Page 1829

West Virginia Income Maintenance Manual Chapter 22

West Virginia Income Maintenance Manual Page 43 Chapter 22 West Virginia Children’s Health Insurance Program (WVCHIP)

Section 3.7.

The WVCHIP Pregnancy IG and NG of the pregnant woman include her unborn child(ren). 22.17.5 INCOME The MAGI methodology is used to determine financial eligibility for the WVCHIP Pregnancy coverage group. The same methodology is used to determine WVCHIP Pregnancy eligibility as is used for MAGI Medicaid groups found in Section 4.7. 22.17.5.A MAGI Income Disregard for WVCHIP Pregnancy Note that the 5% FPL disregard is not applied to every MAGI eligibility determination and should not be used to determine the MAGI coverage group for which an individual may be eligible. The 5% FPL disregard will be applied to the highest MAGI income limit for which an individual may be determined eligible. MAGI Income Disregard Example: A WVCHIP Pregnancy applicant has MAGI household income 216% FPL. The 5% MAGI income disregard will not be applied because the highest income limit of any WVCHIP Pregnancy enrollment group for which the woman may be eligible is 300% FPL. If the WVCHIP Pregnancy applicant’s income is 305% FPL, then the 5% MAGI income disregard would be applied to bring the woman’s household income to below 300% FPL.

22.17.6 ASSETS There is no asset test for the WVCHIP Pregnancy program eligibility. NOTE: For the WVCHIP Pregnancy MAGI household, a pregnant woman is counted as herself, plus the number of unborn children she is expected to deliver.

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Page 1829

Official source

West Virginia Income Maintenance Manual Chapter 22

West Virginia Income Maintenance Manual Page 43 Chapter 22 West Virginia Children’s Health Insurance Program (WVCHIP)

Section 3.7.

The WVCHIP Pregnancy IG and NG of the pregnant woman include her unborn child(ren). 22.17.5 INCOME The MAGI methodology is used to determine financial eligibility for the WVCHIP Pregnancy coverage group. The same methodology is used to determine WVCHIP Pregnancy eligibility as is used for MAGI Medicaid groups found in Section 4.7. 22.17.5.A MAGI Income Disregard for WVCHIP Pregnancy Note that the 5% FPL disregard is not applied to every MAGI eligibility determination and should not be used to determine the MAGI coverage group for which an individual may be eligible. The 5% FPL disregard will be applied to the highest MAGI income limit for which an individual may be determined eligible. MAGI Income Disregard Example: A WVCHIP Pregnancy applicant has MAGI household income 216% FPL. The 5% MAGI income disregard will not be applied because the highest income limit of any WVCHIP Pregnancy enrollment group for which the woman may be eligible is 300% FPL. If the WVCHIP Pregnancy applicant’s income is 305% FPL, then the 5% MAGI income disregard would be applied to bring the woman’s household income to below 300% FPL.

22.17.6 ASSETS There is no asset test for the WVCHIP Pregnancy program eligibility. NOTE: For the WVCHIP Pregnancy MAGI household, a pregnant woman is counted as herself, plus the number of unborn children she is expected to deliver.