Page 1887

West Virginia Income Maintenance Manual Chapter 23

West Virginia Income Maintenance Manual Page 45 Chapter 23 Specific Medicaid Requirements

23.11.2.F Disabled Widows and Widowers Income Assets N/A $2,000 A widow or widower who loses SSI benefits when RSDI benefits begin is eligible for Medicaid when all of the following conditions are met: • The client is a widow or widower who is at least age 50, but not age 65; • He is no longer eligible to receive SSI benefits due to receipt of RSDI; • He is receiving RSDI as an eligible widow/widower or is receiving any other type of RSDI benefits, but is also otherwise eligible for widow/widower benefits; • He would be eligible for SSI benefits were it not for the receipt of RSDI; • He received SSI benefits in the month prior to the first month of RSDI benefits; and, • He is not entitled to Medicare, Part A. The widow/widower remains eligible until entitled to Medicare, Part A. Eligibility is determined by SSA and communicated to the Department through data exchange. The client must not be required to apply for this coverage group. The Worker's only eligibility responsibility is to verify entitlement to Medicare, Part A.

NOTE: The Worker may discover other widows/widowers in his caseload that are eligible in this category but who do not meet the requirements listed above. These are widows/ widowers who lost SSI eligibility due to changes in the SSA reduction formula as part of the Social Security Amendments of 1983. Intake for this second group of widows/widowers ended 7-1-88. These individuals are eligible as long they reside in West Virginia.

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Page 1887

Official source

West Virginia Income Maintenance Manual Chapter 23

West Virginia Income Maintenance Manual Page 45 Chapter 23 Specific Medicaid Requirements

23.11.2.F Disabled Widows and Widowers Income Assets N/A $2,000 A widow or widower who loses SSI benefits when RSDI benefits begin is eligible for Medicaid when all of the following conditions are met: • The client is a widow or widower who is at least age 50, but not age 65; • He is no longer eligible to receive SSI benefits due to receipt of RSDI; • He is receiving RSDI as an eligible widow/widower or is receiving any other type of RSDI benefits, but is also otherwise eligible for widow/widower benefits; • He would be eligible for SSI benefits were it not for the receipt of RSDI; • He received SSI benefits in the month prior to the first month of RSDI benefits; and, • He is not entitled to Medicare, Part A. The widow/widower remains eligible until entitled to Medicare, Part A. Eligibility is determined by SSA and communicated to the Department through data exchange. The client must not be required to apply for this coverage group. The Worker's only eligibility responsibility is to verify entitlement to Medicare, Part A.

NOTE: The Worker may discover other widows/widowers in his caseload that are eligible in this category but who do not meet the requirements listed above. These are widows/ widowers who lost SSI eligibility due to changes in the SSA reduction formula as part of the Social Security Amendments of 1983. Intake for this second group of widows/widowers ended 7-1-88. These individuals are eligible as long they reside in West Virginia.