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West Virginia Income Maintenance Manual Chapter 10

West Virginia Income Maintenance Manual Page 47 Chapter 10 The Case Maintenance Process

The case name may be changed at the request of the individuals involved or when a change in circumstances requires it. In such cases, the new payee must complete and sign a new application unless his signature is on the most recent application. If the client's name changes, no new application is necessary. For Qualified Medicare Beneficiaries (QMB), Specified Low-Income Beneficiaries (SLIMB), or Qualified Individuals (QI-1), a new application must be signed by the spouse, if he becomes eligible, even though he will be added to the existing case. 10.6.4.B Change of Address The Worker makes a change of address in the eligibility system as soon as the client reports it. Any other changes that the client reports, in addition to the address change, are also acted on at the same time when notice requirements permit. Also see 10.2.1.B.2 Closure Due to Loss of Contact. 10.6.4.C Change in the AG, NG, or IG When there is an addition to, or a deletion from, the AG, needs group (NG), and/or income group (IG), individual eligibility for each member must be reevaluated. See Chapters 3 and 4. This change(s) may require eligibility system action. When a family reports that a child is born or a child moves into the home and there is an existing Medicaid or West Virginia Children's Health Insurance Program (WVCHIP) AG, the Worker must evaluate the child’s eligibility for all coverage groups and WVCHIP without requiring an application. The Worker may obtain information to evaluate the child’s eligibility from the FDH, existing case information, or a phone contact. After these methods are exhausted, the Worker may request information using a verification checklist or DFA-6. For special requirements relating to Continuously Eligible Newborn (CEN) children, see Section 10.10.