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West Virginia Income Maintenance Manual Chapter 24
West Virginia Income Maintenance Manual Page ix Chapter 24 Long Term Care
24.37.2.B.2 White DHS-2.FRM with Missing Expiration Date .................................... 123 24.37.2.B.3 Current (Not Expired) White DHS-2.FRM ............................................... 123 24.37.3 WAIVER APPLICANTS CURRENTLY RECEIVING MEDICAID PAYMENT FOR NURSING FACILITY SERVICES ........................................................................................ 124 24.37.3.A Step One: Receipt of the DOHS Referral Form for Medicaid Aged and Disabled Waiver Program, Initiate Financial Eligibility (DHS-2.FRM) YELLOW FORM .... 124 24.37.3.A.1 Expired Yellow DHS-2.FRM ................................................................... 125 24.37.3.A.2 Yellow DHS-2.FRM with Missing Expiration Date ................................... 125 24.37.3.A.3 Current (Not Expired) Yellow DHS-2.FRM .............................................. 125 24.37.3.B Step Two: Receipt of the DOHS Referral Form for Medicaid Aged and Disabled Waiver Program (DHS-2.FRM) WHITE FORM .................................................. 126 24.37.3.B.1 Expired White DHS-2.FRM ..................................................................... 126 24.37.3.B.2 White DHS-2.FRM with Missing Expiration Date .................................... 126 24.37.3.B.3 Current (Not Expired) White DHS-2.FRM ............................................... 126 24.37.4 REDETERMINATION PROCESS ...................................................................... 127 24.38 NOTIFICATION ........................................................................................................ 128 24.38.1 CLIENT .............................................................................................................. 128 24.38.2 CASE MANAGEMENT AGENCY (CMA) OR THE BUREAU OF SENIOR SERVICES (BoSS) .............................................................................................................. 128 24.39 CASE MAINTENANCE............................................................................................. 129 24.39.1 COUNTY TRANSFER ....................................................................................... 129 24.39.2 CHANGES IN INCOME FOR THE ADW COVERAGE GROUP ......................... 129 24.39.3 CHANGE IN MEDICAL CONDITION ................................................................. 129 24.40 ESTABLISHING MEDICAL NECESSITY ................................................................. 131 INTELLECTUAL AND DEVELOPMENTAL DISABILITIES (I/DD) ......................................... 132 24.41 APPLICATION/REDETERMINATION PROCESS – I/DD ......................................... 132 24.41.1 GENERAL APPLICATION PROCEDURES ....................................................... 132 24.41.1.A Application Forms ....................................................................................... 132 24.41.1.B Complete Application .................................................................................. 132 24.41.1.C Date of Application ...................................................................................... 132