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Room 730
Charleston, WV 25301
Ph: (304) 205-6357
Fx: (304) 558-4194

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Application/Redetermination Process

C1 - TOC                   Table of Contents

Section 1.1               Introduction            

Section 1.2               General Information

Section 1.3               Application Form  

Section 1.4               SNAP Application Process

Section 1.5               Adult Group  

Section 1.6               Parents/Caretaker Relatives 

Section 1.7               Medicaid for Deemed Parents/Caretaker Relatives

Section 1.8               Transitional Medicaid (TM)

Section 1.9               Children Under Age 19

Section 1.10              Poverty-Level Pregnant Women

Section 1.11              Reserved for Future Use

Section 1.12              Continuously Eligible Newborn Children

Section 1.13              SSI Recipients

Section 1.14              Deemed SSI Recipients

Section 1.15              Qualified Medicare Beneficiaries (QMB), and Specified Low-Income Medicare Beneficiaries

                                 (SLIMB) and Qualified Individuals (QI-!)  

Section 1.16              Qualified Disabled Working Individuals (QDWI)

Section 1.17              Illegal Aliens

Section 1.18              Individual Receiving Home and Community Based Services Under Title XIX Waivers       

Section 1.19              Children with Disabilities Community Services Program (CDCS)

Section 1.20              AIDS Drug Assistance Program

Section 1.21              AFDC-Related Medicaid

Section 1.22              SSI-Related Medicaid, Aged, Blind and Disabled

Section 1.23              SSI-Related/Non-Cash Assistance

Section 1.24              Procedures in the Medicaid Application Process

Section 1.25              WV WORKS

Section 1.26              Former WV Foster Children

APPENDIX A             Commonly Used Acronyms and Abbreviations

APPENDIX B             Guide for Self-Sufficiency Plan

APPENDIX C             Effective Date of TANF State Plan

APPENDIX D             WV WORKS List of Local Services Template

APPENDIX E             Public Forms

                                 DFA-RR-1 - Rights & Responsibilities
                                 Application/Redetermination
                                 DFA-PAC-4 - Medicaid Redetermination
                                 DFA-QSQ-1 - QMB / SLIMB / QI-1 Application
                                 DFA-UH-5 - Application for Undue Hardship Waiver 
                                 DFA-SNAP-1- Application for SNAP
                                 DFA_SLA-S1 Supplement to Application for Health Coverage
                                 DFA-SLA-1 - Application for Health Coverage and Help Paying Cost
                                 DFA-SLA-2 - Application for Health Coverage and Help Paying Cost (short form)
                                 DFA-2- Application for Benefits

APPENDIX F              Worker Responsibilities

APPENDIX G             County Coordinator Responsibilities

APPENDIX H              BCF State Coordinator Responsibilities