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West Virginia Income Maintenance Manual Chapter 3

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

Nursing Facility, ICF/IID, or Non-Institutional Home and Community-Based Waiver ..........71 3.16 QUALIFIED DISABLED WORKING INDIVIDUALS (QDWI).......................................72 3.16.1 THE ASSISTANCE GROUP (AG) ...........................................................................72 3.16.2 THE INCOME GROUP (IG) .....................................................................................72 3.16.2.A Eligible Individual with No Spouse ....................................................................72 3.16.2.B Eligible Spouses ...............................................................................................72 3.16.2.C Eligible Individual with Ineligible Spouse ..........................................................72 3.16.3 THE NEEDS GROUP (NG) .....................................................................................72 3.16.3.A Individual with No Spouse ................................................................................72 3.16.3.B Eligible Spouses ...............................................................................................73 3.16.3.C Eligible Individual with Ineligible Spouse, No Income Deemed .........................73 3.16.3.D Eligible Individual with Ineligible Spouse, Income Deemed ...............................73 3.17 SSI-RELATED MEDICAID AND SSI-RELATED/NON-CASH ASSISTANCE .............74 3.17.1 THE ASSISTANCE GROUP (AG) ...........................................................................74 3.17.1.A Who Must Be Included? ...................................................................................74 3.17.1.B Who Cannot Be Included? ................................................................................74 3.17.2 THE INCOME GROUP (IG) .....................................................................................75 3.17.2.A Adults ...............................................................................................................75 3.17.2.A.1 Individuals with No Spouse ...........................................................................75 3.17.2.A.2 Eligible Spouses – No Medicaid Long Term Care (LTC) Services ................75 3.17.2.A.3 Eligible Individual with Ineligible Spouse – No Medicaid LTC Services .........75 3.17.2.A.4 Eligible Individual – One or Both Spouses Receives Medicaid LTC Services in a Nursing Facility, ICF/IID, or a Home and Community-Based Waiver ...........................75 3.17.2.B Child .................................................................................................................75 3.17.3 THE NEEDS GROUP (NG) .....................................................................................76 3.17.3.A Adult .................................................................................................................76 3.17.3.A.1 Individual with No Spouse .............................................................................76 3.17.3.A.2 Eligible Spouses – No Medicaid LTC Services .............................................76 3.17.3.A.3 Eligible Individual with Ineligible Spouse, No Income Deemed – No Medicaid LTC Services ..................................................................................................................76