Page 360

West Virginia Income Maintenance Manual Chapter 3

West Virginia Income Maintenance Manual Page 49 Chapter 3 Eligibility Determination Groups

3.6 CHILDREN UNDER AGE 19 MEDICAID The Affordable Care Act (ACA) simplified eligibility categories by combining certain existing mandatory and optional eligibility groups. The Children Under Age 19 coverage group combines coverage for children in the former Aid to Families with Dependent Children (AFDC) Medicaid, Qualified Child, and Poverty-Level Children coverage groups. 3.6.1 ASSISTANCE GROUP Only the child under age 19 is included. 3.6.2 THE MODIFIED ADJUSTED GROSS INCOME (MAGI) HOUSEHOLD INCOME GROUP (IG) AND NEEDS GROUP (NG) The methodology for determining the MAGI household’s IG and NG is the same as found in Section 3.7.

NOTE: If the child is ineligible for this coverage group, he should be evaluated for West Virginia Children’s Health Insurance Program (WVCHIP) eligibility. WVCHIP uses the same eligibility groups as those used for Children under Age 19, except that a pregnant woman is counted as herself, plus the number of unborn children she is expected to deliver. See Chapter 22.

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Page 360

Official source

West Virginia Income Maintenance Manual Chapter 3

West Virginia Income Maintenance Manual Page 49 Chapter 3 Eligibility Determination Groups

3.6 CHILDREN UNDER AGE 19 MEDICAID The Affordable Care Act (ACA) simplified eligibility categories by combining certain existing mandatory and optional eligibility groups. The Children Under Age 19 coverage group combines coverage for children in the former Aid to Families with Dependent Children (AFDC) Medicaid, Qualified Child, and Poverty-Level Children coverage groups. 3.6.1 ASSISTANCE GROUP Only the child under age 19 is included. 3.6.2 THE MODIFIED ADJUSTED GROSS INCOME (MAGI) HOUSEHOLD INCOME GROUP (IG) AND NEEDS GROUP (NG) The methodology for determining the MAGI household’s IG and NG is the same as found in Section 3.7.

NOTE: If the child is ineligible for this coverage group, he should be evaluated for West Virginia Children’s Health Insurance Program (WVCHIP) eligibility. WVCHIP uses the same eligibility groups as those used for Children under Age 19, except that a pregnant woman is counted as herself, plus the number of unborn children she is expected to deliver. See Chapter 22.