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West Virginia Income Maintenance Manual Chapter 26

West Virginia Income Maintenance Manual Page 4 Chapter 26 Medicaid Work Incentive (M-WIN)

P. O. Box 40288 Charleston, WV 25364 • The Worker’s name • Notice that the first month of coverage will be the month following the month the enrollment fee is received • The applicant’s personal identification number (PIN). This appears on the enrollment fee payment stub, which is attached to the applicant’s method of payment and returned to the DOHS address above for proper credit of payment. The contract agency is notified the same day it is issued to the applicant. See Appendix B of this chapter for the contact information of the contract agency. 26.2.5.A.2 Payment It is the responsibility of the contract agency to notify the Department when the enrollment fee is paid, not paid, or returned for insufficient funds. If the Department does not receive notice of the enrollment fee payment within 60 days of the date of the eligibility notice, the AG is automatically denied and the appropriate notice is generated by the system. If the Department receives notice of the enrollment fee payment within 60 days of the date of the eligibility notice, the AG is automatically approved and the appropriate notice is generated by the system. The contract agency does not accept advance payments for anticipated enrollment fees. The contract agency must return any advance payments received to the applicant. 26.2.5.A.3 Refund Once an enrollment fee is paid and the M-WIN benefit received, the contract agency cannot refund the enrollment fee payment. See EXCEPTION below. Anticipated Enrollment Payment Example 1: Ms. Pine pays her $50 enrollment fee. The contract agency notifies the Department of her payment. Before the AG is confirmed, Ms. Pine contacts the Worker, explaining she found enough old medical bills to meet a spenddown. She requests SSI-Related NOTE: Enrollment fees and premium payments are not accepted by local or state offices.