Page 1839
West Virginia Income Maintenance Manual Chapter 23
West Virginia Income Maintenance Manual Page iii Chapter 23 Specific Medicaid Requirements
23.10.9.B.3 Client’s Reporting Requirements ..............................................................34 23.10.9.B.4 Automatic Termination of TM ....................................................................34 23.10.9.C Return to Parents/Caretaker Relatives Medicaid, Phase I and II ...................35 23.10.9.C.1 Otherwise Eligible for TM .........................................................................35 23.10.9.C.2 Not Otherwise Eligible for TM ...................................................................35 23.10.10 ADOPTION ASSISTANCE OTHER THAN IV-E ...................................................36 23.10.11 FOSTER CARE OTHER THAN IV-E ...................................................................36 23.10.12 WOMEN WITH BREAST CANCER OR CERVICAL CANCER: BREAST AND CERVICAL CANCER MEDICAID (BCC) ...............................................................................37 23.10.13 COVID-19 Testing Medicaid Coverage Group .....................................................38 23.11 AGED, BLIND, OR DISABLED ..................................................................................40 23.11.1 SSI RECIPIENTS ................................................................................................40 23.11.2 DEEMED SSI RECIPIENTS ................................................................................41 23.11.2.A Disabled Adult Children (DAC) ......................................................................41 23.11.2.B Blind, Disabled – Substantial Gainful Activity (SGA) .....................................41 23.11.2.C Essential Spouse of SSI Recipients ..............................................................42 23.11.2.D Pass-Throughs .............................................................................................43 23.11.2.E Pickle Amendment Coverage (PAC) .............................................................43 23.11.2.F Disabled Widows and Widowers ...................................................................45 23.11.2.G Drug Addicts and Alcoholics (DA&A) ............................................................46 23.11.3 SSI-RELATED .....................................................................................................46 23.11.4 SSI-RELATED/NON-CASH ASSISTANCE ..........................................................47 23.11.5 LONG TERM CARE .............................................................................................48 23.11.5.A Nursing Facility (Code: MLTN) and Intermediate Care Facility/Individuals with Intellectual Disability (ICF/IID) (Code: MLTI) ......................................................................48 23.11.5.B SSI-Related/Monthly Spenddown Group .......................................................48 23.11.5.C Individuals Receiving Home and Community-Based Services under Title XIX Waivers 49 23.11.5.D Children with Disabilities Community Service Program (CDCSP) .................50 23.11.6 MEDICAID WORK INCENTIVE PROGRAM (M-WIN) ..........................................51