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West Virginia Income Maintenance Manual Chapter 1

West Virginia Income Maintenance Manual Page 179 Chapter 1 Application/Redetermination Process

1.17 QUALIFIED DISABLED WORKING INDIVIDUALS (QDWI) 1.17.1 APPLICATION FORMS The Single-Streamlined Application (DFA-SLA-1) and supplement (DFA-SLA-S1), DFA- 2 or WV PATH is used. 1.17.2 WHO MUST SIGN? The application must be signed by the applicant, the spouse or the authorized representative. When the applicant is a child under age 18, the parent(s) or legal guardian must sign. 1.17.3 CONTENT OF THE INTERVIEW Although no interview is required, when an interview is conducted, the interview requirements found in Section 1.2 are applicable. In addition, the following must be discussed if an interview is conducted: • The QDWI recipient has only his Medicare, Part A, premium paid. • The QDWI recipient receives no Medical ID card. 1.17.4 AGENCY TIME LIMITS The Worker must send a copy of the DFA-2 or DFA-MA-1 to the Buy-In Unit at BMS within 30 days of the date of application, when the client is eligible for QDWI.

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Page 212

Official source

West Virginia Income Maintenance Manual Chapter 1

West Virginia Income Maintenance Manual Page 179 Chapter 1 Application/Redetermination Process

1.17 QUALIFIED DISABLED WORKING INDIVIDUALS (QDWI) 1.17.1 APPLICATION FORMS The Single-Streamlined Application (DFA-SLA-1) and supplement (DFA-SLA-S1), DFA- 2 or WV PATH is used. 1.17.2 WHO MUST SIGN? The application must be signed by the applicant, the spouse or the authorized representative. When the applicant is a child under age 18, the parent(s) or legal guardian must sign. 1.17.3 CONTENT OF THE INTERVIEW Although no interview is required, when an interview is conducted, the interview requirements found in Section 1.2 are applicable. In addition, the following must be discussed if an interview is conducted: • The QDWI recipient has only his Medicare, Part A, premium paid. • The QDWI recipient receives no Medical ID card. 1.17.4 AGENCY TIME LIMITS The Worker must send a copy of the DFA-2 or DFA-MA-1 to the Buy-In Unit at BMS within 30 days of the date of application, when the client is eligible for QDWI.