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West Virginia Income Maintenance Manual Chapter 24

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

24.45.2.A.2 Yellow DHS-2.FRM with Missing Expiration Date ................................... 142 24.45.2.A.3 Current (Not Expired) Yellow DHS-2.FRM .............................................. 142 24.45.2.A.4 Client Determined Financially Eligible for the TBI waiver ........................ 142 24.45.2.A.5 Client Determined Financially Ineligible for the TBI waiver ...................... 143 24.45.2.B Step Two: Receipt of the DOHS Referral Form for Medicaid Traumatic Brain Injury Waiver Program (DHS-2.FRM) WHITE FORM ....................................................... 143 24.45.2.B.1 Expired White DHS-2.FRM ..................................................................... 143 24.45.2.B.2 White DHS-2.FRM with Missing Expiration Date .................................... 143 24.45.2.B.3 Current (Not Expired) White DHS-2.FRM ............................................... 143 24.45.3 WAIVER APPLICANTS CURRENTLY RECEIVING MEDICAID PAYMENT FOR NURSING FACILITY SERVICES ........................................................................................ 144 24.45.3.A Step One: Receipt of the DOHS Referral Form for Medicaid Traumatic Brain Injury Waiver Program, Initiate Financial Eligibility (DHS-2.FRM) YELLOW FORM.......... 145 24.45.3.A.1 Expired Yellow DHS-2.FRM ................................................................... 145 24.45.3.A.2 Yellow DHS-2.FRM with Missing Expiration Date ................................... 145 24.45.3.A.3 Current (Not Expired) Yellow DHS-2.FRM .............................................. 145 24.45.3.B Step Two: Receipt of the DOHS Referral Form for Medicaid Traumatic Brain Injury Waiver Program (DHS-2.FRM) WHITE FORM ....................................................... 146 24.45.3.B.1 Expired White DHS-2.FRM ..................................................................... 146 24.45.3.B.2 Current (Not Expired) DHS-2.FRM ......................................................... 146 24.45.4 REDETERMINATION PROCESS ...................................................................... 147 24.46 NOTIFICATION ........................................................................................................ 148 24.46.1 CLIENT .............................................................................................................. 148 24.46.2 CASE MANAGEMENT AGENCY (CMA) ........................................................... 148 24.47 CASE MAINTENANCE............................................................................................. 149 24.47.1 COUNTY TRANSFER ....................................................................................... 149 24.47.2 CHANGES IN INCOME ..................................................................................... 149 24.47.3 CHANGE IN MEDICAL CONDITION ................................................................. 149 24.48 ESTABLISHING MEDICAL NECESSITY ................................................................. 151 CHILDREN WITH DISABILTIES COMMUNITY SERVICE PROGRAM (CDCSP) .................. 152