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West Virginia Income Maintenance Manual Chapter 7

West Virginia Income Maintenance Manual Page 40 Chapter 7 Verification

Eligibility System (SVES) match information. A SVES data match confirming the data submitted by the state is consistent with SSA data is considered equivalent to a primary document verifying citizenship or nationality. If the SVES data match results in an inconsistency, the Worker should make a reasonable effort to identify and correct possible errors, e.g., misspellings or transposed numbers in the SSN, name, or date of birth, so the data can be resubmitted to SSA. If the inconsistency still cannot be resolved, the applicant must be notified and provided 90 days from the date the notice is received to provide satisfactory documentation of citizenship, or to resolve the inconsistency with SSA’s information. The applicant remains eligible for Medicaid or WVCHIP during this 90-day period. If citizenship documentation is not supplied within the reasonable opportunity period, Medicaid or WVCHIP is stopped after advance notice. 7.4.6.B Clients Current Medicaid clients continue to receive benefits until determined ineligible. Medicaid is closed only after the client is given a reasonable opportunity period of 45 days to present evidence. This is the reasonable opportunity period for clients. The Worker may make an exception to the time limit when a client is making a good faith effort to provide the verification but is unable to do so. The extension period may not exceed 45 days. Any exception must be recorded thoroughly in the eligibility system. The Worker must assist the client to secure verification if necessary. 7.4.7 APPLICANTS OR CLIENTS WHO REQUIRE ASSISTANCE If the applicant or client is homeless, an amnesia victim, mentally impaired, or physically incapacitated and lacks someone who can act for the individual, and cannot provide evidence of U.S. citizenship or identity, the Worker should assist the applicant or client to document U.S. citizenship and identity. NOTE: Individuals who are ineligible for Medicaid coverage due to failure to supply citizenship/identity documentation cannot be approved for WVCHIP. These are individuals who qualify for Medicaid financially and otherwise, but lack the required documentation.