Page 169

West Virginia Income Maintenance Manual Chapter 1

West Virginia Income Maintenance Manual Page 136 Chapter 1 Application/Redetermination Process

Cases that meet spenddown should be entered in the eligibility system in the 30-day application period. 1.6.11.E Death of the Only Individual Prior to Application or Approval Death of an individual does not interfere with approval of a Medicaid application. If an application is made prior to an individual's death, the application is processed as usual and approved, if eligible. This item outlines the special procedures that the Worker must follow in the application process and at approval when the only member of a Medicaid AG dies prior to making an application. 1.6.11.E.1 Who Must Sign the Application? If another individual makes the application on behalf of the deceased person, it is preferable that the person be a relative, but any other individual who is interested may make the application. The Worker must obtain as much information as possible about the deceased person’s income and assets, but routine verification is not required. 1.6.11.E.2 MRT Referral It is not necessary to refer the case to MRT when the deceased person’s disability resulted in his death. However, a MRT referral may be necessary to establish blindness or disability when there is a request for Medicaid coverage for a month(s) prior to the person's death and such blindness or disability was not the cause of death, or the Worker is unable to determine if the blindness or disability existed during the month(s). All other policies and procedures related to disability coverage groups apply.

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Page 169

Official source

West Virginia Income Maintenance Manual Chapter 1

West Virginia Income Maintenance Manual Page 136 Chapter 1 Application/Redetermination Process

Cases that meet spenddown should be entered in the eligibility system in the 30-day application period. 1.6.11.E Death of the Only Individual Prior to Application or Approval Death of an individual does not interfere with approval of a Medicaid application. If an application is made prior to an individual's death, the application is processed as usual and approved, if eligible. This item outlines the special procedures that the Worker must follow in the application process and at approval when the only member of a Medicaid AG dies prior to making an application. 1.6.11.E.1 Who Must Sign the Application? If another individual makes the application on behalf of the deceased person, it is preferable that the person be a relative, but any other individual who is interested may make the application. The Worker must obtain as much information as possible about the deceased person’s income and assets, but routine verification is not required. 1.6.11.E.2 MRT Referral It is not necessary to refer the case to MRT when the deceased person’s disability resulted in his death. However, a MRT referral may be necessary to establish blindness or disability when there is a request for Medicaid coverage for a month(s) prior to the person's death and such blindness or disability was not the cause of death, or the Worker is unable to determine if the blindness or disability existed during the month(s). All other policies and procedures related to disability coverage groups apply.