Page 1857

West Virginia Income Maintenance Manual Chapter 23

West Virginia Income Maintenance Manual Page 15 Chapter 23 Specific Medicaid Requirements

23.8.3 WHO RECEIVES LIMITED COVERAGE All Medicaid coverage groups receive the full services the State offers to its Medicaid clients except the following coverage groups: QMB, SLIMB, QI-1, QDWI, and non-qualified noncitizens. The state also provides two other limited healthcare benefits, Special Pharmacy and ADAP. In addition, if applicable, any coverage group's long-term care services can be limited when a penalty for an uncompensated transfer of resources is applied. Refer to Chapter 24 to determine when to apply such a penalty. 23.8.4 BACKDATING MEDICAID COVERAGE Unless specifically stated under the appropriate coverage group, Medicaid coverage may be backdated for up to three months prior to the month of application, provided all eligibility requirements were met at that time, and provided the client has accrued medical expenses.

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Page 1857

Official source

West Virginia Income Maintenance Manual Chapter 23

West Virginia Income Maintenance Manual Page 15 Chapter 23 Specific Medicaid Requirements

23.8.3 WHO RECEIVES LIMITED COVERAGE All Medicaid coverage groups receive the full services the State offers to its Medicaid clients except the following coverage groups: QMB, SLIMB, QI-1, QDWI, and non-qualified noncitizens. The state also provides two other limited healthcare benefits, Special Pharmacy and ADAP. In addition, if applicable, any coverage group's long-term care services can be limited when a penalty for an uncompensated transfer of resources is applied. Refer to Chapter 24 to determine when to apply such a penalty. 23.8.4 BACKDATING MEDICAID COVERAGE Unless specifically stated under the appropriate coverage group, Medicaid coverage may be backdated for up to three months prior to the month of application, provided all eligibility requirements were met at that time, and provided the client has accrued medical expenses.