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West Virginia Income Maintenance Manual Chapter 22

West Virginia Income Maintenance Manual Page 39 Chapter 22 West Virginia Children’s Health Insurance Program (WVCHIP)

22.17.2.B Agency Time Limits Eligibility system action must be taken to approve, deny or withdraw the application within 13 calendar days of the date a completed application is received in the local office. If additional information or verification is required after the complete application is received, the worker must request it immediately to allow the client 10 days to provide it, and to complete the application process within business 13 days.

When a DFA-2 is used, the application for coverage as a pregnant woman must be processed within 13 business days of the date a complete application is received, even though the application for another program may not require faster processing. 22.17.2.C Beginning Date of Eligibility

22.17.2.C.1 Application while Pregnant The beginning date of eligibility is the first day of the month of application, if eligible. Eligibility may be backdated up to three months prior to the month of application, provided all eligibility requirements were met. 22.17.2.C.2 Application after Pregnancy Ends When the client applies within three months of the termination of the pregnancy, eligibility may be backdated up to three months, prior to the month of application, in which she met all eligibility requirements.

22.17.2.D Referrals To The Office Of Maternal, Child And Family Health (OMCFH) When the WVCHIP Pregnancy woman’s application is denied for any reason, a referral is made to the OMCFH. A list of these denied applications is generated by the eligibility system and