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West Virginia Income Maintenance Manual Chapter 23

West Virginia Income Maintenance Manual Page 22 Chapter 23 Specific Medicaid Requirements

If the mother applies within three months after the end of the pregnancy and is determined to have been eligible in one of the past months, she is eligible for postpartum coverage. This is true even if income increases above the income eligibility limits in any month after she is determined eligible. Postpartum coverage is required if the pregnancy ends in a live birth, miscarriage, abortion, or if the child is stillborn. A Pregnant Woman is not referred to, or required to cooperate, with child support activities while pregnant nor during the postpartum period. A Pregnant Woman cannot have Medicaid terminated or denied for failure to cooperate with Quality Control (QC) until the end of the postpartum period. After the postpartum period the sanction is applied, even if she qualifies under another coverage group. 23.10.3.A.2 Duration of Postpartum Coverage A woman continues to be eligible for Medicaid or WVCHIP for 12-month postpartum, and the remaining days of the month in which the 12-month day falls. The 12-month postpartum period begins the following month after the pregnancy ends, and a redetermination is completed in the twelfth month of the postpartum period. If eligible for other Medicaid, or WVCHIP, that coverage must not begin until expiration of the postpartum period. If no review takes place, Medicaid coverage will automatically close after the advance notice period.