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West Virginia Income Maintenance Manual Chapter 1

West Virginia Income Maintenance Manual Page iii Chapter 1 Application/Redetermination Process

1.2.12.B.2 Applications Requested by Telephone .......................................................31 1.2.12.B.3 Applications Submitted by WV PATH .........................................................31 1.2.12.C Communication with the Social Security Administration (SSA) .........................31 1.2.12.D Sexual Harassment and Domestic Violence, Sexual Assault, and Stalking ......31 1.2.12.E Applications Submitted from the WV Division of Corrections (DOC) or Regional Jail Authority (RJA) ............................................................................................................32 1.3 APPLICATION FORMS .................................................................................................34 1.3.1 COMMON APPLICATION FORMS .........................................................................34 1.3.1.A Application for Benefits DFA-2..........................................................................34 1.3.1.A.1 Purpose ........................................................................................................34 1.3.1.A.2 Submission Format ......................................................................................35 1.3.1.A.3 Related Forms ..............................................................................................35 1.3.1.B WV PATH Application ......................................................................................36 1.3.1.B.1 Purpose ........................................................................................................36 1.3.1.B.2 Submission Format ......................................................................................37 1.3.2 SNAP ONLY APPLICATION FORM DFA-SNAP-1 ..................................................37 1.3.3 WV WORKS ONLY DFA-RFA-1 ..............................................................................37 1.3.4 MEDICAID APPLICATION FORMS .........................................................................38 1.3.4.A Single Streamlined Application (SLA), DFA-SLA-1, DFA-SLA-2 .......................38 1.3.4.A.1 Purpose ........................................................................................................38 1.3.4.A.2 Submission Format ......................................................................................39 1.3.4.A.3 Related Forms ..............................................................................................39 1.3.4.B Medical Assistance Application DFA-MA-1 .......................................................39 1.3.4.C QMB/SLIMB/QI-1 Application DFA-QSQ-1 .......................................................39 1.3.5 OTHER PROGRAMS ..............................................................................................40 1.4 SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) ..............................42 1.4.1 APPLICATION PROCESS ......................................................................................42 1.4.1.A Failure to Provide Requested Verifications .......................................................43 1.4.1.B Categorically Eligible AGs ................................................................................44 1.4.1.C SNAP Work Requirement Penalty Expires .......................................................45