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West Virginia Income Maintenance Manual Chapter 24

West Virginia Income Maintenance Manual Page 148 Chapter 24 Long Term Care

24.46 NOTIFICATION 24.46.1 CLIENT Notification procedures in Chapter 9 are applicable. 24.46.2 CASE MANAGEMENT AGENCY (CMA) At application, the Worker sends a copy of the completed white DHS-2.FRM to the originating agency within 30 days of completion of the application. This notifies the originating agency of the financial eligibility decision and provides them with the Medicaid ID. The Worker retains a copy of the completed DHS-2.FRM for the case record. The Worker must also notify the originating agency when a Traumatic Brain Injury (TBI) waiver client becomes ineligible for any reason, using the original form DHS-2.FRM, a DHS-1, or a free-format letter.

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Page 2073

Official source

West Virginia Income Maintenance Manual Chapter 24

West Virginia Income Maintenance Manual Page 148 Chapter 24 Long Term Care

24.46 NOTIFICATION 24.46.1 CLIENT Notification procedures in Chapter 9 are applicable. 24.46.2 CASE MANAGEMENT AGENCY (CMA) At application, the Worker sends a copy of the completed white DHS-2.FRM to the originating agency within 30 days of completion of the application. This notifies the originating agency of the financial eligibility decision and provides them with the Medicaid ID. The Worker retains a copy of the completed DHS-2.FRM for the case record. The Worker must also notify the originating agency when a Traumatic Brain Injury (TBI) waiver client becomes ineligible for any reason, using the original form DHS-2.FRM, a DHS-1, or a free-format letter.