Page 380

West Virginia Income Maintenance Manual Chapter 3

West Virginia Income Maintenance Manual Page 69 Chapter 3 Eligibility Determination Groups

3.15 QMB, SLIMB, AND QI-1 3.15.1 THE ASSISTANCE GROUP (AG) When eligible spouses are both members of the AG, they must receive the same level of coverage, QMB, SLIMB, or QI-1. 3.15.1.A Who Must Be Included? Only the individual or spouses who are eligible for QMB, SLIMB, or QI-1 are included in the AG. 3.15.2 THE INCOME GROUP (IG) 3.15.2.A Eligible Individual with No Spouse Count only the individual’s income. 3.15.2.B Eligible Spouses – No Medicaid Long Term Care (LTC) Services Count the income of both individuals. 3.15.2.C Eligible Individual with Ineligible Spouse – No Medicaid LTC Services Consider the income of the ineligible spouse to determine if it must be deemed. See Chapter 4 for how to determine if the spouse's income is deemed.

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Page 380

Official source

West Virginia Income Maintenance Manual Chapter 3

West Virginia Income Maintenance Manual Page 69 Chapter 3 Eligibility Determination Groups

3.15 QMB, SLIMB, AND QI-1 3.15.1 THE ASSISTANCE GROUP (AG) When eligible spouses are both members of the AG, they must receive the same level of coverage, QMB, SLIMB, or QI-1. 3.15.1.A Who Must Be Included? Only the individual or spouses who are eligible for QMB, SLIMB, or QI-1 are included in the AG. 3.15.2 THE INCOME GROUP (IG) 3.15.2.A Eligible Individual with No Spouse Count only the individual’s income. 3.15.2.B Eligible Spouses – No Medicaid Long Term Care (LTC) Services Count the income of both individuals. 3.15.2.C Eligible Individual with Ineligible Spouse – No Medicaid LTC Services Consider the income of the ineligible spouse to determine if it must be deemed. See Chapter 4 for how to determine if the spouse's income is deemed.