Page 995
West Virginia Income Maintenance Manual Chapter 10
West Virginia Income Maintenance Manual Page 4 Chapter 10 The Case Maintenance Process
of the case record, such as a redetermination due or overdue or a sexual harassment and domestic violence, sexual assault, and stalking situation. When county DOHS office receives a transferred case, the Worker/Supervisor must evaluate Able-Bodied Adults Without Dependents (ABAWD) exemptions and the number of countable months received. The Worker forwards the case record and any separate file that contains information about a sexual harassment and domestic violence, sexual assault, and stalking situation to the new local office within 10 days. A memorandum is attached to the case record. In addition to case name and case number, the memorandum must include the new address, type of benefit and/or services being received, and the date the case is due for redetermination. If the client is in a nursing facility, this is indicated. A copy of this memorandum is retained in the closed files of the originating office. If the case is active with the Office of Children and Adult Services or Bureau for Child Support Enforcement (BCSE), the Worker must notify the other units of the transfer electronically or by DHS-1. The Worker must also ensure the transfer of the electronic file from the document imaging system to the new county. 10.2.1.B AG Closures When a client's circumstances change so that he becomes ineligible, the AG is closed. In some situations, the AG is automatically closed by the eligibility system. However, most AG closures are completed by the Worker. AG closures usually involve failure to continue to meet an eligibility requirement. These are addressed in the program-specific items that follow. The closures described below are related to general requirements, common to all programs. 10.2.1.B.1 Automatic Closures AGs are automatically closed by the eligibility system under the following circumstances: • An AG redetermination is not completed by the adverse action date in the month the AG is due for redetermination • Phase II of Transitional Medicaid (TM) ends • Extended Medicaid coverage ends • Medically Needy spenddown AG is at the end of the period of consideration (POC)