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West Virginia Income Maintenance Manual Chapter 24

West Virginia Income Maintenance Manual Page 173 Chapter 24 Long Term Care

24.61 CASE MAINTENANCE 24.61.1 COUNTY TRANSFER When a CSED waiver client moves from one county to another, the case record must be transferred to the new county of residence. 24.61.2 CHANGES IN INCOME When the client's income increases to above 300% of the Supplemental Security Income (SSI) payment level, he is no longer eligible for CSED waiver services; however, the child under age 19 is eligible for 12 months continuous eligibility of full coverage Medicaid per IMM 10.6. The Medicaid benefit will remain open in the current certification period. The Worker must: • Notify the Bureau for Medical Services (BMS) for the ending date of eligibility for CSED waiver services; • Notify the client or his authorized representative regarding ineligibility of waiver services by providing 13 days’ advance notice; • Notify the case management agency of ineligibility of waiver services; and, • Keep CSED (MALM) open in the eligibility system with the current certification for continuous eligibility per IMM 10.6. 24.61.3 CLOSURE / DENIAL

When a CSED case is closed or denied and an application is taken for nursing facility services, no waiver services are covered under Medicaid.