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West Virginia Income Maintenance Manual Chapter 23

West Virginia Income Maintenance Manual Page ii Chapter 23 Specific Medicaid Requirements

23.10.3 PREGNANT WOMEN ..........................................................................................21 23.10.3.A Postpartum Coverage ...................................................................................21 23.10.3.A.1 Eligibility for Postpartum Coverage ...........................................................21 23.10.3.A.2 Duration of Postpartum Coverage ............................................................22 23.10.4 ADULT GROUP ...................................................................................................23 23.10.4.A.1 Pregnant Women......................................................................................23 23.10.5 FORMER FOSTER CHILDREN ...........................................................................24 23.10.6 CONTINUOUSLY ELIGIBLE NEWBORN CHILDREN (CEN) ..............................24 23.10.6.A Eligibility Criteria ...........................................................................................25 23.10.6.B Special Conditions ........................................................................................25 23.10.7 AFDC-RELATED MEDICAID ...............................................................................26 23.10.8 DEEMED PARENTS/CARETAKER RELATIVES .................................................27 23.10.8.A Extended Medicaid .......................................................................................27 23.10.8.B Children Covered Under Title IV-E Adoption Assistance and Title IV-E Foster Care 27 23.10.9 TRANSITIONAL MEDICAID (TM) ........................................................................28 23.10.9.A Phase I Coverage .........................................................................................28 23.10.9.A.1 Eligibility Requirements ............................................................................28 23.10.9.A.2 Loss of Eligibility Before Expiration of Full Phase I Coverage ...................30 ➢ No Dependent Child.............................................................................................30 ➢ Fraud ...................................................................................................................30 ➢ Enrollment in Free Employer’s Plan .....................................................................30 23.10.9.A.3 Eligible Situations .....................................................................................30 23.10.9.A.4 Ineligible Situations ...................................................................................31 23.10.9.A.5 Beginning Date of Phase I Coverage ........................................................31 23.10.9.A.6 Client’s Reporting Requirements/Periodic Review Letters ........................32 23.10.9.A.7 Special Agency Notification Requirements ...............................................33 23.10.9.B Phase II Coverage ........................................................................................33 23.10.9.B.1 Eligibility Requirements ............................................................................33 23.10.9.B.2 Beginning Date of Phase II Coverage .......................................................34