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West Virginia Income Maintenance Manual Chapter 1

West Virginia Income Maintenance Manual Page 195 Chapter 1 Application/Redetermination Process

1.20.6.A Non-Spenddown Non-Spenddown AGs are redetermined every six months in the last month of the current POC. The eligibility system alerts the Worker when a redetermination is due and sends a letter to the client. The Worker, after receipt of the alert, is responsible for scheduling the redetermination so that it is completed prior to or during the month in which it is due. An appointment letter is generated by the eligibility system to notify the client of the redetermination and the date the interview is scheduled. When the redetermination is completed and the AG remains eligible, the new POC must begin the month immediately following the month of the redetermination. The new beginning POC is automatically coded in the eligibility system. 1.20.6.B Spenddown Spenddown AGs are not redetermined and are closed at the end of the sixth month of the POC. The client must reapply for a new POC. Spenddown AGs may come into the office at any time to reapply for a new POC. Spenddown AGs are mailed a computer-generated letter at the adverse action deadline of the 6th 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. 1.20.7 THE BENEFIT 1.20.7.A Non-Spenddown 1.20.7.A.1 Ongoing Benefits