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West Virginia Income Maintenance Manual Chapter 24

West Virginia Income Maintenance Manual Page vii Chapter 24 Long Term Care

24.20 ASSETS .....................................................................................................................99 24.21 NOTIFICATION ........................................................................................................ 100 24.22 CASE MAINTENANCE............................................................................................. 101 24.22.1 FACILITY TRANSFER ....................................................................................... 101 24.22.2 CHANGES IN INCOME ..................................................................................... 101 24.23 BENEFIT REPAYMENT ........................................................................................... 102 24.23.1 CLIENT REPAYMENT ....................................................................................... 102 24.23.2 PROVIDER FRAUD ........................................................................................... 102 24.23.3 ESTATE RECOVERY ........................................................................................ 102 24.24 ESTABLISHING MEDICAL NECESSITY ................................................................. 103 24.25 SPECIAL ELIGIBILITY SYSTEM INSTRUCTIONS .................................................. 104 24.26 MANAGEMENT OF THE PERSONAL NEEDS ALLOWANCE ................................ 105 24.27 BILLING PROCEDURES AND PAYMENT AMOUNTS ............................................ 106 COMMON WAIVER INFORMATION FOR AGED AND DISABLED WAIVER (ADW), INTELLECTUAL AND DEVELOPMENTAL DISABILITIES (I/DD) WAIVER, CHILDREN WITH SERIOUS EMOTIONAL DISORDER (CSED) WAIVER, AND TRAUMATIC BRAIN INJURY WAIVER (TBI) ........................................................................................................................ 107 24.28 COMMON ELIGIBILITY REQUIREMENTS .............................................................. 107 24.29 ELIGIBILITY DETERMINATION GROUPS .............................................................. 108 24.29.1 THE ASSISTANCE GROUP (AG) ...................................................................... 108 24.29.2 THE INCOME GROUP (IG) ............................................................................... 108 24.29.3 THE NEEDS GROUP (NG) ................................................................................ 108 24.29.4 CASE COMPOSITION ....................................................................................... 108 24.30 INCOME ................................................................................................................... 109 24.31 ASSETS ................................................................................................................... 110 24.31.1 TRANSFER OF RESOURCES PENALTY ......................................................... 110 24.31.2 TRANSFER OF RESOURCES PENALTY PERIOD ........................................... 111 24.31.2.A Asset Transfer Examples ............................................................................ 111 24.32 BENEFIT REPAYMENT ........................................................................................... 114 24.32.1 CLIENT REPAYMENT ....................................................................................... 114