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West Virginia Income Maintenance Manual Chapter 1

West Virginia Income Maintenance Manual Page 190 Chapter 1 Application/Redetermination Process

application for the other spouse remains pending. • Relationship with QMB/SLIMB. See Section 1.16. 1.19.4 AGENCY TIME LIMITS 1.19.4.A Agency Processing Limits • SSI Age-Related Medicaid: Eligibility system action to approve, deny or withdraw the application must be taken within 30 days of the date of application. • SSI Blind-Related Medicaid: Eligibility system action to approve, deny or withdraw the application must be taken within 60 days of the date of application. • SSI Disability-Related Medicaid: Eligibility system action to approve, deny or withdraw the application must be taken with 90 days of the date of application. 1.19.4.B MRT Time Limits To ensure that the 90-day processing limit is met for MRT cases, the time limits in the table below apply to the MRT process. Required Action Time Limit Request medical records and reports By the 7th day after application 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 NOTE: When an applicant, age 65 or over, wishes to have his eligibility evaluated as a blind or disabled person and the process of establishing disability or blindness will result in a delay, his application is approved based on age. If at a later date his blindness or disability is established, the deprivation factor is changed.

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Page 223

Official source

West Virginia Income Maintenance Manual Chapter 1

West Virginia Income Maintenance Manual Page 190 Chapter 1 Application/Redetermination Process

application for the other spouse remains pending. • Relationship with QMB/SLIMB. See Section 1.16. 1.19.4 AGENCY TIME LIMITS 1.19.4.A Agency Processing Limits • SSI Age-Related Medicaid: Eligibility system action to approve, deny or withdraw the application must be taken within 30 days of the date of application. • SSI Blind-Related Medicaid: Eligibility system action to approve, deny or withdraw the application must be taken within 60 days of the date of application. • SSI Disability-Related Medicaid: Eligibility system action to approve, deny or withdraw the application must be taken with 90 days of the date of application. 1.19.4.B MRT Time Limits To ensure that the 90-day processing limit is met for MRT cases, the time limits in the table below apply to the MRT process. Required Action Time Limit Request medical records and reports By the 7th day after application 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 NOTE: When an applicant, age 65 or over, wishes to have his eligibility evaluated as a blind or disabled person and the process of establishing disability or blindness will result in a delay, his application is approved based on age. If at a later date his blindness or disability is established, the deprivation factor is changed.