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West Virginia Income Maintenance Manual Chapter 28

West Virginia Income Maintenance Manual Page 10 Chapter 28 Special Pharmacy

28.5 ELIGIBILITY DETERMINATION GROUPS 28.5.1 THE ASSISTANCE GROUP (AG) 28.5.1.A Who Must Be Included The individual who qualifies for Special Pharmacy services is the only person in the AG. 28.5.1.B Who Cannot Be Included The following individuals cannot be included: • Recipients of any full coverage Medicaid group or Qualified Medicare Beneficiary (QMB) coverage group • Any other person except the person who qualifies for anti-rejection/antipsychotic drugs 28.5.2 THE INCOME GROUP (IG) The IG includes: • The legal spouse of the Special Pharmacy applicant, if living in the home. • All dependent children of the Special Pharmacy applicant who lives in the home. See Chapter 3.3 for the definition of a dependent child. 28.5.3 THE NEEDS GROUP (NG) The income limit for the number of persons in the IG is used.

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Page 2186

Official source

West Virginia Income Maintenance Manual Chapter 28

West Virginia Income Maintenance Manual Page 10 Chapter 28 Special Pharmacy

28.5 ELIGIBILITY DETERMINATION GROUPS 28.5.1 THE ASSISTANCE GROUP (AG) 28.5.1.A Who Must Be Included The individual who qualifies for Special Pharmacy services is the only person in the AG. 28.5.1.B Who Cannot Be Included The following individuals cannot be included: • Recipients of any full coverage Medicaid group or Qualified Medicare Beneficiary (QMB) coverage group • Any other person except the person who qualifies for anti-rejection/antipsychotic drugs 28.5.2 THE INCOME GROUP (IG) The IG includes: • The legal spouse of the Special Pharmacy applicant, if living in the home. • All dependent children of the Special Pharmacy applicant who lives in the home. See Chapter 3.3 for the definition of a dependent child. 28.5.3 THE NEEDS GROUP (NG) The income limit for the number of persons in the IG is used.