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West Virginia Income Maintenance Manual Chapter 23
West Virginia Income Maintenance Manual Page i Chapter 23 Specific Medicaid Requirements
Chapter 23 Specific Medicaid Requirements Table of Contents 23.1 INTRODUCTION ......................................................................................................... 1 23.2 ASSIGNMENT OF MEDICAL SUPPORT RIGHTS ...................................................... 2 23.3 CHILD SUPPORT REQUIREMENTS AND PROCEDURES ........................................ 3 23.3.1 BCSE REFERRALS ................................................................................................. 3 23.3.2 BCSE CASE CLOSURE OF MEDICAID................................................................... 3 23.3.3 REDIRECTION OF SUPPORT AND INCOME WITHHOLDING ............................... 4 23.3.4 COMMUNICATION WITH THE CHILD SUPPORT SPECIALIST ............................. 5 23.4 DATA SYSTEM INTERACTION .................................................................................. 6 23.5 CERTIFICATE OF COVERAGE WHEN MEDICAID ENDS ......................................... 7 23.6 HEALTH INSURANCE PREMIUM PAYMENT (HIPP) ................................................. 8 23.7 RELATIONSHIP WITH THE CHILDREN WITH SPECIAL HEALTH CARE NEEDS PROGRAM (CSHCN) (FORMERLY OFFICE OF HANDICAPPED CHILDREN) ....................... 9 23.7.1 NON-CSHCN CLIENTS WHO ARE APPLICANTS FOR DFA PROGRAMS ............. 9 23.7.2 CSHCN CLIENTS WHO ARE APPLICANTS FOR MEDICAID ................................10 23.8 MEDICAID ELIGIBILITY BETWEEN COVERAGE GROUPS .....................................11 23.8.1 CONSIDERATION OF ALL MEDICAID COVERAGE GROUPS ..............................11 23.8.2 CONSIDERATION OF MAGI AND NON-MAGI COVERAGE GROUPS ..................11 23.8.2.A Eligible for Non-MAGI Group ............................................................................12 23.8.2.B Ineligible for Non-MAGI Group .........................................................................12 23.8.2.C Notification .......................................................................................................12 23.8.3 WHO RECEIVES LIMITED COVERAGE .................................................................15 23.8.4 BACKDATING MEDICAID COVERAGE ..................................................................15 23.9 RELATIONSHIP BETWEEN COVERAGE GROUPS .................................................16 23.10 ADULTS, FAMILIES AND/OR CHILDREN .................................................................20 23.10.1 PARENTS/CARETAKER RELATIVES .................................................................20 23.10.2 CHILDREN UNDER AGE 19 ...............................................................................20