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West Virginia Income Maintenance Manual Chapter 22

West Virginia Income Maintenance Manual Page 30 Chapter 22 West Virginia Children’s Health Insurance Program (WVCHIP)

5. The child is not a patient in an institution for mental diseases. 6. The child meets the Medicaid citizenship and related requirements found in Chapter 7. See Section 22.8.6 regarding enumeration. 7. The child does not have creditable individual, public or private employer group health insurance coverage or one that does not have reasonable geographic access to care. Most children with other health coverage will not qualify for WVCHIP. See Appendix A Definitions. Requirements for WVCHIP Children Example: Mr. Oak works for a grocery store and is eligible for individual or family health insurance coverage through his employer. He chooses not to enroll. His choice does not affect his children’s eligibility for WVCHIP. When an applicant drops his health insurance coverage, if otherwise eligible, his child may receive WVCHIP without a penalty the month after the insurance is no longer in effect. The parent is only required to drop the health insurance for the WVCHIP-eligible child. A child who starts receiving other creditable health insurance coverage after WVCHIP approval does not lose WVCHIP coverage prior to the expiration of the current 12-month continuous eligibility period. 22.16.2 DEEMED WVCHIP NEWBORN Income: NA Assets: NA A child born to a WVCHIP client is deemed WVCHIP eligible when: • The child’s mother was eligible for, and receiving, WVCHIP on the date of the child’s birth, and • The child is not eligible for Medicaid. The child is deemed to have applied as of the date of the birth and is not required to submit an application EXCEPTION: An incarcerated child may be determined eligible when: • Their application date is within 30 days prior to their release date. • At redetermination, if the only reason for the closure is they are inmates of a public institution. • During their 12-month continuous eligibility period.