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West Virginia Income Maintenance Manual Chapter 22

West Virginia Income Maintenance Manual Page 11 Chapter 22 West Virginia Children’s Health Insurance Program (WVCHIP)

Limitations on Receipt of Other Benefits Example: Mr. Oak and Ms. Dahlia are married and Ms. Dahlia has two children under age 19. The family applies for healthcare, listing Mr. Oak’s wages from employment as the only household income. The children are over the income limit for Modified Adjusted Gross Income (MAGI) Medicaid, but under the limit for WVCHIP. The family asks to be considered for other healthcare benefits. The Worker knows that a stepparent’s income cannot be used to determine Aid to Families with Dependent Children (AFDC)-Related Medicaid, and runs eligibility based on these rules, pending for asset information. WVCHIP is continued while the information is gathered on the supplement to the application, the DFA-SLA-S1, Application for Health Care Coverage. If the DFA-SLA-S1 is returned and the children are found eligible, the children are approved for AFDC-Related Medicaid and the WVCHIP eligibility is closed after advance notice. If the family is over the asset limit or fails to provide the required information to determine AFDC-Related Medicaid eligibility, the WVCHIP continues for the children. 22.3.5 NON-DUPLICATION OF BENEFITS A WVCHIP client is prohibited from receiving WVCHIP benefits in more than one West Virginia county and/or more than one state at the same time. There is no disqualification penalty for receipt of duplicate benefits. 22.3.6 ENUMERATION Only the individual seeking WVCHIP benefits is required to provide a Social Security Number (SSN). Other members of the household or tax filing unit may provide this information on a voluntary basis after the Worker explains the reason for the request and how the SSN will be used. Regardless of whether they provide their numbers, their disclosure is not a condition of eligibility. When an individual seeking WVCHIP benefits does not have an SSN, or has applied but not yet received one, the eligibility decision is not delayed for this reason alone. The DOHS staff is responsible for obtaining the number. SSN Example: A family applies for WVCHIP for their three-month old daughter who does not yet have an SSN. The application process continues without this non-financial verification and it is not necessary for either parent to provide his or