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West Virginia Income Maintenance Manual Chapter 9

West Virginia Income Maintenance Manual Page 4 Chapter 9 Client Notification

9.2.1.C.1 Evaluation for Non-Modified Adjusted Gross Income (MAGI) Coverage Information regarding potential eligibility for non-MAGI Medicaid coverage groups, and the benefits and services afforded to the applicant in the non-MAGI coverage groups, will be provided to the applicant in the MAGI notice. A description of additional information needed to determine non-MAGI eligibility and how to apply will be provided to the applicant. The information should be sufficient to enable the applicant to make an informed choice. 9.2.2 DFA-6A, SPENDDOWN EXPLANATION The date entered in the DFA-6 must be 30 days from the date of application when it is determined that the client will be required to meet a spenddown. The DFA-6A, Spenddown Explanation, must be attached to the DFA-6. In addition, the DFA-6 must indicate that evidence of medical expenses must be provided by the deadline date shown on the form, and the amount required to meet the spenddown must be specified. This is in addition to any other verification that may be needed. If the AG did not appear to be subject to a spenddown when the DFA-6 was issued, but verification of or a change in income results in a spenddown prior to approval, a new DFA-6 is issued to obtain medical bills to establish eligibility. However, the time limit for providing medical expenses remains 30 days from the date of application. 9.2.3 DFA-NL-6, NOTICE OF WITHDRAWAL OF APPLICATION If the applicant withdraws his application, the Worker must give or mail him a DFA-NL-6. 9.2.4 DFA-NL-A, NOTIFICATION LETTER: ACTION TAKEN ON YOUR APPLICATION The DFA-NL-A is used for approvals and denials for all programs. The form is self-explanatory but must provide the client with a full understanding of the reason for the action taken.