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West Virginia Income Maintenance Manual Chapter 22

West Virginia Income Maintenance Manual Page 36 Chapter 22 West Virginia Children’s Health Insurance Program (WVCHIP)

22.17 WVCHIP PREGNANCY (Codes: MGPB-Blue, MGCR-Premium) Income Assets 300% N/A 22.17.1 SPECIFIC WVCHIP PREGNANCY REQUIREMENTS

Effective July 1, 2019, individuals are eligible for WVCHIP Pregnancy when all the following conditions are met: 1. At the time of application or redetermination, the pregnant woman must not be eligible for a Modified Adjusted Gross Income (MAGI) Medicaid coverage group. An individual interested in receiving WVCHIP Pregnancy, but eligible for MAGI Medicaid, cannot choose WVCHIP Pregnancy instead of Medicaid, but she can refuse MAGI Medicaid. If the applicant chooses to pursue eligibility for a non-MAGI Medicaid coverage group while enrolled in WVCHIP Pregnancy and is found to be eligible for a non-MAGI Medicaid coverage group, the applicant is no longer eligible for WVCHIP Pregnancy. See Section 23.8. 2. The pregnant woman must be age 19 or older, regardless of school attendance or course completion date. 3. The pregnant woman’s household income must be less than or equal to 300% FPL. See income limit in Appendix B. 4. The pregnant woman is not an inmate of a public institution. 5. The pregnant woman is not a patient in an institution for mental diseases. 6. The pregnant woman meets the Medicaid citizenship and related requirements found in Chapter 7. See Section 22.8.6 regarding enumeration. 7. The pregnant woman must not have creditable individual, public or private employer group health insurance coverage. Most women with other health coverage will not qualify for WVCHIP Pregnancy. See Appendix A for creditable coverage.