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West Virginia Income Maintenance Manual Chapter 22

West Virginia Income Maintenance Manual Page 10 Chapter 22 West Virginia Children’s Health Insurance Program (WVCHIP)

22.3 COMMON ELIGIBILITY REQUIREMENTS 22.3.1 RESIDENCE The child must be a West Virginia resident. See Section 2.2.3. The requirements are the same as those for Medicaid. 22.3.2 CITIZENSHIP STATUS The Medicaid policy/procedures in Section 15.7.5 apply to the West Virginia Children’s Health Insurance Program (WVCHIP). See Section 7.4 for citizenship verification requirements for WVCHIP. 22.3.3 COOPERATION WITH QUALITY CONTROL Selected WVCHIP assistance groups (AG) are subject to the Payment Error Rate Measurement (PERM) review process. There is no penalty for clients for non-cooperation. 22.3.4 LIMITATIONS ON RECEIPT OF OTHER BENEFITS WVCHIP coverage may be provided to individuals who receive any benefit administered by the Division of Family Assistance (DFA), except full-coverage Medicaid. An individual cannot receive full-coverage Medicaid and WVCHIP benefits at the same time. At application and redetermination, ineligibility for MAGI Medicaid is an eligibility requirement for WVCHIP. If the applicant chooses to pursue eligibility for a non-MAGI Medicaid coverage group while enrolled in WVCHIP and is found to be eligible for a non-MAGI Medicaid coverage group, the applicant is no longer eligible for WVCHIP. See Section 23.8. The WVCHIP eligibility must be closed after advance notice.

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Page 1796

Official source

West Virginia Income Maintenance Manual Chapter 22

West Virginia Income Maintenance Manual Page 10 Chapter 22 West Virginia Children’s Health Insurance Program (WVCHIP)

22.3 COMMON ELIGIBILITY REQUIREMENTS 22.3.1 RESIDENCE The child must be a West Virginia resident. See Section 2.2.3. The requirements are the same as those for Medicaid. 22.3.2 CITIZENSHIP STATUS The Medicaid policy/procedures in Section 15.7.5 apply to the West Virginia Children’s Health Insurance Program (WVCHIP). See Section 7.4 for citizenship verification requirements for WVCHIP. 22.3.3 COOPERATION WITH QUALITY CONTROL Selected WVCHIP assistance groups (AG) are subject to the Payment Error Rate Measurement (PERM) review process. There is no penalty for clients for non-cooperation. 22.3.4 LIMITATIONS ON RECEIPT OF OTHER BENEFITS WVCHIP coverage may be provided to individuals who receive any benefit administered by the Division of Family Assistance (DFA), except full-coverage Medicaid. An individual cannot receive full-coverage Medicaid and WVCHIP benefits at the same time. At application and redetermination, ineligibility for MAGI Medicaid is an eligibility requirement for WVCHIP. If the applicant chooses to pursue eligibility for a non-MAGI Medicaid coverage group while enrolled in WVCHIP and is found to be eligible for a non-MAGI Medicaid coverage group, the applicant is no longer eligible for WVCHIP. See Section 23.8. The WVCHIP eligibility must be closed after advance notice.