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West Virginia Income Maintenance Manual Chapter 1

West Virginia Income Maintenance Manual Page 145 Chapter 1 Application/Redetermination Process

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. 1.8.7 THE BENEFIT 1.8.7.A Ongoing Benefits Effective December 21, 2017 there was a change in the way Medical ID cards are issued. Instead of the separate blue paper card, the Medical ID card is now included in all Medicaid approval notices. The Medical ID card does not include any date parameters since eligibility may terminate. Medicaid recipients will receive one Medical ID card per case each time there is an approval or renewal for Medicaid for any household member. In situations where retroactive eligibility is established, the Medicaid coverage will be validated appropriately for each back-dated month. 1.8.7.B Ending Date of Eligibility The ending date of eligibility is the last day of the month of the effective date of closure. 1.8.7.C Medical Frailty Clients in the Adult Group self-attested as medically frail are eligible for either of the following Benefit Packages: • Traditional Medicaid Benefit Package • Alternative Benefit Package If an individual attests they are medically frail, such as having a physical, mental or emotional health condition or a chronic substance abuse, physical, behavior, intellectual or developmental condition in which assistance is needed, the client is placed in the Traditional Benefit Package. Should the client contact the Department and opt to enroll in the Alternative Benefit Package the