Terms Used In West Virginia Code > Chapter 9 > Article 4D - Medicaid Buy-In Program

• Approved accounts: means any retirement account that the secretary has determined is not to be included as an asset in determining the eligibility of an individual for participation in the buy-in program. See West Virginia Code 9-4D-2
• Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
• Assistance: means the three classes of assistance, namely: Federal-state assistance, federal assistance and state assistance. See West Virginia Code 9-1-2
• Basic coverage group: means an optional coverage group as defined by the Ticket to Work and Work Incentives Improvement Act of 1999. See West Virginia Code 9-4D-2
• Countable income: means income that does not exceed two hundred fifty percent of the federal poverty level: Provided, That for purposes of this article, countable income does not include:

  (A) The income of the individual'. See West Virginia Code 9-4D-2

• Countable resources: includes earned and unearned income: Provided, That countable resources do not include:

  (A) Liquid assets of up to $5,000 for an individual. See West Virginia Code 9-4D-2

• Department: means the Department of Health and Human Resources. See West Virginia Code 9-4D-2
• Dependent: A person dependent for support upon another.
• Disability: means a medically determinable physical or mental condition that:

  (A) Can be expected to result in death or has lasted, or can be expected to last, for a continuous period of not less than twelve months. See West Virginia Code 9-4D-2

• Eligible buy-in participant: means an individual who:

  (A) Is a resident of the State of West Virginia. See West Virginia Code 9-4D-2

• Enrollment fee: means a one-time fee to participate in the Medicaid buy-in program. See West Virginia Code 9-4D-2
• Entitlement: A Federal program or provision of law that requires payments to any person or unit of government that meets the eligibility criteria established by law. Entitlements constitute a binding obligation on the part of the Federal Government, and eligible recipients have legal recourse if the obligation is not fulfilled. Social Security and veterans' compensation and pensions are examples of entitlement programs.
• Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
• Federal assistance: means and includes all forms of aid, care, assistance and services to or on behalf of persons, which are authorized by, and who are authorized to receive the same under and by virtue of, any act of Congress for distribution through the state division of human services or the Department of Human Services, the cost of which is paid entirely out of federal appropriations. See West Virginia Code 9-1-2
• Federal poverty level: means the level of personal or family income below which one is classified as poor according to federal governmental standards, commonly referred to as the federal poverty guidelines which are issued and printed each year in the federal register. See West Virginia Code 9-4D-2
• Income: means money earned from employment wages or self-employment earnings and unearned money received from any other source. See West Virginia Code 9-4D-2
• Premium: is a monthly fee paid by an eligible buy-in participant to continue participation in the program. See West Virginia Code 9-4D-2
• Secretary: means the secretary of the Department of Health and Human Resources: Provided, That beginning January 1, 2024, "secretary" means the secretary of the Department of Human Services. See West Virginia Code 9-1-2
• Services: means nursing facility services, home and community-based services, and related hospital and prescription drug services for which an individual received Medicaid medical assistance. See West Virginia Code 9-1-2