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West Virginia Income Maintenance Manual Acronyms, Forms, and Glossary

West Virginia Income Maintenance Manual Page 49

Acronyms, Forms, and Glossary

Term Definition Chapter (s) period is 60 months, whether or not a trust fund was involved. The look-back time period begins the month the client is both institutionalized and has applied for Medicaid. LTCIP Policy Verification (DFA- LTCIP-1) This form is given to the applicant for completion by the individual’s insurance carrier or other individual who can attest to the policy’s details and benefits paid. Other sources of verification are the Qualified LTCIP Policy, letter from the issuing state’s governmental agency that regulates insurance, or verification from the issuing insurance agency indicating compliance of the Policy with Section 1817(b)(5)(A) of the Social Security Act. 24 Lump-sum Payments Non-recurring, recurring, or advance payments. This may include, but is not limited to, RSDI, stock dividends paid quarterly, or payments from an income disability insurance plan that cover a previous period, but are delayed for medical reports, etc. 4 MAGI Disregard An income disregard that equals 5% of the Federal Poverty Level (FPL) for the family size, applicable only to Medicaid Groups and WVCHIP that use MAGI income-based methodologies. See Section 4.7 for further details. 4 MAGI Screening All applicants will go through a “MAGI Screen” and will have MAGI Medicaid eligibility determined first. If eligible for a MAGI Medicaid coverage group, the applicant should promptly be enrolled into the MAGI coverage group. The applicant may also pursue eligibility for coverage in non- MAGI groups. 4 Major Life Activities Major life activities include, but are not limited to, caring for oneself, performing manual tasks, seeing, hearing, eating, sleeping, walking, standing, lifting, bending, speaking, breathing, learning, reading, concentrating, thinking, communicating and working.

In addition, a major life activity includes the operation of a major bodily function, including, but not limited to, functions of the immune system, normal cell growth, digestive, bowel, bladder, neurological, brain, respiratory, circulatory, endocrine and reproductive functions.