Page 2180

West Virginia Income Maintenance Manual Chapter 28

West Virginia Income Maintenance Manual Page 4 Chapter 28 Special Pharmacy

• Cost of lab tests and testing facility for antipsychotic drugs. Certain recipients of benefits from the Office of Children and Adult Services (CAS) are eligible to receive coverage for immunosuppressant drugs through the child welfare information system. During the application or renewal process, the Worker must inquire if the Special Pharmacy applicant is receiving medical coverage through CAS. If the Worker believes the applicant may be receiving duplicate coverage or services through both the child welfare information system and the eligibility system, the Worker must electronically notify the BMS Medicaid Policy Unit with the following information: • Applicant/Recipient’s Name • Date of Birth • Social Security Number • Client’s child welfare information system ID (if known) 28.3.2 COMPLETE APPLICATION The application for Special Pharmacy is complete when the Worker submits the completed DFA-SP-1 to the BMS Medicaid Policy Unit. 28.3.3 DATE OF APPLICATION The date of application is the date the DFA-SP-1 is completed. 28.3.4 INTERVIEW REQUIRED An interview is not required for completion of the DFA-SP-1, however it may be necessary to complete the application or redetermination. 28.3.5 WHO MUST SIGN A client signature is not required on the DFA-SP-1.

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Page 2180

Official source

West Virginia Income Maintenance Manual Chapter 28

West Virginia Income Maintenance Manual Page 4 Chapter 28 Special Pharmacy

• Cost of lab tests and testing facility for antipsychotic drugs. Certain recipients of benefits from the Office of Children and Adult Services (CAS) are eligible to receive coverage for immunosuppressant drugs through the child welfare information system. During the application or renewal process, the Worker must inquire if the Special Pharmacy applicant is receiving medical coverage through CAS. If the Worker believes the applicant may be receiving duplicate coverage or services through both the child welfare information system and the eligibility system, the Worker must electronically notify the BMS Medicaid Policy Unit with the following information: • Applicant/Recipient’s Name • Date of Birth • Social Security Number • Client’s child welfare information system ID (if known) 28.3.2 COMPLETE APPLICATION The application for Special Pharmacy is complete when the Worker submits the completed DFA-SP-1 to the BMS Medicaid Policy Unit. 28.3.3 DATE OF APPLICATION The date of application is the date the DFA-SP-1 is completed. 28.3.4 INTERVIEW REQUIRED An interview is not required for completion of the DFA-SP-1, however it may be necessary to complete the application or redetermination. 28.3.5 WHO MUST SIGN A client signature is not required on the DFA-SP-1.