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West Virginia Income Maintenance Manual Chapter 24
West Virginia Income Maintenance Manual Page i Chapter 24 Long Term Care
Chapter 24 Long Term Care Table of Contents 24.1 INTRODUCTION ......................................................................................................... 1 24.1.1 INFORMATION PROVIDED TO THE CLIENT ......................................................... 2 24.1.2 INQUIRIES FROM PROVIDERS AND STAFF ......................................................... 2 24.2 VERIFICATION ........................................................................................................... 3 24.3 RESOURCE DEVELOPMENT ..................................................................................... 4 NURSING FACILITY SERVICES ............................................................................................... 5 24.4 APPLICATION/REDETERMINATION ......................................................................... 5 24.4.1 THE APPLICATION PROCESS ............................................................................... 5 24.4.1.A QMB Clients ...................................................................................................... 5 24.4.1.B Full Coverage Medicaid Clients ......................................................................... 5 24.4.1.B.1 Application Form ......................................................................................... 6 24.4.1.B.2 Date of Application ...................................................................................... 6 24.4.1.B.3 SSI and Deemed SSI .................................................................................. 6 24.4.1.C Nursing Facility Coverage Group and SSI-Related/Monthly Spenddown Group 7 24.4.1.C.1 Application Forms ....................................................................................... 7 24.4.1.C.2 Complete Application .................................................................................. 7 24.4.1.C.3 Date of Application ...................................................................................... 7 24.4.1.C.4 Interview Required ...................................................................................... 8 24.4.1.C.5 Who Must Sign ............................................................................................ 8 24.4.1.C.6 Agency Time Limits ..................................................................................... 9 24.4.1.C.7 Agency Delays ............................................................................................ 9 24.4.1.C.8 Payee .........................................................................................................10 24.4.1.C.9 Repayment and Penalties ..........................................................................10 24.4.1.C.10 Beginning Date of Eligibility ......................................................................10 24.4.1.C.11 The Benefit ...............................................................................................11 24.4.2 REDETERMINATION PROCESS............................................................................12