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West Virginia Income Maintenance Manual Chapter 1

West Virginia Income Maintenance Manual Page 140 Chapter 1 Application/Redetermination Process

• A statement that the AG(s) will be closed after proper notification, if the redetermination is not completed, and • Instructions for submitting the pre-populated redetermination form online by using WV PATH. A phone number to call is included if the individual has questions about submitting the pre-populated auto-renewal verification checklist online. The client must be given 30 days from the date of the letter to return the information. The information may be submitted by mail, phone, electronically, Internet, or in person. Failure to respond and provide the necessary information will result in closure of the benefit. If the client responds and provides the information within 90 days of the effective date of closure, the agency will determine eligibility in a timely manner without requiring a new application. If the client is found eligible, the coverage must be back dated up to three months. 1.7.7.B Rolling Redeterminations When a change is reported during the certification period which affects eligibility, the DOHS must only request the information on the change reported. A rolling redetermination will be completed for all MAGI Medicaid and WVCHIP AGs only during a 12-month SNAP or TANF review or another MAGI Medicaid or WVCHIP review. The agency must begin a new 12-month certification period for all MAGI Medicaid or WVCHIP AGs in the case. Rolling Redetermination Example: A redetermination for SNAP benefits is completed on May 14, 2014. The original Medicaid certification period is April 1, 2014, through March 31, 2015. After the SNAP redetermination is completed, the Worker finds the information provided is enough to begin a new twelve-month Medicaid certification period. The new Medicaid certification period is renewed from June 1, 2014, through May 31, 2015. When the determination is completed and the individual(s) remains eligible, the new eligibility period must begin the month immediately following the month of redetermination. If the client’s coverage is interrupted due to agency delay or error, procedures for reimbursement of the client’s out-of-pocket expenses may apply. 1.7.8 THE BENEFIT