Review Process

WHM cases are reviewed for continuing eligibility one year after approval by the date of application.

Gateway sends the A/R a cover letter informing the member of her review.

Since there are some manual components to the WHM review, DFCS sends a review that includes the WHM Physician’s Statement of Treatment form and Verification Checklist for proof of income.

The member is given 30 days to return her information to DFCS.

Once the information is returned, DFCS completes the eligibility review.