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West Virginia Income Maintenance Manual Chapter 1
West Virginia Income Maintenance Manual Page 162 Chapter 1 Application/Redetermination Process
1.14 SUPPLEMENTAL SECURITY INCOME (SSI) RECIPIENTS 1.14.1 APPLICATION PROCESS There is no application form for SSI Medicaid. The Worker receives an eligibility system alert when data exchange information indicates that a person is approved for SSI. See Section 6.3.4.A. When the Worker fails to open an SSI Medicaid case for an individual listed on the data exchange, and the person is a recipient of SSI and entitled to premium-free Medicare Part A and/or enrolled in Medicare Part B, the Buy-In Unit requests that a case be opened. The Worker must open the SSI Medicaid AG at the request of the Buy-In Unit, unless he knows that the client is not living in the State.
The Worker may use information found in SOLQ to open SSI Medicaid. See below to determine the beginning date of eligibility. When the client has been approved for SSI and needs medical coverage, but has not appeared on the data exchange, the Worker may use a written or verbal referral from Social Security Administration (SSA), which contains the necessary information to approve the AG. When the client requests this method, his request must be honored. When an SSI recipient moves to West Virginia from another state, the Worker must verify SSI eligibility with SSA and must notify the former state of residence that a case is open in West Virginia. See Chapter 2. Some states make a supplemental payment to SSI recipients. Receipt of the state supplement qualifies them for Medicaid in these states. However, such payments from other states do not qualify a client for SSI Medicaid in West Virginia. Therefore, receipt of SSI Medicaid in another state does not always automatically result in eligibility in West Virginia. 1.14.2 DATE OF APPLICATION The date of application is the first day of the month which shows on data exchange as the Medicaid effective date, or the date given on the SSA referral or by the Bureau for Medical Services (BMS) Buy-In Unit. Note: Refer to 1.16.1 regarding the application process for SSI and Medicare Eligible Individuals.