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West Virginia Income Maintenance Manual Chapter 7

West Virginia Income Maintenance Manual Page 6 Chapter 7 Verification

West Virginia’s Reasonable Compatibility Standard for MAGI Medicaid coverage groups only is 10%.

REASONABLE COMPATIBILITY STANDARD FOR ASSETS ONLY The reasonable compatibility standard for assets applies only during the automatic renewal process. Assets are considered verified at automatic redetermination when the value of liquid assets returned by the Asset Verification System plus the value of non-liquid assets previously verified in the case record are below the asset limit. Further verification is not required. When the total of these assets exceeds the asset limit, assets are not considered verified, i.e., discrepant. The client must be mailed a pre-populated redetermination form and be given the opportunity to verify the value of their assets at renewal. See Section 6.3.6. 7.2.5.B Reasonable Compatibility Policy Eligibility determinations for Medicaid and WVCHIP will be based, to the maximum extent possible, on applicant self-attestation verified by information obtained from electronic data sources. • When income and asset information obtained through electronic data sources is reasonably compatible with an applicant’s attestation, the self-attested information is considered verified. o Self-attestation information and information from data sources are reasonably compatible when any difference or discrepancy between the two sources does not impact the eligibility of the application. • If income and asset information obtained through electronic data sources is not reasonably compatible with an applicant’s attestation, additional documentation may be required. • Under reasonable compatibility, the Worker can require verification documentation only when the difference between the self-attestation and data source income and asset information affects eligibility. • The applicant must be given an opportunity to provide an explanation for discrepancies between self-attested information and income and asset information reported by an electronic data source. The Worker must determine if the client’s explanation is reasonable.