Page 1863

West Virginia Income Maintenance Manual Chapter 23

West Virginia Income Maintenance Manual Page 21 Chapter 23 Specific Medicaid Requirements

• The child is not eligible for Supplemental Security Income (SSI) Medicaid; • The child is under age 19, regardless of school attendance or course completion date; and, • The income eligibility requirements described in Chapter 4 are met. 23.10.3 PREGNANT WOMEN Income Assets 185% FPL N/A Effective January 1, 2014, as a result of the ACA, the Pregnant Women coverage group combines prior coverage for pregnant women, Poverty-Level Pregnant Women, and Deemed Poverty-Level Pregnant Women into one coverage group. A pregnant woman is eligible for Medicaid coverage in this when the income eligibility requirements described in Chapter 4 are met. Changes in income after eligibility has been established have no effect on continuing eligibility. 23.10.3.A Postpartum Coverage This coverage applies only to the mother. The child must be covered as a Continuously Eligible Newborn (CEN). 23.10.3.A.1 Eligibility for Postpartum Coverage The pregnant woman is eligible for postpartum coverage provided that during the pregnancy or within three months of the end of the pregnancy, the woman met all the following requirements: • She applied for Medicaid (any coverage group); • She was eligible for Medicaid (any coverage group); • She received Medicaid services (any covered service, not limited to pregnancy services); and, • She was determined eligible for coverage in West Virginia, regardless of coverage in other states.

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Page 1863

Official source

West Virginia Income Maintenance Manual Chapter 23

West Virginia Income Maintenance Manual Page 21 Chapter 23 Specific Medicaid Requirements

• The child is not eligible for Supplemental Security Income (SSI) Medicaid; • The child is under age 19, regardless of school attendance or course completion date; and, • The income eligibility requirements described in Chapter 4 are met. 23.10.3 PREGNANT WOMEN Income Assets 185% FPL N/A Effective January 1, 2014, as a result of the ACA, the Pregnant Women coverage group combines prior coverage for pregnant women, Poverty-Level Pregnant Women, and Deemed Poverty-Level Pregnant Women into one coverage group. A pregnant woman is eligible for Medicaid coverage in this when the income eligibility requirements described in Chapter 4 are met. Changes in income after eligibility has been established have no effect on continuing eligibility. 23.10.3.A Postpartum Coverage This coverage applies only to the mother. The child must be covered as a Continuously Eligible Newborn (CEN). 23.10.3.A.1 Eligibility for Postpartum Coverage The pregnant woman is eligible for postpartum coverage provided that during the pregnancy or within three months of the end of the pregnancy, the woman met all the following requirements: • She applied for Medicaid (any coverage group); • She was eligible for Medicaid (any coverage group); • She received Medicaid services (any covered service, not limited to pregnancy services); and, • She was determined eligible for coverage in West Virginia, regardless of coverage in other states.