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West Virginia Income Maintenance Manual Chapter 1

West Virginia Income Maintenance Manual Page 155 Chapter 1 Application/Redetermination Process

1.11.3 BEGINNING DATE OF ELIGIBILITY Eligibility begins the first day of the month in which eligibility is established. However, eligibility may be backdated up to three months prior to the month of the application, when the client met all eligibility requirements in the prior month(s). When the client is eligible for backdated coverage, the system must be coded with the month, year on which the backdated period begins. This date is always the first day of the month of backdated coverage. 1.11.4 CLIENT NOTIFICATION The client must be informed that he is eligible for Medicaid coverage and the date that his coverage begins. See Chapter 9. 1.11.5 REDETERMINATION 1.11.5.A Redetermination Schedule Cases are normally redetermined annually. The redetermination schedule is set automatically by the eligibility system. Redeterminations occur annually. When possible, the redetermination process is completed automatically using electronic data matches without requiring information from the client. This redetermination process is initiated by the eligibility system, which matches current information with the hub. If determined eligible after completing the redetermination process, the Department will notify the client. The notice will identify information used to determine eligibility. If the customer agrees with the information, no further action is required. If the client does not agree, he is to report the information that does not match the circumstances.