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West Virginia Income Maintenance Manual Chapter 1

West Virginia Income Maintenance Manual Page 194 Chapter 1 Application/Redetermination Process

Information related to medical bills in cases that meet spenddown should be entered in the eligibility system in the 30-day application period. 1.20.4 PAYEE The parent or other specified relative who is the caretaker relative is the payee. When both parents are in the home, either parent may be the payee. 1.20.5 BEGINNING DATE OF ELIGIBILITY This date may be backdated up to 3 months prior to the month of application, when all eligibility requirements were met, and the client has medical expenses for which he seeks payment. 1.20.5.A Non-Spenddown The beginning date of eligibility is the first day of the month of the POC. 1.20.5.B Spenddown The date of eligibility is the day on which the client incurs medical expenses which bring the spenddown amount to $0. 1.20.6 REDETERMINATION NOTE: Although eligibility begins on the date of service of the medical bills which bring the spenddown amount to $0, expenses incurred on that date which are used to meet the spenddown, as indicated by the Worker in the eligibility system, are not paid by Medicaid.

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Page 227

Official source

West Virginia Income Maintenance Manual Chapter 1

West Virginia Income Maintenance Manual Page 194 Chapter 1 Application/Redetermination Process

Information related to medical bills in cases that meet spenddown should be entered in the eligibility system in the 30-day application period. 1.20.4 PAYEE The parent or other specified relative who is the caretaker relative is the payee. When both parents are in the home, either parent may be the payee. 1.20.5 BEGINNING DATE OF ELIGIBILITY This date may be backdated up to 3 months prior to the month of application, when all eligibility requirements were met, and the client has medical expenses for which he seeks payment. 1.20.5.A Non-Spenddown The beginning date of eligibility is the first day of the month of the POC. 1.20.5.B Spenddown The date of eligibility is the day on which the client incurs medical expenses which bring the spenddown amount to $0. 1.20.6 REDETERMINATION NOTE: Although eligibility begins on the date of service of the medical bills which bring the spenddown amount to $0, expenses incurred on that date which are used to meet the spenddown, as indicated by the Worker in the eligibility system, are not paid by Medicaid.