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West Virginia Income Maintenance Manual Chapter 2
West Virginia Income Maintenance Manual Page 9 Chapter 2 Common Eligibility Requirements
2.2.3.B.1 Incarcerated Individuals An individual is an inmate of a public institution, or incarcerated, when serving time for a criminal offense or confined involuntarily in State or federal prisons, jails, detention facilities, or other penal facilities. Incarcerated individuals who meet all other eligibility criteria may be eligible for limited Medicaid coverage. Payment is only for Medicaid-covered services when the individual is admitted as an inpatient in a medical institution for at least 24 hours. Eligible facilities include, but are not limited to, hospitals, nursing facilities, juvenile psychiatric facilities, and intermediate care facilities. Incarcerated individuals must have their living arrangements coded correctly in the eligibility system. Information from the eligibility system will notify the claims payment system of the incarcerated status. Certain “justice involved” individuals are not considered incarcerated and receive Medicaid without the incarceration restrictions on payments. An individual is not considered incarcerated, and would not be coded with the incarcerated living arrangement, when he is: • On probation or parole, or subject to home confinement; • Voluntarily residing in a public educational or vocational training institution for purpose of securing an education; or • Voluntarily residing in a public institution while other living arrangements appropriate to the individual’s needs are being made. • Participating in the Work Release program at one of the following facilities only: o Beckley Correctional Center 111 S. Eisenhower Drive Beckley, WV 25801 Phone: 304-256-6780 Fax: 304-256-6782
o Ohio County Correctional Center 1501 Eoff Street Wheeling, WV 26003 Phone: 304-238-1007 Fax: 304-238-1009
o Charleston Correctional Center 1356 Hansford Street NOTE: For MEDICAID, Individuals residing in one of the Correctional Centers and participating in the Residential Substance Abuse Treatment (RSAT) Program are considered incarcerated.