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West Virginia Income Maintenance Manual Chapter 1

West Virginia Income Maintenance Manual Page 127 Chapter 1 Application/Redetermination Process

• Date medical bills submitted by the client were received in the local office. • Date medical expenses were added to the eligibility system. • The result of each 30-day review found on comments (instructions in item 2 below). • All actions related to the MRT process, when applicable, which include, but are not limited to: o Date initial medical reports are requested o Date of follow-up activity required to obtain initial reports o Date medical reports are received in the county office o Date additional medical information, as indicated on the initial medical report or as requested by MRT, is requested o Date of follow-up activity required to obtain the additional medical information o Date additional medical reports are received in the county office o Date material is referred to MRT o Date the Worker is notified of the final MRT decision. This information appears in the eligibility system. 1.6.6.A.2 Procedure for Review of Pending Applications Applications that have not been entered in the eligibility system must be reviewed at least every 30 days. The county office must establish procedures to ensure that each pending application is reviewed a minimum of once every 30 days. The results of the review must be documented in the case record. Comments must document the reason the application has not been acted on. • If this reason is not beyond the control of the Department, the Worker must immediately take any actions are necessary to process the application. • If the application has not been acted on within the required time limit due to missing information from the applicant, the Worker must send a DFA-20 or eligibility system notice NMRL to the applicant informing him of the information which has not been received by the Department. The DFA-20 or NMRL is sent to the applicant at the time of the expiration of the maximum allowable time for acting on the application. 1.6.7 EXPEDITED PROCESSING