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West Virginia Income Maintenance Manual Chapter 6

West Virginia Income Maintenance Manual Page 24 Chapter 6 Data Exchanges

6.5.3.B Customer Service Inquiries If an application filer contacts the Marketplace, Medicaid, or CHIP agency and requests information obtained via the Hub regarding FTI, Title II SSA income benefits, the number of quarters of coverage obtained from SSA, or current income data obtained from Equifax Workforce Solutions, which was used in processing his or her application, the DOHS will explain how to resolve any open verification issue, if appropriate, but may not provide the underlying data. The Worker must inform the applicant that reported information could not be electronically verified and notify the applicant of information or verification he must supply to establish eligibility. If the applicant is still interested in information obtained via the Hub that was used in processing his or her application, then the Marketplace, Medicaid, or CHIP agency should provide instructions to the applicant on how to locate the data in tax and Social Security benefit documents he already has, or how to interact directly with the IRS or SSA. The agency should also direct such an individual to Equifax Workforce Solutions to obtain the source information, if necessary. 6.5.3.C Eligibility Appeals If an individual appeals his or her eligibility determination and needs access to FTI, Title II SSA income benefits, the number of quarters of coverage obtained from SSA, or current income data obtained from Equifax Workforce Solutions, then the Marketplace, Medicaid, or CHIP agency will collect a handwritten signature (either an original or a copy) from the adult application filer to authorize the disclosure. If an application includes more than one tax household, the agency will collect handwritten signatures from every adult listed on the application to authorize the disclosure. These signatures can be mailed or uploaded to the Marketplace, Medicaid, or CHIP agency, or sent via facsimile. 6.5.3.D Data That May Be Disclosed Any information provided on an application by an application filer may be displayed as part of the application, eligibility notice, and electronic account. Income and household size as a percentage of the federal poverty level (FPL), which is calculated by the Marketplace, Medicaid, or CHIP agency based on multiple sources of data, may be disclosed as part of the eligibility and enrollment process.