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West Virginia Income Maintenance Manual Chapter 25

West Virginia Income Maintenance Manual Page i Chapter 25 Medicaid Buy-In Procedures

Chapter 25 Medicaid Buy-In Procedures Table of Contents

INTRODUCTION ............................................................................................................ 1 25.1.1 DEFINITION OF BUY-IN ........................................................................................ 1 25.1.2 MEDICARE BUY-IN UNIT ...................................................................................... 1 25.1.3 MEDICARE PROGRAM ......................................................................................... 1 25.1.3.A Definition ......................................................................................................... 1 25.1.3.B Medicare Parts A, B, and D ............................................................................. 2

ELIGIBLE INDIVIDUALS ............................................................................................... 3

SPECIAL PROCEDURES .............................................................................................. 4 25.3.1 NECESSARY CONDITIONS FOR BUY-IN ............................................................. 4 25.3.2 BUY-IN PROCESS FOR SSI RECIPIENTS ............................................................ 4 25.3.2.A SSA Responsibilities ....................................................................................... 4 25.3.2.B Termination of Buy-In ...................................................................................... 4 25.3.3 BUY-IN PROCESS FOR ALL OTHER ELIGIBLE MEDICAID GROUPS ................. 5 25.3.3.A Buy-In Unit's Responsibilities .......................................................................... 5 25.3.3.B Worker's Responsibilities ................................................................................ 5

Change History Log Section Date of Change Change Number Sub- section(s) Changed Description of Change 25.1

25.2 10/1/24 857 25.2 Added language that an individual entitled to premium-free Medicare Part A and/or enrolled in Medicare Part B is eligible for Buy-In. 25.3

5/1/25 865 25.3.2 Added language that a worker should approved deemed QMB for any individual discovered eligible for SSI.