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The worker must: Document the denial and the reason for it in the case record. Assure substantiation of ineligibility is included in the case record. Example: If the individual is ineligible due to excess income, the case record must include verification of the income and the calculations used to determine ineligibility. Evaluate retro and ongoing Medicaid eligibility based on the Medicaid Manual. If eligible for Medicaid Document the approval in the case record assuring that each eligibility factor is addressed. Assure that all supporting verifications are in the case record. Enroll the individual for Medicaid using the VaCMS system. If ineligible for Medicaid Document the denial and the reason for it in the case record. Assure substantiation of ineligibility is included in the case record. Example: If the individual is ineligible due to excess income, the case record must include verification of the income and the calculations used to determine ineligibility. Send a Notice of Action (for AG) to the individual and his representative to notify them of the AG and the Medicaid denial or approval. State the reason the AG and Medicaid applications were denied and cite the appropriate AG and Medicaid manual references. If the application is denied due to the implementation of a period of ineligibility due to an uncompensated transfer of resources, a Transfer of Resources notice must be sent with the Notice of Action.