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West Virginia Income Maintenance Manual Chapter 7

West Virginia Income Maintenance Manual Page 15 Chapter 7 Verification

Program When to Verify Possible Sources of Verification 23. Medical Expenses SNAP SSI-Related Medicaid AFDC-Related Medicaid SNAP Only: At application; at redetermination; and when the client reports a change of more than $25 in total medical expenses or anticipated medical expenses SSI and AFDC-Related Medicaid Only: Prior to using the expense for spenddown Verify amount owed by the client which will not be reimbursed by a third party Medical bills; medical receipts; written estimates of anticipated costs from the medical provider; health insurance Explanation of Benefits (EOB); billing staff in hospital or doctor’s office; shipping invoices for mail-order prescription drugs and their shipping costs

24. Out-of-Pocket Medical Expenses Medicaid When the Department causes a delay in Medicaid coverage, and the client incurs medical expenses, which would have been paid by Medicaid, had the Department acted timely. Original bills from the medical provider and proof of payment by the client; receipts from the medical provider 25. Shelter Expenses SNAP At each application and redetermination, or when an individual reports a change of shelter expense. Acceptable verification must include the name and phone number of the landlord, the obligation amount, and the actual paid amount. Shelter expense verifications do not require a landlord’s signature. Acceptable verification is not limited to any single type of document and is obtained from the household or other source. When the customer cannot obtain information from a primary source of verification, the worker can then accept a secondary source. When a customer cannot obtain any verification of shelter expense, it is necessary for the worker to obtain a shelter attestation form from the customer. If a lease or rental agreement provided by the customer is older than 1 year, the customer must also