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West Virginia Income Maintenance Manual Chapter 24

West Virginia Income Maintenance Manual Page 157 Chapter 24 Long Term Care

and the client is eligible, medical coverage is retroactive to the time eligibility would have been established had the DOHS acted in a timely manner. Reimbursement for out-of-pocket expenses may apply. See Chapter 10. 24.50.1.H PAYEE The CDCSP child is the payee. 24.50.1.I EFFECTIVE DATES OF ELIGIBILITY Eligibility is retroactive to the later of these two dates: • The date of medical need, established by the BMS, and conveyed by memorandum to the CSM; or • The date all eligibility requirements were met, up to three months prior to the application date. Eligibility ends the last day of the effective calendar month of closure. 24.50.1.J 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.

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Page 2082

Official source

West Virginia Income Maintenance Manual Chapter 24

West Virginia Income Maintenance Manual Page 157 Chapter 24 Long Term Care

and the client is eligible, medical coverage is retroactive to the time eligibility would have been established had the DOHS acted in a timely manner. Reimbursement for out-of-pocket expenses may apply. See Chapter 10. 24.50.1.H PAYEE The CDCSP child is the payee. 24.50.1.I EFFECTIVE DATES OF ELIGIBILITY Eligibility is retroactive to the later of these two dates: • The date of medical need, established by the BMS, and conveyed by memorandum to the CSM; or • The date all eligibility requirements were met, up to three months prior to the application date. Eligibility ends the last day of the effective calendar month of closure. 24.50.1.J 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.