Page 70

West Virginia Income Maintenance Manual Chapter 1

West Virginia Income Maintenance Manual Page 37 Chapter 1 Application/Redetermination Process

• WV WORKS • Health care coverage through the Federally Facilitated Marketplace (FFM) • Medicare Premium Assistance (MPA) • Regular LIEAP and

• School Clothing Allowance (SCA) The rights and responsibilities are included with the WV PATH application; the DFA-RR-1 is not required. 1.3.1.B.2 Submission Format The WV PATH application is submitted by the applicant through the Department’s public-facing web portal. 1.3.2 SNAP ONLY APPLICATION FORM DFA-SNAP-1 The DFA-SNAP-1 Application for SNAP is used for SNAP-only applications. No DFA-RR-1 is required.

1.3.3 WV WORKS ONLY DFA-RFA-1 The DFA-RFA-1 Request for Assistance may be used to protect the date of application for WV WORKS. The form is considered complete when it contains, at a minimum, the applicant’s name, address, and signature. The DFA-RFA-1 should be used when the client is in the local office and time does not permit conducting an interview on the date the client wishes to apply for benefits. If the applicant does not follow through with the application requirements for WV WORKS, the correct action is denial of those benefits in the eligibility system. NOTE: Printing a DFA-2 after the interview is not required if a signed DFA- SNAP-1 is received.

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Page 70

Official source

West Virginia Income Maintenance Manual Chapter 1

West Virginia Income Maintenance Manual Page 37 Chapter 1 Application/Redetermination Process

• WV WORKS • Health care coverage through the Federally Facilitated Marketplace (FFM) • Medicare Premium Assistance (MPA) • Regular LIEAP and

• School Clothing Allowance (SCA) The rights and responsibilities are included with the WV PATH application; the DFA-RR-1 is not required. 1.3.1.B.2 Submission Format The WV PATH application is submitted by the applicant through the Department’s public-facing web portal. 1.3.2 SNAP ONLY APPLICATION FORM DFA-SNAP-1 The DFA-SNAP-1 Application for SNAP is used for SNAP-only applications. No DFA-RR-1 is required.

1.3.3 WV WORKS ONLY DFA-RFA-1 The DFA-RFA-1 Request for Assistance may be used to protect the date of application for WV WORKS. The form is considered complete when it contains, at a minimum, the applicant’s name, address, and signature. The DFA-RFA-1 should be used when the client is in the local office and time does not permit conducting an interview on the date the client wishes to apply for benefits. If the applicant does not follow through with the application requirements for WV WORKS, the correct action is denial of those benefits in the eligibility system. NOTE: Printing a DFA-2 after the interview is not required if a signed DFA- SNAP-1 is received.