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West Virginia Income Maintenance Manual Chapter 22

West Virginia Income Maintenance Manual Page 45 Chapter 22 West Virginia Children’s Health Insurance Program (WVCHIP)

ineligible for WVCHIP Pregnancy prior to the end of the period of eligibility. This does not mean that application for all coverage groups must be taken and processed. See Section 23.8. If the Medicaid evaluation results in an approval, the client receives a new Medicaid certification and redetermination period.

A WVCHIP Pregnancy client may be determined ineligible prior to the expiration of the eligibility period only if the pregnant woman:

• Moves out of state; • Dies; • Was approved for WVCHIP due to agency error; • Was approved for WVCHIP because of client misrepresentation; • Does not have verification of citizenship and/or identity after match with the FDH (refer to Chapter 6.3); • Is approved for Supplemental Security Income (SSI) and is eligible for SSI Medicaid; • Requests closure. 22.17.11.B Change in Income or Needs Group 22.17.11.B.1 Increase in Income or Reduction in Needs Group (NG) Any change in circumstances not listed in Section 22.17.11.A above does not affect eligibility once the period of continuous eligibility is established. This includes an increase in income or a reduction in the number of people included in the NG.

Increased Income Example: A WVCHIP Pregnancy woman is approved in March. In August, the husband changes jobs and the income of the family now exceeds 300% of the FPL. The continuous eligibility remains the same.

NOTE: The WVCHIP Pregnancy group does not close solely because the client begins receiving a Third-Party Insurance.