Page 1899

West Virginia Income Maintenance Manual Chapter 23

West Virginia Income Maintenance Manual Page 57 Chapter 23 Specific Medicaid Requirements

23.12.3.A Medical ID Card Issuance No Medical ID card is issued to those whose sole Medicaid coverage group is QI. The Buy-In Unit is responsible for buying-in to Medicare, Part B, for the client. See Chapter 25 for details. 23.12.3.B Period of Eligibility Eligibility may be backdated up to three months prior to the month of application. When QI eligibility ends, it ends effective the first day of the month following the month in which ineligibility occurs, or whenever the advance notice period ends. 23.12.3.C Reimbursement of Medicare Premium Amount Once the Buy-In Unit includes the QI client in the State Buy-in process, and, thus begins the State's payment of the client's Medicare premium to SSA, SSA refunds all of the Medicare premiums withheld during the time that the State should have paid the premium. Such reimbursement to the client does not affect the client's eligibility. 23.12.3.D Changes in Buy-In Status The eligibility system notifies the Buy-In Unit when the case is closed. 23.12.3.E Nursing Facility Services Nursing facility services are not covered under QI.

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Page 1899

Official source

West Virginia Income Maintenance Manual Chapter 23

West Virginia Income Maintenance Manual Page 57 Chapter 23 Specific Medicaid Requirements

23.12.3.A Medical ID Card Issuance No Medical ID card is issued to those whose sole Medicaid coverage group is QI. The Buy-In Unit is responsible for buying-in to Medicare, Part B, for the client. See Chapter 25 for details. 23.12.3.B Period of Eligibility Eligibility may be backdated up to three months prior to the month of application. When QI eligibility ends, it ends effective the first day of the month following the month in which ineligibility occurs, or whenever the advance notice period ends. 23.12.3.C Reimbursement of Medicare Premium Amount Once the Buy-In Unit includes the QI client in the State Buy-in process, and, thus begins the State's payment of the client's Medicare premium to SSA, SSA refunds all of the Medicare premiums withheld during the time that the State should have paid the premium. Such reimbursement to the client does not affect the client's eligibility. 23.12.3.D Changes in Buy-In Status The eligibility system notifies the Buy-In Unit when the case is closed. 23.12.3.E Nursing Facility Services Nursing facility services are not covered under QI.