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West Virginia Income Maintenance Manual Chapter 1

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

1.6.6.A.1 Instructions for Documentation for Pending Medicaid Applications ............. 126 1.6.6.A.2 Procedure for Review of Pending Applications ........................................... 127 1.6.7 EXPEDITED PROCESSING ................................................................................. 127 1.6.8 ELIGIBILITY SYSTEM ACTION ............................................................................ 128 1.6.9 CLIENT NOTIFICATION ....................................................................................... 129 1.6.10 REPAYMENT AND PENALTIES ........................................................................... 129 1.6.11 SPECIAL SITUATIONS ......................................................................................... 129 1.6.11.A Coordination between DOHS and the Federally Facilitated Marketplace ........ 129 1.6.11.A.1 Applications Taken by the Marketplace .................................................... 130 1.6.11.A.2 Applications Taken by DOHS ................................................................... 132 1.6.11.A.3 Coordination between DOHS and the Marketplace Involving Appeals ...... 133 1.6.11.B Presumptive Eligibility .................................................................................... 134 1.6.11.C Changing Coverage Groups and Redetermination Period .............................. 135 1.6.11.D Spenddown .................................................................................................... 135 1.6.11.E Death of the Only Individual Prior to Application or Approval .......................... 136 1.6.11.E.1 Who Must Sign the Application? ............................................................... 136 1.6.11.E.2 MRT Referral ............................................................................................ 136 1.7 MAGI CHILDREN UNDER AGE 19 ............................................................................. 137 1.7.1 WHO CAN BE INCLUDED ON THE SAME APPLICATION? ................................. 137 1.7.2 WHO MUST SIGN? ............................................................................................... 138 1.7.3 CONTENT OF THE INTERVIEW .......................................................................... 138 1.7.4 AGENCY TIME LIMITS ......................................................................................... 138 1.7.5 PAYEE .................................................................................................................. 139 1.7.6 BEGINNING DATE OF ELIGIBILITY ..................................................................... 139 1.7.7 REDETERMINATION ............................................................................................ 139 1.7.7.A Redetermination Process ............................................................................... 139 1.7.7.B Rolling Redeterminations ............................................................................... 140 1.7.8 THE BENEFIT ....................................................................................................... 140 1.7.8.A Ongoing Benefits ............................................................................................ 141