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West Virginia Income Maintenance Manual Chapter 24

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

24.32.2 PROVIDER FRAUD ........................................................................................... 114 24.32.3 ESTATE RECOVERY ........................................................................................ 114 24.33 SPECIAL ELIGIBILITY SYSTEM INSTRUCTIONS .................................................. 115 24.33.1 CURRENT SSI AND DEEMED SSI RECIPIENTS ............................................. 115 24.33.2 ALL OTHERS .................................................................................................... 115 24.34 MANAGEMENT OF THE PERSONAL NEEDS ALLOWANCE ................................ 116 24.35 BILLING PROCEDURES AND PAYMENT AMOUNTS ............................................ 117 24.36 TAKE ME HOME TRANSITION PROGRAM ............................................................ 118 AGED AND DISABLED WAIVER (ADW) ............................................................................... 119 24.37 APPLICATION/REDETERMINATION ...................................................................... 119 24.37.1 GENERAL APPLICATION PROCEDURES ....................................................... 119 24.37.1.A Application Forms ....................................................................................... 119 24.37.1.B Complete Application .................................................................................. 119 24.37.1.C Date of Application ...................................................................................... 120 24.37.1.D Who Must Sign ........................................................................................... 120 24.37.1.E Due Date of Additional Information ............................................................. 120 24.37.1.F Application Processing Limits ..................................................................... 120 24.37.1.G Beginning Date of Eligibility......................................................................... 120 24.37.1.H The Benefit ................................................................................................. 121 24.37.2 STEPS IN THE APPLICATION PROCESS ........................................................ 121 24.37.2.A Step One: Receipt of the DOHS Referral Form for Medicaid Aged and Disabled Waiver Program, Initiate Financial Eligibility (DHS-2.FRM) YELLOW FORM .... 121 24.37.2.A.1 Expired Yellow DHS-2.FRM ................................................................... 121 24.37.2.A.2 Yellow DHS-2.FRM with Missing Expiration Date ................................... 122 24.37.2.A.3 Current (Not Expired) Yellow DHS-2.FRM .............................................. 122 24.37.2.A.4 Client Is Determined Financially Eligible ................................................. 122 24.37.2.A.5 Client Is Determined Financially Ineligible .............................................. 122 24.37.2.B Step Two: Receipt of the DOHS Referral Form for Medicaid Aged and Disabled Waiver Program (DHS-2.FRM) WHITE FORM .................................................. 123 24.37.2.B.1 Expired White DHS-2.FRM ..................................................................... 123