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West Virginia Income Maintenance Manual Chapter 23

West Virginia Income Maintenance Manual Page 6 Chapter 23 Specific Medicaid Requirements

23.4 DATA SYSTEM INTERACTION When health insurance information is entered by BCSE, the eligibility system alerts the Worker. Bureau for Child Support Enforcement (BCSE) and Bureau for Medical Services (BMS) data systems do not interface. The Worker must enter the health insurance information on the eligibility system, which will interface with BMS. BMS must verify health insurance with the carrier before entering it in the BMS Third-Party Liability (TPL) data system. The eligibility system notifies the Worker when BMS updates TPL information, when there is an insurance carrier or policy number mismatch, or when the TPL information is not verified. If the Worker has any information that conflicts with the BMS-verified information, he must provide the information to the BMS TPL Unit by email or fax so that BMS can resolve any discrepancy. This ensures accurate information is entered in both data systems.