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West Virginia Income Maintenance Manual Chapter 23

West Virginia Income Maintenance Manual Page 62 Chapter 23 Specific Medicaid Requirements

APPENDIX A: GUIDE TO TRANSITIONAL MEDICAID PHASE I Parents/Caretaker Relatives 1. Received Parents/Caretaker Relatives Medicaid in at least three of the last six months. 2. No indication of Parents/Caretaker Relatives Medicaid fraud. 3. Assistance group (AG) has a dependent child. 4. Enroll and maintain enrollment in employer’s free medical plan, if available. PHASE II 1. Received Phase I coverage for entire six months. 2. All Periodic Reporting Letters (PRL) forms are returned. 3. AG has a dependent child. 4. Income less than 185% federal poverty level (FPL). Use income of Parents/Caretaker Relatives Medicaid Income Group. 5. Parent continues to have earnings – unless good cause exists. 6. Enroll and maintain enrollment in employer’s free medical plan, if available. TRANSITIONAL MEDICAID (TM) FLOW PHASE I FIRST MONTH:

Start TM. SECOND MONTH:

No action necessary. THIRD MONTH:

PRL3 mailed to client on the 25th of the month. FOURTH MONTH: Alert that PRL3 is due by 21st to report earnings and day care expenses for first three months of Phase I. If not received send advance notice to client of ineligibility for Phase II. FIFTH MONTH:

Alert that Phase I ends next month. No action necessary.

SIXTH MONTH: PRL8 mailed to client on 25th of the month. Due by the 21st of the first month of Phase II.