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West Virginia Income Maintenance Manual Chapter 8

West Virginia Income Maintenance Manual Page 2 Chapter 8 Resource Development

8.2 RESOURCE DEVELOPMENT AS AN ELIGIBILITY REQUIREMENT It is a condition of eligibility for WV WORKS and some Medicaid coverage groups that clients take necessary steps to develop resources that may be available to them. 8.2.1 CHILD SUPPORT (WV WORKS AND MEDICAID) This includes financial support for WV WORKS. Financial and medical support are among the services provided by the Bureau for Child Support Enforcement (BCSE) free of charge and on a voluntary basis for Medicaid. See Chapter 18 and Chapter 23.3. 8.2.2 ENROLLMENT IN MEDICARE, PART A AND PART B (MEDICAID ONLY) All applicants for and clients of Medicaid, who qualify for Medicare Buy-In, must enroll in Medicare, Parts A and B, unless an exemption to enrollment is met. Exemptions include, but are not limited to: • No established record of birth, or • The individual has other creditable health insurance and will be disadvantaged by Medicare enrollment.

See Section 8.6.2 for Medicare eligibility requirements and Section 25.2 for Medicaid coverage groups subject to Department of Human Services (DOHS) buy-in. Failure, without an exemption, to enroll in Medicare for the Medicaid applicants or clients who qualify for Medicare Buy-In results in denial of Medicaid or exclusion from the Medicaid assistance group (AG). When the individual is the only Medicaid AG member, Medicaid is closed. The individual remains ineligible until he enrolls. For Supplemental Security Income (SSI) recipients not Medicare-enrolled, but who appear eligible, see Section 25.3.2.A. Individuals who meet all other Qualified Medicare Beneficiary (QMB), Supplementary Medical Insurance Benefits (SLIMB), and Qualified Individual (QI-1) eligibility requirements, but who are not yet enrolled in Part B, must be referred to the Bureau for Medical Services (BMS) Medicare Buy-In Unit by sending an email to BMSmedicarebuyin@wv.gov. The message must contain the