Important Changes Coming to WV Medicaid & CHIP Eligibility Review/Renewal

Adapted from the Centers for Medicare & Medicaid Services

Do you or a family member currently have health coverage through Medicaid or the Children’s Health Insurance Program (CHIP)? If so, you may soon need to take steps to prove eligibility so that you can continue your coverage. During the COVID-19 pandemic, Medicaid and CHIP eligibility reviews were halted so that recipients did not lose their health insurance coverage. Soon, states will resume their normal eligibility review procedures.

To avoid gaps in coverage, here are some things you can do to prepare:

  • Make sure your address is up to date

Make sure the WV DHHD  has your current mailing address, phone number, email, or other contact information. This way, they’ll be able to contact you about your Medicaid or CHIP coverage. To check your contact information, go to WVpath.org or call WV DHHR Customer Service Center at 1-877-716-1212 or email dhhrbcfchangectr@wv.gov.

  • Check your mail

The state will mail you a letter about your Medicaid or CHIP coverage. This letter will also let you know if you need to complete a renewal form to see if you still qualify for Medicaid or CHIP. If you get a renewal form, fill it out and return it to the state right away. This may help you avoid a gap in your coverage.

What if you no longer qualify for Medicaid or CHIP?

For some individuals, an eligibility review could prove that you no longer qualify for Medicaid or CHIP programs. If that’s the case, you may be eligible to buy a health plan through the Health Insurance Marketplace, and get help paying for it. Marketplace plans are:

  • Affordable. 4 out of 5 enrollees can find plans that cost less than $10 a month.
  • Comprehensive. Most plans cover things like prescription drugs, doctor visits, urgent care, hospital visits, and more.

Visit HealthCare.gov to find Marketplace plans and see if you might save on premiums. When you apply, don’t forget to include current information about your household, income, and your state’s recent decision about your Medicaid or CHIP coverage.

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