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West Virginia Income Maintenance Manual Chapter 24

West Virginia Income Maintenance Manual Page 12 Chapter 24 Long Term Care

Medicaid recipients will receive one Medical ID card per case each time there is an approval or renewal for Medicaid for any household member. In situations where retroactive eligibility is established, the Medicaid coverage will be validated appropriately for each back-dated month. ➢ Ending Date of Eligibility The ending date of eligibility is the last day of the month of the effective month of closure. 24.4.2 REDETERMINATION PROCESS Redeterminations are completed annually, and no interview is required. When possible, the redetermination process is completed automatically using electronic data matches without requiring information from the client. This redetermination process is initiated by the eligibility system, which matches current information with the Federal Data Services HUB and the Asset Verification System (AVS). If determined eligible after completing the redetermination process, the DoHS will notify the client. The notice will identify the information used to determine eligibility. If the customer agrees with the information, no further action is required. If the client does not agree, he is to report the information that does not match the circumstances. These changes will be treated as a change in circumstance during the certification period. If auto renewal is successful, the worker will receive a System Generated Alert to complete the post eligibility process. When the redetermination process cannot be completed automatically, the eligibility system alerts the Worker when a redetermination is due and automatically sends a redetermination form to the client. The redetermination may be completed by the client or his authorized representative. The redetermination form is due by the first day ot the 12th month of the certification period. If the redetermination form is not received by the adverse action date, the AG is issued a notice of closure. 24.4.3 SPECIAL PROCEDURES RELATED TO APPLICATION AND REDETERMINATION PROCESSING