Page 182

West Virginia Income Maintenance Manual Chapter 1

West Virginia Income Maintenance Manual Page 149 Chapter 1 Application/Redetermination Process

1.9.5 REDETERMINATION A redetermination is completed the twelfth month of the postpartum period. Reviews are scheduled 12 months after the pregnancy end date, or, if information about the pregnancy is not updated, 12 months after the pregnancy due date. In no instance is Medicaid coverage under one coverage group stopped without consideration of Medicaid eligibility under other coverage groups. This is determined before the client is notified that her Medicaid eligibility will end. If eligible for other Medicaid, or WVCHIP, that coverage must not begin until expiration of the postpartum period. If no redetermination is completed, Medicaid coverage is automatically closed after the adverse notice period. Rolling Redeterminations do not apply to the Pregnant Women coverage group. When the pregnancy is due or reported ending, the client will be evaluated for MAGI Medicaid using the automatic procedures described above for the Adult Group. 1.9.6 THE BENEFIT 1.9.6.A Ongoing Benefits Effective December 21, 2017 there was a change in the way Medical ID cards are issued. Instead of the separate blue paper card, the Medical ID card is now included in all Medicaid approval notices. The Medical ID card does not include any date parameters since eligibility may terminate. Medicaid recipients will receive one Medical ID card per case each time there is an approval or renewal for Medicaid for any household member. In situations where retroactive eligibility is established, the Medicaid coverage will be validated appropriately for each back-dated month.

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Page 182

Official source

West Virginia Income Maintenance Manual Chapter 1

West Virginia Income Maintenance Manual Page 149 Chapter 1 Application/Redetermination Process

1.9.5 REDETERMINATION A redetermination is completed the twelfth month of the postpartum period. Reviews are scheduled 12 months after the pregnancy end date, or, if information about the pregnancy is not updated, 12 months after the pregnancy due date. In no instance is Medicaid coverage under one coverage group stopped without consideration of Medicaid eligibility under other coverage groups. This is determined before the client is notified that her Medicaid eligibility will end. If eligible for other Medicaid, or WVCHIP, that coverage must not begin until expiration of the postpartum period. If no redetermination is completed, Medicaid coverage is automatically closed after the adverse notice period. Rolling Redeterminations do not apply to the Pregnant Women coverage group. When the pregnancy is due or reported ending, the client will be evaluated for MAGI Medicaid using the automatic procedures described above for the Adult Group. 1.9.6 THE BENEFIT 1.9.6.A Ongoing Benefits Effective December 21, 2017 there was a change in the way Medical ID cards are issued. Instead of the separate blue paper card, the Medical ID card is now included in all Medicaid approval notices. The Medical ID card does not include any date parameters since eligibility may terminate. Medicaid recipients will receive one Medical ID card per case each time there is an approval or renewal for Medicaid for any household member. In situations where retroactive eligibility is established, the Medicaid coverage will be validated appropriately for each back-dated month.