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West Virginia Income Maintenance Manual Chapter 22

West Virginia Income Maintenance Manual Page 7 Chapter 22 West Virginia Children’s Health Insurance Program (WVCHIP)

Change Outcome An increase in income to a level that would lead to an increase in cost sharing The client remains at the current plan level through the end of his current 12-months of continuous eligibility and must be reevaluated at that time. A decrease in income that makes the client eligible for Medicaid The client must be enrolled in Medicaid without the option to remain enrolled in WVCHIP. See Section 22.11.2.B. A decrease in income that makes the client eligible for a lower level of cost sharing The Worker must redetermine eligibility that will result in a new plan level being assigned and start a new 12-months of continuous eligibility. A change in income that does not affect eligibility or cost sharing level The client has no change in benefits and starts a new 12-months of continuous eligibility.

Change of Income Example: Cosmo Lotus is determined eligible from February 1, 2014, through January 31, 2015. On June 2, 2014, Ms. Lotus calls and reports a change in income. The information is provided to the Department on June 6, 2014. The Worker evaluates the information and determines enough information is available to renew eligibility. The benefit is given a new 12-months of continuous eligibility effective July 1, 2014 through June 30, 2015. SNAP Redetermination Example: A redetermination for Supplemental Nutrition Assistance Program (SNAP) benefits is completed on May 14, 2014. The WVCHIP certification period is April 1, 2014 through March 31, 2015. After the SNAP redetermination is completed, the Worker finds the information provided is enough to recertify. The WVCHIP certification period is renewed from June 1, 2014 through May 31, 2015. When the determination is completed and the individual(s) remains eligible, the new eligibility period must begin the month immediately following the month of redetermination. 22.2.6.D Client Notification The WVCHIP staff is responsible for all notifications related to medical coverage and payment of benefits once a child is enrolled. The eligibility system automatically sends a notice to the child’s household mailing address when: