Page 229

West Virginia Income Maintenance Manual Chapter 1

West Virginia Income Maintenance Manual Page 196 Chapter 1 Application/Redetermination Process

Effective December 21, 2017 there was a change in the way Medical ID cards are issued. Instead of the separate blue paper card, the Medical ID card is now included in all Medicaid approval notices. The Medical ID card does not include any date parameters since eligibility may terminate. Medicaid recipients will receive one Medical ID card per case each time there is an approval or renewal for Medicaid for any household member. In situations where retroactive eligibility is established, the Medicaid coverage will be validated appropriately for each back-dated month. 1.20.7.A.2 Ending Date of Eligibility The ending date of eligibility is the last day of the month of the effective month of closure. 1.20.7.B Spenddown A Medical ID card is issued when the eligibility system entries bring the spenddown amount to $0. All eligible individuals who are included in the AG which meets spenddown appear on the Medical ID card. 1.20.7.B.1 Ending Date of Eligibility The ending date of eligibility is the last day of the effective date of closure. The spenddown AG automatically closes at adverse action deadline of the 6th month of the POC, effective the last day of the POC. • A member(s) of the Income Group experiences an increase in income; • An individual(s) with income is added to the Income Group; or • An individual(s) is removed from the Needs Group.

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Page 229

Official source

West Virginia Income Maintenance Manual Chapter 1

West Virginia Income Maintenance Manual Page 196 Chapter 1 Application/Redetermination Process

Effective December 21, 2017 there was a change in the way Medical ID cards are issued. Instead of the separate blue paper card, the Medical ID card is now included in all Medicaid approval notices. The Medical ID card does not include any date parameters since eligibility may terminate. Medicaid recipients will receive one Medical ID card per case each time there is an approval or renewal for Medicaid for any household member. In situations where retroactive eligibility is established, the Medicaid coverage will be validated appropriately for each back-dated month. 1.20.7.A.2 Ending Date of Eligibility The ending date of eligibility is the last day of the month of the effective month of closure. 1.20.7.B Spenddown A Medical ID card is issued when the eligibility system entries bring the spenddown amount to $0. All eligible individuals who are included in the AG which meets spenddown appear on the Medical ID card. 1.20.7.B.1 Ending Date of Eligibility The ending date of eligibility is the last day of the effective date of closure. The spenddown AG automatically closes at adverse action deadline of the 6th month of the POC, effective the last day of the POC. • A member(s) of the Income Group experiences an increase in income; • An individual(s) with income is added to the Income Group; or • An individual(s) is removed from the Needs Group.