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West Virginia Income Maintenance Manual Chapter 1

West Virginia Income Maintenance Manual Page 193 Chapter 1 Application/Redetermination Process

1.20 AFDC-RELATED MEDICAID Caretaker Relatives and pregnant women are eligible for Medicaid under this coverage group when certain conditions are met as described in Chapter 23. This coverage group is not subject to the spenddown provision. Medically Needy AGs are subject to the spenddown provision. 1.20.1 DATE OF APPLICATION The date of application is the date the Department of Human Services (DOHS) receives the application in person, by fax or other electronic transmission, through WV PATH or the FFM, or by mail, which contains, at a minimum, the applicant’s name and address and signature. For clients who reapply within 60 days of the previous application which was denied due solely to failure to meet spenddown, the date of application is the date the client requests reconsideration. No DFA-2 is required when the requirements in Section 1.2.10 are met. 1.20.2 WHO MUST SIGN? The specified relative with whom the child lives. If the child is living with both parents, both must sign unless: • One parent is hospitalized; or • One parent is incarcerated. When the specified relative with whom the child lives has a legal committee, the committee must sign. 1.20.3 AGENCY TIME LIMITS Eligibility system action to approve, deny or withdraw the application must be taken within 30 days of the date of application. NOTE: Supplemental Security Income (SSI) recipients, whether they are adults or children, are not included in the AG, IG, or NG.

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Page 226

Official source

West Virginia Income Maintenance Manual Chapter 1

West Virginia Income Maintenance Manual Page 193 Chapter 1 Application/Redetermination Process

1.20 AFDC-RELATED MEDICAID Caretaker Relatives and pregnant women are eligible for Medicaid under this coverage group when certain conditions are met as described in Chapter 23. This coverage group is not subject to the spenddown provision. Medically Needy AGs are subject to the spenddown provision. 1.20.1 DATE OF APPLICATION The date of application is the date the Department of Human Services (DOHS) receives the application in person, by fax or other electronic transmission, through WV PATH or the FFM, or by mail, which contains, at a minimum, the applicant’s name and address and signature. For clients who reapply within 60 days of the previous application which was denied due solely to failure to meet spenddown, the date of application is the date the client requests reconsideration. No DFA-2 is required when the requirements in Section 1.2.10 are met. 1.20.2 WHO MUST SIGN? The specified relative with whom the child lives. If the child is living with both parents, both must sign unless: • One parent is hospitalized; or • One parent is incarcerated. When the specified relative with whom the child lives has a legal committee, the committee must sign. 1.20.3 AGENCY TIME LIMITS Eligibility system action to approve, deny or withdraw the application must be taken within 30 days of the date of application. NOTE: Supplemental Security Income (SSI) recipients, whether they are adults or children, are not included in the AG, IG, or NG.