Page 1790

West Virginia Income Maintenance Manual Chapter 22

West Virginia Income Maintenance Manual Page 4 Chapter 22 West Virginia Children’s Health Insurance Program (WVCHIP)

• Even though pregnancy services are covered by WVCHIP, a pregnancy and birth of a child born to a woman receiving WVCHIP should be reported. Her newborn is deemed WVCHIP eligible and eligible for 12-months of WVCHIP coverage without an application. • The WVCHIP Helpline at 1 (877) 982-2447 and the DOHS’s fiscal agent are the contacts to answer questions about services and/or the level of coverage. The WVCHIP staff provides a “Summary Plan Description” to all WVCHIP eligible individuals upon request. • Failure to cooperate or accept Bureau for Child Support Enforcement (BCSE) services does not affect WVCHIP eligibility but is offered on a voluntary basis. • Reimbursement for out-of-pocket expenses due to agency delays does not apply to WVCHIP. 22.2.4 AGENCY DELAYS No application is denied solely because the processing time limit has passed and the Worker has failed to act. Eligibility begins on the first day of the month of application, regardless of the reason for the delay. See Section 22.16.4.C for situations that result in backdating WVCHIP coverage. If the Worker decides that additional information is required, the Worker must immediately send a request for information. This includes notification that the application is pending receipt of that information and the start date of the WVCHIP coverage may be delayed if the information is not received by the due date.

NOTE: See Section 22.16 for procedures regarding WVCHIP Premium payment.