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West Virginia Income Maintenance Manual Chapter 23

West Virginia Income Maintenance Manual Page 20 Chapter 23 Specific Medicaid Requirements

23.10 ADULTS, FAMILIES AND/OR CHILDREN 23.10.1 PARENTS/CARETAKER RELATIVES Income Assets Parent/Caretaker Relative Medicaid Limit N/A The Affordable Care Act (ACA) simplified eligibility categories by combining certain existing mandatory and optional eligibility groups. Effective January 1, 2014, the Parents/Caretaker Relatives coverage group replaced the former Aid to Families with Dependent Children (AFDC) Medicaid coverage group for parents and other caretaker relatives. A parent or caretaker relative is eligible under this coverage group when the following requirements are met: • The parent or caretaker relative must be living in the household with a dependent child for whom he assumes primary responsibility. See Chapter 3 for the definition of a dependent child and specified caretaker relative. • The income eligibility requirements described in Chapter 4 are met. 23.10.2 CHILDREN UNDER AGE 19 Income Assets Children < 1 Children 1-5 Children 6 – 19 158% FPL 141% FPL 133% FPL N/A Effective January 1, 2014, the Affordable Care Act combined prior coverage for children under the AFDC group, Qualified Child, and Poverty-Level Children coverage groups into one Children Under Age 19 coverage group. Twelve months of continuous Medicaid eligibility applies. If a child is receiving inpatient services on the date he would lose eligibility due to age, eligibility must continue until the end of that inpatient stay. A child is eligible for Medicaid coverage in this group when all of the following conditions are met: