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West Virginia Income Maintenance Manual Chapter 10

West Virginia Income Maintenance Manual Page 64 Chapter 10 The Case Maintenance Process

10.14 SSI RECIPIENTS AND DEEMED SSI RECIPIENTS 10.14.1 AG CLOSURE The Worker closes the Supplemental Security Insurance (SSI) Medicaid assistance group (AG) after advance notice when: • The Worker receives a system alert and determines the individual is no longer eligible for SSI Medicaid. • The Worker receives information from the Bureau for Medical Services (BMS) Buy-in Unit. • The Worker receives information the client moved to another state. o If the Worker receives information the client moved to another state and he has not received an alert, the Worker must notify the Social Security Administration (SSA) of the new address and indicate the Medicaid AG is being closed because the individual moved to another state. • The Worker obtains information the client receives Medicaid in another state. • The client reports, prior to Worker’s receipt of system alert, he no longer receives an SSI payment because SSA determined he is no longer eligible. This does not include a temporary suspension of SSI payments to recover an overpayment. • Information from Social Security’s State On-line Query (SOLQ) shows the individual’s SSI payment was terminated. • The individual is eligible to enroll in Medicare and fails to do so. When the closure of SSI Medicaid is for a reason other than a move to another state or death, the Worker must evaluate the individual for all other Medicaid coverage groups, including Deemed SSI Medicaid coverage and Medicare Premium Assistance. 10.14.2 SPECIAL PROCEDURE: CONTINUED MEDICAID Note: A child under age 19 is eligible for 12 months continuous eligibility per IMM 10.6.