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West Virginia Income Maintenance Manual Chapter 1

West Virginia Income Maintenance Manual Page 164 Chapter 1 Application/Redetermination Process

he has no unpaid bills, the first day of the month the SSI payment began is his Medicaid eligibility date. • If the document used for verification does not give the beginning payment date for SSI, the Medicaid eligibility date is no more than 3 months prior to the month in which his receipt of an SSI payment is verified. If he has unpaid bills, coverage is backdated to the earliest of the 3 months. If the client has unpaid medical bills incurred more than 3 months prior to the date of verification, the approval must be delayed until his name appears on data exchange. 1.14.6 REDETERMINATION There is no redetermination of SSI Medicaid eligibility. The SSI Medicaid eligibility continues as long as the client is considered eligible according to SSA. The eligibility system will provide an alert when the client is no longer eligible. Refer to 1.16.10 regarding the loss of SSI eligibility for Deemed Qualified Medicare Beneficiary eligible individuals. 1.14.7 THE BENEFIT The Medical ID card for the SSI recipient will be included in the Medicaid approval notice. 1.14.7.A Ongoing Benefits Effective December 21, 2017 there was a change in the way Medical ID cards are issued. Instead of the separate blue paper card, the Medical ID card is now included in all Medicaid approval notices. The Medical ID card does not include any date parameters since eligibility may terminate. 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.