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West Virginia Income Maintenance Manual Chapter 1

West Virginia Income Maintenance Manual Page 200 Chapter 1 Application/Redetermination Process

When the redetermination process cannot be completed automatically, the eligibility system sends a pre-populated form containing case information and require the client to provide additional information necessary to determine continuing eligibility. A signature is required. The pre-populated redetermination form provides the following information: • A statement that the AG(s) for the individual(s) listed is due for redetermination, • The address to which the form is returned, if submitted by mail, • The date by which the information must be submitted, • Specific information necessary to complete the redetermination, • The opportunity to report changes, • A statement that the AG may receive a verification checklist for completion and return, if reported changes require follow-up, • A statement that the AG(s) will be closed after proper notification, if the redetermination is not completed, and • Instructions for submitting the pre-populated auto-renewal verification checklist form online by using WV PATH. A phone number to call if the individual has questions about submitting the pre-populated auto-renewal verification checklist online. The client must be given 30 days from the date of the letter to return the information. The information may be submitted by mail, phone, electronically, Internet, or in person. Failure to respond and provide the necessary information will result in closure of the benefit. If the client responds and provides the information within 90 days of the effective date of closure, the agency will determine eligibility in a timely manner without requiring a new application. If the client is found eligible, the coverage must be back dated up to 3 months. 1.21.6.B Rolling Redeterminations When a change is reported during the certification period which affects eligibility, the DOHS must only request the information on the change reported. When the information is received, the client is evaluated for rolling redetermination. If the agency has enough information available to renew eligibility with respect to all the eligibility criteria, the agency must begin a new 12-month certification period. Redetermination Example 1: Rose is determined eligible from February 1, 2014 through January 31, 2015. On June 2, 2014, Rose calls and reports a change in income. The information is provided to the Department on June 6, 2014. The Worker evaluates and determines enough information is available to renew