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West Virginia Income Maintenance Manual Chapter 22

West Virginia Income Maintenance Manual Page 29 Chapter 22 West Virginia Children’s Health Insurance Program (WVCHIP)

22.16 SPECIFIC WEST VIRGINIA CHILDREN’S HEALTH INSURANCE PROGRAM (WVCHIP) REQUIREMENTS (MGCH-Gold, MGCB- Blue, MGCP-Premium, MNCH-Deemed Newborn Gold, MNCB- Deemed Newborn Blue) 22.16.1 REQUIREMENTS FOR WVCHIP CHILDREN

Income: 150% of the FPL WVCHIP Gold Assets: N/A 211% of the FPL WVCHIP Blue

300% of the FPL WVCHIP Premium No Spenddown Provision

Individuals are eligible for WVCHIP when all the following conditions are met: 1. At the time of application or redetermination, the child must not be financially eligible for a Modified Adjusted Gross Income (MAGI) Medicaid coverage group. An individual interested in receiving WVCHIP, but eligible for MAGI Medicaid, cannot choose WVCHIP instead of Medicaid, but he can refuse MAGI Medicaid. 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. 2. The child is not yet age 19, regardless of school attendance or course completion date. He becomes ineligible the end of the month in which he attains age 19. Emancipation does not impact eligibility. 3. Household income, determined according to, is less than or equal to 300% FPL. See Chapter 4, Appendix A. 4. The child is not an inmate of a public institution. EXCEPTION: When a child is receiving inpatient services on the date he would lose eligibility due to age, coverage continues until the child is discharged.