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West Virginia Income Maintenance Manual Chapter 22

West Virginia Income Maintenance Manual Page 6 Chapter 22 West Virginia Children’s Health Insurance Program (WVCHIP)

• The child becomes Medicaid eligible. Coverage begins from the first day of the month of the child’s birth. 22.2.6 REDETERMINATION SCHEDULE AND SPECIAL PROCEDURES 22.2.6.A Redetermination Schedule and Procedures

See Section 1.7.7; the schedule and procedures are the same as those for the Medicaid Children Under Age 19 Group. 22.2.6.B Clients Found Ineligible at Redetermination At the annual redetermination, when income exceeds the allowable income limit, the Assistance Group (AG) is closed and the electronic account will be transferred to the Marketplace for an evaluation for other health coverage benefits. 22.2.6.C Special Procedures – Rolling Redeterminations When a change is reported during the certification period that affects eligibility, the Department must only request the information on the change reported. When the Worker receives the information, the client is evaluated for rolling redetermination. If the agency has enough information available to renew eligibility with respect to all the eligibility criteria, the agency must begin a new 12-month certification period. The following scenarios are possible when a client reports a change in income: Change Outcome An increase in income to a level above the WVCHIP eligibility level

The client remains eligible through the end of his 12-months of continuous eligibility and must be reevaluated at that time.