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West Virginia Income Maintenance Manual Chapter 8

West Virginia Income Maintenance Manual Page 12 Chapter 8 Resource Development

Worker when he receives his Medicare card. The Worker enters the claim number in the eligibility system. 8.6.2.E Who Must Be Referred for Medicare Enrollment All Medicaid applicants and clients, age 65 or over, who are not enrolled, and all others who appear to meet the criteria in item 4 above, must be referred for enrollment. Failure to enroll for those eligible for Medicare Buy-In, and who do not meet an exemption described in Section 8.2.2., results in denial of the Medicaid application, removal from the Medicaid AG, or closure of the Medicaid AG. 8.6.2.F Use of MOBIUS Report WRCM260A – MA Turning 64 Yrs. and 9 Months and Reports from BMS The Worker must use the MA Turning 64 Yrs. and 9 Months report in MOBIUS each month to ensure that individuals who are near the age for Medicare eligibility begin the enrollment process with the SSA. These individuals may enroll in Medicare Part D, the Prescription Drug Benefit, at this time also so prescription drug benefits are not delayed. The eligibility system provides a letter to the client when his name appears on the report. The letter informs the client to enroll in Medicare and inform him that his Medicaid will stop if he fails to comply and is not exempt from the requirement. 8.6.2.G Procedure for Referrals to the SSA The Worker refers the client to SSA for any of the benefits listed above using the HS-3 or the verification checklist. In addition, the Worker must instruct the client to phone or visit his local SSA office to file an enrollment application in accordance with local SSA procedures. 8.6.2.H Follow-Up When a WV WORKS Client Becomes Eligible for SSI