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West Virginia Income Maintenance Manual Chapter 1

West Virginia Income Maintenance Manual Page 169 Chapter 1 Application/Redetermination Process

1.16.1.A Applications Requested by Client When the QMB, SLIMB or QI-1 client requests an application, the Worker must explain: • The date of application for QMB, SLIMB or QI-1 coverage is the day the signed application form, which contains a name and address, is received in the DOHS office or submitted through WV PATH. • The processing time frame is 30 days, beginning with the date of application. • In addition to QMB, SLIMB, or QI-1, the client may qualify for other coverage groups, but additional information or contact may be required. 1.16.1.B Applications Initiated from the Social Security Administration’s (SSA) Low Income Subsidy (LIS)/MPA Data Exchange If the individual expresses an interest in MPA when he applies for (LIS) prescription drug assistance at the SSA, an application is mailed to him when the eligibility system receives the LIS/MPA data exchange containing his file. LIS files are sent daily, Monday through Friday, with the exception of federal holidays, to the eligibility system through data exchange. The Worker receives an eligibility system alert when a client’s file is received and can access the LIS application information on the data exchange screens. When the eligibility system receives a LIS file, it determines if the applicant is an MPA client, a client of other DFA program benefits, or is unknown to the system, and responds accordingly. • When the LIS/MPA applicant is a current MPA client, no action is taken by the eligibility system nor required by the Worker. • When the LIS/MPA applicant is a client of other programs, or known to the eligibility system, the system issues a DFA-QSQ-1. No action is required by the Worker. • When the LIS/MPA applicant is unknown to the eligibility system, the system issues a DFA-QSQ-1. No action is required by the Worker.