Page 1794

West Virginia Income Maintenance Manual Chapter 22

West Virginia Income Maintenance Manual Page 8 Chapter 22 West Virginia Children’s Health Insurance Program (WVCHIP)

• A WVCHIP application is approved or denied. • Eligibility for a WVCHIP child continues at redetermination. • A child loses WVCHIP eligibility. See Chapter 9. Eligibility is continued, pending a hearing, when the AG requests a hearing within the advance notice period. Hearing requests related to health plans are referred to the WVCHIP Helpline at 1 (877) WVA- CHIP or 1 (877) 982-2447. 22.2.6.E The Benefit The WVCHIP Medical ID card is included in all approval notices. Clients will receive one Medical ID card per case each time there is an approval or renewal for any household member. WVCHIP is responsible for providing enrollment materials, such as the benefit plan description, upon request. The eligibility system determines the level of cost sharing for which the client is responsible (Blue, Gold, or Premium), based on countable income. The WVCHIP Help Line at 1 (877) 982- 2447 handles any questions concerning co-payments. EXCEPTION: See Section 22.11 when advance notice requirements do not apply. NOTE: See Section 22.16 for procedures regarding WVCHIP Premium coverage.

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Page 1794

Official source

West Virginia Income Maintenance Manual Chapter 22

West Virginia Income Maintenance Manual Page 8 Chapter 22 West Virginia Children’s Health Insurance Program (WVCHIP)

• A WVCHIP application is approved or denied. • Eligibility for a WVCHIP child continues at redetermination. • A child loses WVCHIP eligibility. See Chapter 9. Eligibility is continued, pending a hearing, when the AG requests a hearing within the advance notice period. Hearing requests related to health plans are referred to the WVCHIP Helpline at 1 (877) WVA- CHIP or 1 (877) 982-2447. 22.2.6.E The Benefit The WVCHIP Medical ID card is included in all approval notices. Clients will receive one Medical ID card per case each time there is an approval or renewal for any household member. WVCHIP is responsible for providing enrollment materials, such as the benefit plan description, upon request. The eligibility system determines the level of cost sharing for which the client is responsible (Blue, Gold, or Premium), based on countable income. The WVCHIP Help Line at 1 (877) 982- 2447 handles any questions concerning co-payments. EXCEPTION: See Section 22.11 when advance notice requirements do not apply. NOTE: See Section 22.16 for procedures regarding WVCHIP Premium coverage.