Page 2096

West Virginia Income Maintenance Manual Chapter 24

West Virginia Income Maintenance Manual Page 171 Chapter 24 Long Term Care

Medical necessity must be verified annually at redetermination with a letter from the Utilization Management Contractor (UMC) stating the client continues to be eligible. If the client continues to meet financial and medical requirements, Medicaid eligibility for waiver services is established. Continued medical eligibility for services is monitored by the BMS. Information about CSED Waiver Services is found on the BMS website on the Office of Home and Community-Based Services page. The CSED Waiver application (WV-BMS-CSED-01) needed to determine medical eligibility can be found on the BMS website and on the DFA intranet forms page.

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Page 2096

Official source

West Virginia Income Maintenance Manual Chapter 24

West Virginia Income Maintenance Manual Page 171 Chapter 24 Long Term Care

Medical necessity must be verified annually at redetermination with a letter from the Utilization Management Contractor (UMC) stating the client continues to be eligible. If the client continues to meet financial and medical requirements, Medicaid eligibility for waiver services is established. Continued medical eligibility for services is monitored by the BMS. Information about CSED Waiver Services is found on the BMS website on the Office of Home and Community-Based Services page. The CSED Waiver application (WV-BMS-CSED-01) needed to determine medical eligibility can be found on the BMS website and on the DFA intranet forms page.