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West Virginia Income Maintenance Manual Chapter 23

West Virginia Income Maintenance Manual Page 43 Chapter 23 Specific Medicaid Requirements

23.11.2.D Pass-Throughs Income Assets SSI Payment Level $2,000 Former SSI recipients who meet all of the following conditions are eligible for Medicaid: • In August 1972, the individual was entitled to Retirement, Survivors, and Disability Insurance (RSDI) benefits. • The individual would currently be eligible for SSI except that the increase in RSDI benefits that occurred on July 1, 1972, under Public Law 92-336, raised his income over the limit allowed under the SSI Program. The central Buy-In Unit in BMS is responsible for identifying Pass-Through cases and for taking action necessary to continue Medicaid coverage for them. Refer to Chapter 25 for a more complete explanation of the Buy-In Unit's responsibilities. If a Pass-Through case is not enrolled in Medicare, the Buy-In Unit notifies the Worker to refer the client to SSA for Medicare enrollment. The Worker accomplishes the referral using an SSA-1610, Public Assistance Agency Information Request and Report, with the following notation in red in the top right-hand corner of the form: "Referral for Medicare Enrollment - Buy-In." It is possible that the Buy-In Unit will not identify a case that could be a Pass-Through case. When this happens, the Worker notifies the Buy-In Unit. 23.11.2.E Pickle Amendment Coverage (PAC) Income Assets SSI Payment Level $2,000 Individual $3000 Couple An individual is eligible for Medicaid coverage under Pickle Amendment Coverage (PAC) if all of the following conditions are met: • He was eligible for and received RSDI and SSI at the same time, for at least one month after April 1977.