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West Virginia Income Maintenance Manual Chapter 2

West Virginia Income Maintenance Manual Page 8 Chapter 2 Common Eligibility Requirements

2.2.3 MEDICAID 2.2.3.A Determining State of Residence/Movement Between States When an individual receiving Medicaid or WVCHIP from another state moves to West Virginia and applies for Medicaid or WVCHIP, the Worker must determine when payments by the previous state of residence stopped. Medicaid or WVCHIP coverage in West Virginia will begin the month the client establishes residence in West Virginia. See Chapter 24 for special criteria relating to long term care cases. SSI-Related Medicaid Groups: For individuals age 21 and older, or emancipated individuals, the state of residence is the state in which the individual is living, with the intent to remain permanently or for an indefinite period. Such an individual has established residence if he is living in a state and entered that state with a job commitment or is seeking employment, even if not currently employed. 2.2.3.B Institutional Status Medicaid funds may not be used for medical services provided in a public or private institution, as defined above. Medicaid funds may be used for a resident of an institution under the following circumstances: • Education or Training Institution He is living in an institution for the purpose of securing education or training. Examples include Rehabilitation Services centers, West Virginia Schools for the Deaf and Blind, Mountaineer ChalleNGe Academy, and any college or educational institution. • General Medical Institution He is a patient in any section of an institution that has been certified as a medical facility under Medicare or Medicaid standards. Examples include general medical hospitals and licensed nursing facilities. An institution resident who is incapable to state intent of residence is considered a resident in the state in which he lives.