITY REQUIREMENTS ..........................................................41 22.17.3.A Residence .....................................................................................................41 22.17.3.B Citizenship Status .........................................................................................41 22.17.3.C Cooperation with Quality Control ..................................................................41