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West Virginia Income Maintenance Manual Chapter 23

West Virginia Income Maintenance Manual Page 63 Chapter 23 Specific Medicaid Requirements

PHASE II FIRST MONTH (Total of 7 mos.): Alert that PRL8 due by 21st of month. Send advance notice to terminate TM if completed form is not received. SECOND MONTH (Total of 8 mos.): No action necessary. Phase II termination if PRL8 not received and good cause not established. THIRD MONTH (Total of 9 mos.): PRL9 mailed to client on 25th of month. Due by 21st of fourth month. FOURTH MONTH (Total of 10 mos.) Alert that PRL9 is due by 21st of month. Send advance notice to terminate TM if completed form is not received. FIFTH MONTH (Total of 11 mos.): No action necessary. Phase II termination if PRL9 not received and good cause not established. SIXTH MONTH (Total of 12 mos.): Alert that Phase II, TM is ending. Benefits automatically terminate. Determine eligibility under other Medicaid coverage groups.

NOTE: There is no provision to discontinue Phase I for failure to continue working. NOTE: Failure (without good cause) to return completed PRL3 by due date results in ineligibility for Phase II. No effect on Phase I.