Page 2181

West Virginia Income Maintenance Manual Chapter 28

West Virginia Income Maintenance Manual Page 5 Chapter 28 Special Pharmacy

28.3.6 DUE DATE OF ADDITIONAL INFORMATION The client must be given at least ten days to return additional information. All information must be submitted with the DFA-SP-1. The worker will not submit the application if the client fails to provide the required information. 28.3.7 AGENCY TIME LIMITS The Worker must submit the DFA-SP-1 to the BMS Medicaid Policy Unit within 10 days of completion. The BMS Medicaid Policy Unit must make a decision and notify the Worker of that decision within 30 days from the date the completed DFA-SP-1 is received. 28.3.8 REPAYMENT AND PENALTIES This does not apply to the Special Pharmacy Program. 28.3.9 BEGINNING DATE OF ELIGIBILITY The beginning date of eligibility for Special Pharmacy is the first day of the month of the DFA- SP-1 application, if eligible. Special Pharmacy may be backdated up to three months prior to the month of application. 28.3.10 REDETERMINATION SCHEDULE All assistance groups (AG) are reevaluated in the sixth month of certification. The BMS Medicaid Policy Unit sends notification to the local office in the fifth month of eligibility.

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Page 2181

Official source

West Virginia Income Maintenance Manual Chapter 28

West Virginia Income Maintenance Manual Page 5 Chapter 28 Special Pharmacy

28.3.6 DUE DATE OF ADDITIONAL INFORMATION The client must be given at least ten days to return additional information. All information must be submitted with the DFA-SP-1. The worker will not submit the application if the client fails to provide the required information. 28.3.7 AGENCY TIME LIMITS The Worker must submit the DFA-SP-1 to the BMS Medicaid Policy Unit within 10 days of completion. The BMS Medicaid Policy Unit must make a decision and notify the Worker of that decision within 30 days from the date the completed DFA-SP-1 is received. 28.3.8 REPAYMENT AND PENALTIES This does not apply to the Special Pharmacy Program. 28.3.9 BEGINNING DATE OF ELIGIBILITY The beginning date of eligibility for Special Pharmacy is the first day of the month of the DFA- SP-1 application, if eligible. Special Pharmacy may be backdated up to three months prior to the month of application. 28.3.10 REDETERMINATION SCHEDULE All assistance groups (AG) are reevaluated in the sixth month of certification. The BMS Medicaid Policy Unit sends notification to the local office in the fifth month of eligibility.