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West Virginia Income Maintenance Manual Chapter 22

West Virginia Income Maintenance Manual Page 37 Chapter 22 West Virginia Children’s Health Insurance Program (WVCHIP)

When an applicant drops health insurance coverage, if otherwise eligible, the client may receive WVCHIP Pregnancy without a penalty the month after the insurance is no longer in effect. A pregnant woman who starts receiving other creditable health insurance coverage after WVCHIP Pregnancy approval loses coverage prior to the expiration of the current eligibility period. 22.17.1.A Postpartum Coverage

This coverage applies only to the postpartum pregnant woman. The newborn will be covered as a Deemed WVCHIP Newborn. See Section 22.16.2. 22.17.1.A.1 Eligibility for Postpartum Coverage The pregnant woman is eligible for postpartum coverage provided that during the pregnancy, or within three months of the end of the pregnancy, the woman met all the following requirements: • She applied for WVCHIP Pregnancy. • She was eligible for WVCHIP Pregnancy. • She received services through WVCHIP Pregnancy, and; • She was determined eligible for coverage in West Virginia, regardless of coverage in other states. If the pregnant woman applies within three months after the end of the pregnancy and is determined to have been eligible in one of the past months, she is eligible for postpartum coverage. This is true even if income increases above the income eligibility limits in any month after she is determined eligible. Postpartum coverage is required if the pregnancy ends in a live birth, miscarriage, abortion, or if the child is stillborn. A WVCHIP Pregnancy recipient is not referred to, or required to cooperate, with child support activities while pregnant nor during the postpartum period. A WVCHIP Pregnancy recipient cannot be terminated or denied for failure to cooperate with Quality Control (QC) until the end of the postpartum period. After the postpartum period the sanction is applied.