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West Virginia Income Maintenance Manual Chapter 26

West Virginia Income Maintenance Manual Page 8 Chapter 26 Medicaid Work Incentive (M-WIN)

26.3 APPLICATION/REDETERMINATION PROCESS 26.3.1 APPLICATION FORMS A DFA-2, the DFA-SLA-1 with supplement, DFA-SLA-2 with supplement, or WV PATH. The application is complete when the client or his representative submits an application that contains, at a minimum, the client's name and address, and signature. 26.3.2 DATE OF APPLICATION The date of application is the date the applicant submits an application—in person, by fax or other electronic transmission, or by mail—that contains, at a minimum, his name, address, and signature. When the application is submitted by mail or fax, the date of application is the date that the form with the name, address, and signature is received in the local office. 26.3.3 WHO MUST SIGN The application must be signed by the applicant or his authorized representative. 26.3.4 DUE DATE OF ADDITIONAL INFORMATION Additional information is due 30 days from the date of application. 26.3.5 AGENCY TIME LIMITS 26.3.5.A Application Processing Limits