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West Virginia Income Maintenance Manual Chapter 1

West Virginia Income Maintenance Manual Page 186 Chapter 1 Application/Redetermination Process

1.18.8.B Spenddown Spenddown AGs are not redetermined and are closed at the end of the sixth month of the POC. The last month of the six-month POC is coded in the eligibility system. The client must reapply for a new POC using one of the application methods described above. Spenddown AGs are mailed a letter at adverse action notice deadline during the sixth month of the POC. This letter informs the client that his eligibility will end on the last day of the month and that he must reapply for Medicaid coverage. 1.18.9 THE BENEFIT 1.18.9.A.1 Ongoing Benefits Effective December 21, 2017 there was a change in the way Medical ID cards are issued. Instead of the separate blue paper card, the Medical ID card is now included in all Medicaid approval notices. The Medical ID card does not include any date parameters since eligibility may terminate. Medicaid recipients will receive one Medical ID card per case each time there is an approval or renewal for Medicaid for any household member. In situations where retroactive eligibility is established, the Medicaid coverage will be validated appropriately for each back-dated month. 1.18.9.A.2 Ending Date of Eligibility The ending date of eligibility is the last day of the month of the effective month of closure.