West Virginia Application for Presumptive Eligibility for Medicaid

State:
Multi-State
Control #:
US-0538BG
Format:
PDF
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Description

Use this form to find out quickly if you qualify for presumptive eligibility for Medicaid. Presumptive eligibility offers you and your family immediate access to health care while you apply for regular Medicaid or other health coverage.
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How to fill out Application For Presumptive Eligibility For Medicaid?

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FAQ

Under the expanded eligibility guidelines, adults age 19-64 are eligible for Medicaid with a household income up to 138% of the poverty level. For a single adult in 2023, that amounts to $20,120 in total annual income.

Adults ages 19 to 64. Medicaid eligibility is determined based on income and other factors, depending on your eligibility category. Eligibility is determined by West Virginia Department of Health and Human Resources (DHHR) workers in county offices.

Prior authorization is required for certain Medicaid services and supplies, like home-based care or durable medical equipment (DME).

Parents of Dependent Children: Eligibility levels for parents are presented as a percentage of the 2023 FPL for a family of three, which is $24,860. Other Adults: Eligibility limits for other adults are presented as a percentage of the 2023 FPL for an individual, which is $14,580.

Under the expanded eligibility guidelines, adults age 19-64 are eligible for Medicaid with a household income up to 138% of the poverty level. For a single adult in 2023, that amounts to $20,120 in total annual income.

Income & Asset Limits for Eligibility 2023 West Virginia Medicaid Long-Term Care Eligibility for SeniorsType of MedicaidSingleMarried (one spouse applying)Medicaid Waivers / Home and Community Based Services$2,742 / month$2,742 / month for applicantRegular Medicaid / Aged, Blind or Disabled$914 / month$1,371 / month2 more rows ?

Exemptions include personal belongings, household goods / furnishings, an automobile, life insurance policies (up to a combined face value of $1,500), burial plots, burial funds (up to $1,500), a non-applicant spouse's IRA / 401K, and generally one's primary home.

Who is eligible for West Virginia Medicaid? Household Size*Maximum Income Level (Per Year)2$26,2283$33,0644$39,9005$46,7374 more rows

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West Virginia Application for Presumptive Eligibility for Medicaid