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West Virginia Income Maintenance Manual Chapter 1

West Virginia Income Maintenance Manual Page 184 Chapter 1 Application/Redetermination Process

Required Action Time Limit Follow-up request(s) for medical records or reports By 30 days after initial request (and each 30 days thereafter) Submission to the MRT By the 7th day after medical records/reports received Receipt of file and logged By the 2nd day after receipt by the MRT Initial review by the MRT staff By the 7th day after receipt Physician review (initial) By the 14th day after receipt Additional medical information requested (if required) by physician By the 7th day after initial physician review Physician’s final review By the 7th day after receipt of additional medical information Final decision (completion of ES-RT-3 and/or DFA-RT-3M form[s]) By the 7th day after final physician’s review File returned to county office By the 3rd day after final physician’s review Notice to the client By the 7th day after receipt of final decision at county office 1.18.6 PAYEE The client is the payee. Spouses may decide who the payee is. 1.18.7 BEGINNING DATE OF ELIGIBILITY 1.18.7.A Non-Spenddown The beginning date of eligibility is the first day of the month of the period of consideration (POC).