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West Virginia Income Maintenance Manual Chapter 26

West Virginia Income Maintenance Manual Page 2 Chapter 26 Medicaid Work Incentive (M-WIN)

26.2 SPECIFIC M-WIN REQUIREMENTS (Code: MWIN or MWII) 26.2.1 FINANCIAL Income: 250% of the Federal Poverty Level (FPL) – When Unearned Income is at or below the Supplemental Security Income (SSI) Payment Level. No spenddown provision. Assets: $2,000 – Individual; $3,000 – Individual with Spouse. 26.2.2 AGE The applicant must be at least age 16, but not yet age 65. 26.2.3 DISABILITY The applicant must be disabled as defined by the Social Security Administration (SSA). The SSA or the State Medical Review Team (MRT) may determine the disability. Disability, for this coverage group, is defined as a medically determined physical or mental condition that has lasted, or is expected to last, a year or more, or is expected to result in death. The disability definition for individuals under age 18 is found in Section 13.2.1.B. 26.2.4 EMPLOYMENT The applicant must be engaged in competitive employment. There is no minimum number of hours a client must be employed for M-WIN eligibility. Competitive employment includes self- employment and non-traditional work which is compensated at or above the federal minimum hourly wage in a setting that also includes, or could include, non-disabled individuals. This does not include settings such as sheltered workshops if less than minimum wage is paid. However, certain sheltered workshops have contracts offering employment both inside and