Page 2193

West Virginia Income Maintenance Manual Chapter 28

West Virginia Income Maintenance Manual Page 17 Chapter 28 Special Pharmacy

28.11 CASE MAINTENANCE 28.11.1 CHANGE IN INCOME AND DEDUCTIONS A change in income and/or deductions between redeterminations does not result in ineligibility for the client, unless the changes result in eligibility for a full coverage Medicaid group. The client must report a change of address, change in pharmacy, and any additions to or deletions from the household to the Worker. The Worker must forward all reported changes to the Bureau for Medical Services (BMS) Policy Unit. 28.11.2 AG CLOSURE If the Special Pharmacy Program client becomes eligible for full coverage Medicaid, notification must be sent to the BMS Policy Unit immediately. The Special Pharmacy is closed after the Policy Unit notifies the Worker and advance notice is issued to the client. The Policy Unit notifies the services provider to close the Special Pharmacy case.

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Page 2193

Official source

West Virginia Income Maintenance Manual Chapter 28

West Virginia Income Maintenance Manual Page 17 Chapter 28 Special Pharmacy

28.11 CASE MAINTENANCE 28.11.1 CHANGE IN INCOME AND DEDUCTIONS A change in income and/or deductions between redeterminations does not result in ineligibility for the client, unless the changes result in eligibility for a full coverage Medicaid group. The client must report a change of address, change in pharmacy, and any additions to or deletions from the household to the Worker. The Worker must forward all reported changes to the Bureau for Medical Services (BMS) Policy Unit. 28.11.2 AG CLOSURE If the Special Pharmacy Program client becomes eligible for full coverage Medicaid, notification must be sent to the BMS Policy Unit immediately. The Special Pharmacy is closed after the Policy Unit notifies the Worker and advance notice is issued to the client. The Policy Unit notifies the services provider to close the Special Pharmacy case.