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West Virginia Income Maintenance Manual Chapter 22

West Virginia Income Maintenance Manual Page 5 Chapter 22 West Virginia Children’s Health Insurance Program (WVCHIP)

22.2.4.A BEGINNING DATE OF ELIGIBILITY The beginning date of eligibility is the first day of the month of application. When the case is pending termination of other health insurance coverage, the earliest date of eligibility is the first day of the month when the other health insurance is not in effect. Health Insurance Termination Example 1: On September 5, 2013, Ms. Pine requests that her personnel department terminate her health insurance coverage. She applies for WVCHIP on November 5, 2013 and indicates private insurance coverage through November 30, 2013. The application is approved for WVCHIP and the start date is December 1, 2013. Health Insurance Termination Example 2: On September 5, 2013, Ms. Pine requests her personnel department terminate her health insurance coverage. Coverage terminated on October 31, 2013. She applies for WVCHIP on November 5, 2013. Because other coverage was not effective on the date of application, the application is approved for WVCHIP and the start date is November 1, 2013. The Worker cannot backdate eligibility up to three months as is permitted for Medicaid. The only instances of allowable backdated coverage are identified in Section 22.16.4.C. 22.2.5 DEEMED WVCHIP NEWBORN A child born to a WVCHIP client is deemed WVCHIP eligible when: • The child’s mother was eligible for, and receiving, WVCHIP or WVCHIP Pregnancy on the date of the child’s birth; and • The child is not eligible for Medicaid. The child is deemed to have applied as of the date of the birth and is not required to submit an application. The child receives WVCHIP continuously, regardless of changes in circumstances until his first birthday, unless: • The child moves out of state. • The child dies. • The adult voluntarily requests closure of the child’s eligibility.