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West Virginia Income Maintenance Manual Chapter 26

West Virginia Income Maintenance Manual Page 9 Chapter 26 Medicaid Work Incentive (M-WIN)

The Worker must process an M-WIN applicant’s Medicaid application as soon as possible rather than within the maximum allowable time because the benefit is delayed until the month after the enrollment fee is received. Agency time limits for this AG differ depending on how the disability was determined: by the Social Security Administration (SSA) prior to application or by the Medicaid Review Team (MRT). Required Action Time Limit Disability Established by SSA Disability Determined by MRT When the client meets all requirements except payment of the enrollment fee, the Worker must process the application in the eligibility system: Within 30 days of the date of application Within 90 days of the date of application When the client withdraws or is denied for a reason other than non-payment of the enrollment fee, the Worker must take eligibility system action: Within 30 days of the date of application Within 90 days of the date of application The Worker must deny the application If the applicant failed to submit the enrollment fee: Within 60 days of the date of the initial eligibility and notification sent Within 60 days of the date of the initial eligibility and notification sent The Worker must approve the eligibility the day he is notified that the client has paid the enrollment fee, if the enrollment fee is paid: Within 60 days Within 60 days