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West Virginia Income Maintenance Manual Chapter 1

West Virginia Income Maintenance Manual Page 144 Chapter 1 Application/Redetermination Process

• A statement that the AG(s) for the individual(s) listed is due for redetermination; • The address to which the form is returned, if submitted by mail; • The date by which the information must be submitted; • Specific information necessary to complete the redetermination; • The opportunity to report changes; • A statement that the AG may receive a verification checklist for completion and return, if reported changes require follow-up; • 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 redetermination form 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 benefits.

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 3 months. 1.8.6.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 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 from June 1, 2014, through May 31, 2015. When the redetermination is completed and the individual(s) remains eligible, the new eligibility period must begin the month immediately following the month of redetermination.