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West Virginia Income Maintenance Manual Chapter 24
West Virginia Income Maintenance Manual Page 152 Chapter 24 Long Term Care
CHILDREN WITH DISABILTIES COMMUNITY SERVICE PROGRAM (CDCSP) 24.49 INTRODUCTION The Children with Disabilities Community Service Program (CDCSP) is a West Virginia optional Medicaid eligibility category that allows a child under the age of 18 with a severe disability who is eligible to receive necessary medical services while residing in their family (natural or adoptive) homes or communities. The medical services must be more cost-effective for the State than placement in a medical institution, such as a nursing home, intermediate care facility for individuals with intellectual disabilities (ICF/IID), acute care hospital, or approved Medicaid psychiatric facility for children under the age of 21. This coverage group allows children to remain with their families by providing medical services in the home or community that are more cost-effective than care in a medical institution. It also eliminates the requirement that the income and assets of parents and/or legal guardians be deemed to the children. A child is eligible for Medicaid as a CDCSP client when all of the following conditions are met: • The child has not attained the age of 18. • The child has been denied Supplemental Security Income (SSI) eligibility or appears to be ineligible for SSI eligibility because the income and assets of his parent(s) were deemed to him, and as a result, the SSI income or asset eligibility test was not met. • The child’s own gross income does not exceed 300% of the SSI payment level. • The child has been determined to require a level of care provided in a medical institution, nursing home, ICF/IID, hospital, or psychiatric facility. • He is expected to receive the necessary services at home or in the community. • The estimated cost of services is no greater than the estimated cost of institutionalization. • The child would be eligible for an SSI payment if in a medical institution. NOTE: The Worker must refer the family to the Social Security Administration (SSA) to apply for SSI if the family has not done so already, even though the Worker may be able to determine that the SSA would deny the child as a result of deeming the parents' income and/or assets.