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West Virginia Income Maintenance Manual Chapter 24

West Virginia Income Maintenance Manual Page 101 Chapter 24 Long Term Care

24.22 CASE MAINTENANCE 24.22.1 FACILITY TRANSFER When an Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) client moves from one facility to another, the Worker must change the address and vendor number in the eligibility system. When the new facility is in another county, the case record must be transferred as well. When the client resides in more than one ICF/IID facility in the same calendar month, the Worker must determine the portion of the client’s cost contribution that must be paid to each facility in accordance with Section 24.7. Because the ICF/IID rate varies based on the individual’s medical assessment, a standard rate per facility is not posted on the Department of Human Services’ (DOHS) Intranet site. The Worker must contact each facility for the individual’s ICF/IID rate. 24.22.2 CHANGES IN INCOME If a client's income increases to more than 300% of the Supplemental Security Income (SSI) payment level, he is ineligible and must be reevaluated for all other Medicaid coverage groups including SSI-Related/Monthly Spenddown. Appropriate client notification, including advance notice requirements and data system action, apply.

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Page 2026

Official source

West Virginia Income Maintenance Manual Chapter 24

West Virginia Income Maintenance Manual Page 101 Chapter 24 Long Term Care

24.22 CASE MAINTENANCE 24.22.1 FACILITY TRANSFER When an Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) client moves from one facility to another, the Worker must change the address and vendor number in the eligibility system. When the new facility is in another county, the case record must be transferred as well. When the client resides in more than one ICF/IID facility in the same calendar month, the Worker must determine the portion of the client’s cost contribution that must be paid to each facility in accordance with Section 24.7. Because the ICF/IID rate varies based on the individual’s medical assessment, a standard rate per facility is not posted on the Department of Human Services’ (DOHS) Intranet site. The Worker must contact each facility for the individual’s ICF/IID rate. 24.22.2 CHANGES IN INCOME If a client's income increases to more than 300% of the Supplemental Security Income (SSI) payment level, he is ineligible and must be reevaluated for all other Medicaid coverage groups including SSI-Related/Monthly Spenddown. Appropriate client notification, including advance notice requirements and data system action, apply.