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West Virginia Income Maintenance Manual Chapter 22

West Virginia Income Maintenance Manual Page 2 Chapter 22 West Virginia Children’s Health Insurance Program (WVCHIP)

22.2 APPLICATION/REDETERMINATION PROCESS 22.2.1 GENERAL INFORMATION Applicants may apply or reapply for the West Virginia Children’s Health Insurance Program (WVCHIP) through the Federally Facilitated Marketplace (FFM, the Marketplace), the Department of Human Services (DOHS), or the DOHS’s designee. An eligibility determination made by the FFM is accepted by the DOHS and enrollment in WVCHIP is facilitated without delay. For assistance, applicants may access the WVCHIP website or by contacting the WVCHIP Helpline at 1 (877) 982-2447. Prior to approval for WVCHIP, the applicant must be determined ineligible for all Modified Adjusted Gross Income (MAGI) Medicaid coverage groups; therefore, the Children Under Age 19 Group procedures are applied when determining eligibility for WVCHIP. See Section 1.7 for details regarding the application process for the Children Under Age 19 Group. See Section 23.8, Medicaid Eligibility Between Coverage Groups, for consideration of all MAGI and non- MAGI Medicaid coverage groups. When a denial occurs due to gross income more than 300% of the FPL, the applicant’s electronic account will be transferred to the Marketplace for an evaluation for other healthcare benefits. 22.2.2 SHARED POLICIES – WVCHIP AND CHILDREN UNDER AGE 19 GROUP The policies listed below are the same for WVCHIP as the Children Under Age 19 Group. The IMM citations for the Children Under Age 19 Group are included in the table. Child Under Age 19 Medicaid Policy IMM Location Appeals Process Section 9.3.7 Application Forms Section 1.6.1 and 1.7 Application Procedures Section 1.7 Citizenship Requirements Section 7.4