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West Virginia Income Maintenance Manual Chapter 3

West Virginia Income Maintenance Manual Page v Chapter 3 Eligibility Determination Groups

3.14.1.B.3 Eligible Individual with Ineligible Spouse .......................................................66 3.14.1.B.4 Eligible Individual in a Nursing Facility or Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID) with Eligible/Ineligible Spouse .............67 3.14.1.C The Needs Group (NG) ....................................................................................67 3.14.1.C.1 Individual with No Spouse .............................................................................67 3.14.1.C.2 Eligible Spouses ...........................................................................................67 3.14.1.C.3 Eligible Individual with Ineligible Spouse, No Income Deemed......................67 3.14.1.C.4 Eligible Individual with Ineligible Spouse, Income Deemed ...........................67 3.14.1.C.5 Eligible Individual in a Nursing Facility or an ICF/IID with an Eligible/Ineligible Spouse 68 3.14.2 ALL OTHERS ..........................................................................................................68 3.14.2.A The AG .............................................................................................................68 3.14.2.B The IG ..............................................................................................................68 3.14.2.C The NG ............................................................................................................68 3.15 QMB, SLIMB, AND QI-1 .............................................................................................69 3.15.1 THE ASSISTANCE GROUP (AG) ...........................................................................69 3.15.1.A Who Must Be Included? ...................................................................................69 3.15.2 THE INCOME GROUP (IG) .....................................................................................69 3.15.2.A Eligible Individual with No Spouse ....................................................................69 3.15.2.B Eligible Spouses – No Medicaid Long Term Care (LTC) Services ....................69 3.15.2.C Eligible Individual with Ineligible Spouse – No Medicaid LTC Services .............69 3.15.2.D Eligible Individual – One or Both Spouses Receive Medicaid LTC Services in a Nursing Facility, ICF/IID, or Home and Community-Based Waiver .....................................70 3.15.3 THE NEEDS GROUP (NG) .....................................................................................70 3.15.3.A Individual with No Spouse ................................................................................70 3.15.3.B Eligible Spouses – No Medicaid LTC Services .................................................70 3.15.3.C Eligible Individual with Ineligible Spouse, No Income Deemed – No Medicaid LTC Services .....................................................................................................................70 3.15.3.D Eligible Individual with Ineligible Spouse, Income Is Deemed – No Medicaid LTC Services 70 3.15.3.E Eligible Individual – One or Both Spouses Receive Medicaid LTC Services in a