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West Virginia Income Maintenance Manual Chapter 23

West Virginia Income Maintenance Manual Page 38 Chapter 23 Specific Medicaid Requirements

23.10.13 COVID-19 Testing Medicaid Coverage Group The COVID-19 Testing Group is an optional Medicaid eligibility group established by section 6004(a)(3) of the Families First Coronavirus Response Act (FFCRA). The COVID-19 Testing Group provides coverage for uninsured individuals otherwise ineligible for health coverage for the purposes of receiving testing for coronavirus (COVID-19). Coverage under the COVID-19 Testing Group may be effective no earlier than March 18, 2020. Applicants must meet the following requirements: • They must be a West Virginia resident. • They must be a U.S. citizen, U.S. national, or qualified immigrant. • They must meet enumeration requirements. • They must meet the definition of “uninsured individual”; o Uninsured individual is defined as any individual that does not have minimum essential coverage under Section 5000A(f)(1) of the Internal Revenue Code of 1986. ▪ Government Sponsored programs: ▪ Medicare Part A; ▪ Medicaid; ▪ CHIP; ▪ Medical coverage received from an employer, including TRICARE; ▪ Medical coverage received by Secretary of Veterans Affairs; ▪ Health plan received from Peace Corps Volunteers; ▪ Nonappropriated Fund Health Benefits Program of the Department of Defense; • Employer-Sponsored Plan o Coverage under an eligible employer-sponsored plan • Plans in the individual market o Coverage under a health plan offered in the individual market within a State • Grandfathered health plan o Coverage under a grandfathered health plan