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West Virginia Income Maintenance Manual Chapter 24

West Virginia Income Maintenance Manual Page 141 Chapter 24 Long Term Care

• The first day of the month in which the individual is eligible for payment of TBI waiver services after a transfer of resources penalty expires. See Section 24.31. 24.45.1.H The Benefit 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. TBI waiver services will only be paid on or after the TBI waiver approval date. 24.45.2 STEPS IN THE APPLICATION PROCESS Steps in the application are as follows. 24.45.2.A Step One: Receipt of the DOHS Referral Form for Medicaid Traumatic Brain Injury Waiver Program, Initiate Financial Eligibility (DHS-2.FRM) YELLOW FORM For Step One of the application process, the yellow DHS-2.FRM will originate from the TBI waiver Utilization Management Contractor (UMC). The current UMC contact information is found in Appendix E. The yellow DHS-2.FRM may be submitted by the client or a case management agency and instructs the worker to determine financial eligibility. The client must also submit an appropriate Medicaid application form. General application procedures above must be followed. 24.45.2.A.1 Expired Yellow DHS-2.FRM