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West Virginia Income Maintenance Manual Chapter 22

West Virginia Income Maintenance Manual Page 38 Chapter 22 West Virginia Children’s Health Insurance Program (WVCHIP)

22.17.1.A.2 Duration of Postpartum Coverage A woman continues to be eligible for WVCHIP for 12-month postpartum, and the remaining days of the month in which the 12-month day falls. The 12-month postpartum period begins the following month after the pregnancy ends, and a redetermination is completed in the twelfth month of the postpartum period. If eligible for other Medicaid, or WVCHIP, that coverage must not begin until expiration of the postpartum period. See Section 10.9.4 for Extended Postpartum. If no review takes place, WVCHIP Pregnancy coverage will automatically close after advance notice period. 22.17.2 APPLICATION/REDETERMINATION PROCESS Common information about the application process found in Section 1.2 and 1.3 apply to WVCHIP Pregnancy. 22.17.2.A General Information Applicants may apply or reapply for WVCHIP Pregnancy through the Federally Facilitated Marketplace (FFM, the Marketplace), DOHS, or the DOHS’s designee. An eligibility determination made by the FFM is accepted by the DOHS and enrollment in WVCHIP Pregnancy is facilitated without delay.

For assistance, applicants may access the WVCHIP Pregnancy coverage group website or by contacting the WVCHIP Helpline at 1 (877) 982-2447.

Prior to approval for WVCHIP Pregnancy coverage group, the applicant must be determined ineligible for all MAGI Medicaid coverage groups. See Section 23.8, Medicaid Eligibility Between Coverage Groups, for consideration of all MAGI and non-MAGI Medicaid coverage groups.

When a denial occurs due to gross income more than 300% of the FPL, the applicant’s electronic account will be transferred to the Marketplace for an evaluation for other healthcare benefits.