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West Virginia Income Maintenance Manual Chapter 3

West Virginia Income Maintenance Manual Page 89 Chapter 3 Eligibility Determination Groups

3.19 FORMER WEST VIRGINIA FOSTER CHILDREN The Affordable Care Act (ACA) established the categorically mandatory coverage group called “Former Foster Children” group. 3.19.1 THE ASSISTANCE GROUP (AG) 3.19.1.A Who Must Be Included? Only a former West Virginia foster child—who was the responsibility of the State and receiving Medicaid on the date he turned 18 years of age, or the date he “aged” out of foster care, up to age 21—is included. 3.19.1.B Who Cannot Be Included? • Individuals 26 years of age or older. • Individuals eligible for the following coverage groups: o Supplemental Security Income (SSI) o Deemed SSI o Parents/Caretaker Relatives o Pregnant Women o Children Under Age 19 3.19.2 THE INCOME GROUP (IG) AND THE NEEDS GROUP (NG) No financial test is required.

NOTE: Individuals eligible for both the Former West Virginia Foster Children group and the Adult group must be enrolled in the Former West Virginia Foster Children group.

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Page 400

Official source

West Virginia Income Maintenance Manual Chapter 3

West Virginia Income Maintenance Manual Page 89 Chapter 3 Eligibility Determination Groups

3.19 FORMER WEST VIRGINIA FOSTER CHILDREN The Affordable Care Act (ACA) established the categorically mandatory coverage group called “Former Foster Children” group. 3.19.1 THE ASSISTANCE GROUP (AG) 3.19.1.A Who Must Be Included? Only a former West Virginia foster child—who was the responsibility of the State and receiving Medicaid on the date he turned 18 years of age, or the date he “aged” out of foster care, up to age 21—is included. 3.19.1.B Who Cannot Be Included? • Individuals 26 years of age or older. • Individuals eligible for the following coverage groups: o Supplemental Security Income (SSI) o Deemed SSI o Parents/Caretaker Relatives o Pregnant Women o Children Under Age 19 3.19.2 THE INCOME GROUP (IG) AND THE NEEDS GROUP (NG) No financial test is required.

NOTE: Individuals eligible for both the Former West Virginia Foster Children group and the Adult group must be enrolled in the Former West Virginia Foster Children group.