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West Virginia Income Maintenance Manual Chapter 24
West Virginia Income Maintenance Manual Page 155 Chapter 24 Long Term Care
o Follow through with the school system, healthcare providers, and other agencies to assure that the community services are implemented and consistently remain cost-effective. o Develop the Program Plan: The program plan must be developed by an interdisciplinary team (IDT) consisting of the child, family or legal representative, service providers, advocates, professionals, paraprofessionals, and other stakeholders needed to ensure the delivery of the necessary level of services. This contains the same elements of the State DD-5 form. o Provide additional evaluations: Additional evaluations, as appropriate, to determine medical eligibility and services for the specific disability group, such as psychological or psychiatric reports, social assessments, discharge plan, etc. When an applicant’s medical eligibility for, or enrollment in, this program is pending, he must not be refused the right to apply for any or all Division of Family Assistance (DFA) programs. 24.50.1.B COMPLETE APPLICATION The application is complete when the parent(s) or legal guardian signs the DFA- 2, DFA-MA-1, or DFA-SLA-1 with the DFA-SLA-S1 application that contains, at a minimum, the client's name and address. When the applicant submits his application by WV PATH, the application is considered complete when the application is signed electronically. 24.50.1.C DATE OF APPLICATION The date of application is the date the parent(s) or legal guardian submits the DFA-2, DFA-MA-1, or DFA-SLA-1 with the DFA-SLA-S1 application, in person, by fax, or by other electronic transmission or by mail, that contains—at a minimum—his name, address, and signature. When the application is submitted by mail or fax, the date of application is the date that the form with the name, address, and signature is received in the local office. Applications can also be submitted by other NOTE: When a faxed copy or other electronic transmission of an application is received that contains a minimum of the applicant’s name, address, and signature, it is considered an original application, and no additional signature is required.